Risk Factors of Post-Hemithyroidectomy Hypothyroidism

Saudi Journal of Medicine & Medical Sciences
Alhanoof K Al-Shalhoub, Saleh Al-Dhahri

Abstract

Hemithyroidectomy is one of the most frequently performed procedures often associated with complications, among which hypothyroidism is the most common. However, the risk factors for post hemithyroidectomy hypothyroidism are still unclear. To assess the incidence, risk factors and time taken to develop hypothyroidism after hemithyroidectomy. A retrospective chart review of patients who underwent hemithyroidectomy between 2004 and 2012 in two different hospitals was performed. Patients were analyzed for age, gender, weight, height, body mass index (BMI), previous medical history and histological findings. The incidence of post hemithyroidectomy hypothyroidism was determined based on the thyroid stimulating hormone levels during the postoperative period. From a total of 213 patients, 83 met our inclusion criteria; 67 (80.7%) were women and 16 (19.3%) were men. Thirty-seven (45%) patients developed biochemical hypothyroidism postoperatively whereas 46 patients remained euthyroid (55%). The time taken to develop hypothyroidism was variable. Twenty-four (61.5%) of 37 patients developed hypothyroidism within the first 3 months postoperatively. There were no significant differences in gender, age, BMI, history of diabetes mellitus, th...Continue Reading

Citations

Oct 30, 2021·Thyroid : Official Journal of the American Thyroid Association·Julia A BaranKen Kazahaya

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