Long-term outcomes after total thyroidectomy.

Abstract:

INTRODUCTION:The aim of this study was to assess the complication rates of total thyroidectomy in a regional hospital setting in Denmark for permanent hypoparathyroidism, recurrent laryngeal nerve palsy and post-operative bleeding. Furthermore, the long-term outcomes in the management of hypoparathyroidism were investigated. METHODS:This was a retrospective study of 114 consecutive patients undergoing total thyroidectomy due to benign thyroid disease. RESULTS:A total of 0.9% suffered from permanent recurrent laryngeal nerve palsy, whereas temporary nerve palsy was seen in 1.8%. Post-operative bleeding occurred in 5.4%. The frequencies of temporary and permanent post-operative hypocalcaemia were 22.8% and 17.4%, respectively. Autotransplantation of parathyroid tissue was performed in 23.7%. Unintentional parathyroidectomy occurred in 8.7%. Serum ionized calcium was significantly lower preoperatively in the group that developed hypocalcaemia (p = 0.03). CONCLUSIONS:The incidence of recurrent laryngeal nerve palsy was similar to that reported in other published studies. Post-operative bleeding was more common than in other studies. The high frequency of permanent post-operative hypocalcaemia is a cause for concern. We need to consider implementing a guideline to facilitate outfacing calcium and vitamin D supplements as an attempt to phase out was not attempted in all patients. FUNDING:not relevant. TRIAL REGISTRATION:The study was approved by the Danish Data Protection Agency, but has not been registered due to its register-based design.

journal_name

Dan Med J

journal_title

Danish medical journal

authors

Jensen PV,Jelstrup SM,Homøe P

subject

Has Abstract

pub_date

2015-11-01 00:00:00

pages

A5156

issue

11

issn

2245-1919

pii

A5156

journal_volume

62

pub_type

杂志文章
  • Danish translation and linguistic validation of the BREAST-Q.

    abstract:INTRODUCTION:The primary purpose of reconstructive and cosmetic breast surgery is to improve patients' quality of life, and patient-reported outcome measurements are important in outcome assessment of breast surgery. The BREAST-Q questionnaire measures changes in quality of life and patient satisfaction in patients und...

    journal_title:Danish medical journal

    pub_type: 杂志文章

    doi:

    authors: Willert CB,Gjørup CA,Hölmich LR

    更新日期:2020-05-01 00:00:00

  • End-tidal CO2 in the diagnosis of fluid responsiveness - a systematic review.

    abstract:INTRODUCTION:An indication of the adequacy of the intra-vascular volume is of importance in critically ill patients. The status of the intravascular volume can be determined from a fluid challenge test. Most tests involve invasive monitoring. An exception is the capnographic measurement of changes in end-tidal (ET) CO2...

    journal_title:Danish medical journal

    pub_type: 杂志文章

    doi:

    authors: Øberg EB,Jørgensen BG,Berthelsen PG

    更新日期:2019-09-01 00:00:00

  • No clinical value of post-operative routine X-ray following uncomplicated cementless primary total hip arthroplasty.

    abstract:INTRODUCTION:There is no consensus among hip surgeons in Denmark on how to follow up patients after total hip arthroplasty (THA). Agreement on the need for radiographic examinations is also lacking. The purpose of this study was to evaluate if routine outpatient post-operative radiographs, obtained three and 12 months ...

    journal_title:Danish medical journal

    pub_type: 杂志文章

    doi:

    authors: Christensen M,Folkmar K

    更新日期:2013-04-01 00:00:00

  • Elective surgery after successful endoscopic decompression of sigmoid volvulus may be considered.

    abstract:INTRODUCTION:Volvulus is an axial twist of any part of the gastrointestinal tract along its mesentery. If it goes unattended, it will cause bowel obstruction and bowel ischaemia with gangrene and perforation. The primary treatment is endoscopic desufflation, but the place for elective surgery is controversial. Volvulus...

    journal_title:Danish medical journal

    pub_type: 杂志文章

    doi:

    authors: Hougaard HT,Qvist N

    更新日期:2013-07-01 00:00:00

  • A simple high-dose gentamicin regimen showed no side effects among neonates.

    abstract:INTRODUCTION:Treatment of infections in neonates with gentamicin is a balance between optimising bactericidal effect and minimising adverse effects. Previously, at the Neonatal Intensive Care Unit (NICU) at Kolding Hospital, Denmark, neonates suspected of having infections were treated daily with gentamicin 5 mg/kg for...

    journal_title:Danish medical journal

    pub_type: 杂志文章

    doi:

    authors: Blaabjerg AS,Kofoed PE,Dalegaard MC,Fenger-Gron J

    更新日期:2017-06-01 00:00:00

  • Responsiveness of a Danish version of the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire.

    abstract:INTRODUCTION:This prospective cohort study in consecutive shoulder patients sought to determine the minimal, clinically important difference of the Danish version of the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire and to evaluate patient responsiveness to it. The study was undertaken at the Outpatie...

    journal_title:Danish medical journal

    pub_type: 杂志文章

    doi:

    authors: Lundquist CB,Døssing K,Christiansen DH

    更新日期:2014-04-01 00:00:00

  • Young Danes' experiences with unsafe sex.

    abstract:INTRODUCTION:Surveying sexual behaviour of the general population serves to identify key points of preventive interventions, monitor the effect and interpret changes in patterns of disease. Validated questionnaires describing sexual behaviour can be adapted to some extent from other countries, but national adaption, re...

    journal_title:Danish medical journal

    pub_type: 杂志文章

    doi:

    authors: Jørgensen MJ,Andersen B,Olesen F,Maindal HT

    更新日期:2013-01-01 00:00:00

  • Improvement in health-related quality of life following Roux-en-Y gastric bypass.

    abstract:INTRODUCTION:This study explored whether health-related quality of life (HRQOL) changes following Roux-en-Y gastric bypass surgery were associated with identifiable socio-demographic or clinical characteristics, and it examined the impact on health outcomes of changes in the Danish criteria for bariatric surgery. MATE...

    journal_title:Danish medical journal

    pub_type: 临床试验,杂志文章

    doi:

    authors: Hansen NB,Gudex C,Støving RK

    更新日期:2014-07-01 00:00:00

  • Limited availability of childhood overweight and obesity treatment programmes in Danish paediatric departments.

    abstract:INTRODUCTION:The prevalence of children and adolescents with overweight and obesity has tripled over the past 30 years. One in five children in Denmark is overweight, a condition which is accompanied by serious medical and psychosocial complications. So far, an overview of the Danish treatment of childhood overweight a...

    journal_title:Danish medical journal

    pub_type: 杂志文章,多中心研究

    doi:

    authors: Eg M,Cortes D,Johansen A,Frederiksen K,Lorentzen V,Larsen LM,Holm JC,Vámosi M

    更新日期:2016-09-01 00:00:00

  • Effects of telemedicine in the treatment of patients with type 2 diabetes--a study protocol.

    abstract:INTRODUCTION:Despite rehabilitation programmes offered to all patients with newly diagnosed type 2 diabetes in Denmark, a number of patients either never accomplish good diabetes regulation or the regulation deteriorates with time. Therefore, new approaches are needed. The aim of the present study is to examine whether...

    journal_title:Danish medical journal

    pub_type: 杂志文章,随机对照试验

    doi:

    authors: Hansen CR,Perrild H,Koefoed BG,Faurschou P,Høst D,Zander M

    更新日期:2013-12-01 00:00:00

  • Retinal angiographic blood flowmetry is reduced in the ocular ischaemic syndrome.

    abstract:INTRODUCTION:The aim of this study was to examine the use of quantitative fluorescein angiographic analysis as a means of estimating rates of perfusion of the retina in eyes with a circulatory deficit secondary to carotid artery stenosis. MATERIAL AND METHODS:The study included 21 eyes with ocular ischaemic syndrome (...

    journal_title:Danish medical journal

    pub_type: 杂志文章

    doi:

    authors: Hansen GL,Kofoed PK,Munch IC,Sillesen H,Jensen LP,Iversen HK,Larsen M

    更新日期:2013-10-01 00:00:00

  • Endoscopic ultrasound-guided ablation is a promising treatment for pancreatic cystic neoplasms - a systematic review.

    abstract:INTRODUCTION:With the increasing use of cross-sectional imaging, the incidence of non-symptomatic pancreatic cystic neoplasms is increasing. Surgical management of pancreatic cystic neoplasms possess significant risks of perioperative morbidity and mortality. Our aim was to evaluate endoscopic ultrasound (EUS)-guided a...

    journal_title:Danish medical journal

    pub_type: 杂志文章

    doi:

    authors: Olsen GA,Aalling L,Karstensen JG

    更新日期:2020-08-01 00:00:00

  • Danish patients are positive towards fees for non-attendance in public hospitals. A qualitative study.

    abstract:INTRODUCTION:Patients' non-attendance is a significant problem in modern healthcare. Non-attendance delays treatment, reduces efficiency and increases healthcare costs. For several years, the introduction of financial incentives such as a non-attendance fee has been discussed in Denmark. Set in the context of a tax-fin...

    journal_title:Danish medical journal

    pub_type: 杂志文章

    doi:

    authors: Lou S,Frumer M,Olesen S,Nielsen AH,Væggemose U

    更新日期:2016-07-01 00:00:00

  • Identification and validation of novel prognostic markers in Renal Cell Carcinoma.

    abstract::Kidney cancer (Renal Cell Carcinoma (RCC)) is one of the most deadly malignancies due to frequent late diagnosis and poor treatment options. Histologically, RCC embraces a wide variety of different subtypes with the clear cell variant (ccRCC) being the most common, accounting for 75-90% of all RCCs. At present, the su...

    journal_title:Danish medical journal

    pub_type: 杂志文章

    doi:

    authors: Rabjerg M

    更新日期:2017-10-01 00:00:00

  • Possible adverse effects of the quadrivalent human papillomavirus vaccine in the Region of Southern Denmark: a retrospective, descriptive cohort study.

    abstract:INTRODUCTION:Since the introduction of the quadrivalent human papillomavirus vaccine, young girls and women have reported a broad range of symptoms. These have been described as possible adverse effects of the vaccine. In this study, we describe demographic characteristics, symptomatology, clinical and laboratory test ...

    journal_title:Danish medical journal

    pub_type: 杂志文章

    doi:

    authors: Cramon C,Poulsen CL,Hartling UB,Holden IK,Johansen IS

    更新日期:2017-07-01 00:00:00

  • Oxidative and inflammatory biomarkers of ischemia and reperfusion injuries.

    abstract::Ischemia-reperfusion injuries occur when the blood supply to an organ or tissue is temporarily cut-off and then restored. Even though the restoration of blood flow is absolutely essential in preventing tissue death, the reperfusion of oxygenated blood to the oxygen-deprived areas may in itself augment the tissue damag...

    journal_title:Danish medical journal

    pub_type: 杂志文章,评审

    doi:

    authors: Halladin NL

    更新日期:2015-04-01 00:00:00

  • Substantial interobserver variation of thyroid volume and function by visual evaluation of thyroid (99m)Tc scintigraphy.

    abstract:INTRODUCTION:(99m)Tc-pertechnetate scintigraphy is much used in the evaluation of patients with nodular goitre. We investigated the ability of experienced observers to estimate the thyroid 24-h (131)I uptake (RAIU) and the thyroid volume by visual evaluation of the scintigram. MATERIAL AND METHODS:Two endocrinologists...

    journal_title:Danish medical journal

    pub_type: 杂志文章

    doi:

    authors: Soelberg KK,Grupe P,Boel-Jørgensen H,Jørgensen PH,Fast S,Nielsen VE,Hegedüs L,Bonnema SJ

    更新日期:2014-02-01 00:00:00

  • Osteoporosis after adjuvant treatment for early-stage breast cancer.

    abstract:INTRODUCTION:Adjuvant treatment of early-stage breast cancer has been associated with bone loss in randomised trials, but evidence from unselected populations is needed. In a single-center study, we assessed the annual percentage change in bone mineral density (∆BMDt) and risk of osteoporosis from two to five years aft...

    journal_title:Danish medical journal

    pub_type: 杂志文章

    doi:

    authors: Christensen CØ,Jensen MB,Hermann AP,Ewertz M

    更新日期:2020-10-20 00:00:00

  • Diagnosis and prognosis of anomalous origin of the left coronary artery from the pulmonary artery.

    abstract:INTRODUCTION:Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is an uncommon congenital heart abnormality. The aim of this study was to describe a single-centre experience with surgical repair of this condition. METHODS:We performed a retrospective analysis of cases from February 2004 to...

    journal_title:Danish medical journal

    pub_type: 杂志文章

    doi:

    authors: Holst LM,Helvind M,Andersen HØ

    更新日期:2015-09-01 00:00:00

  • Operative treatment with nerve repair can restore function in patients with traction injuries in the brachial plexus.

    abstract:INTRODUCTION:Brachial plexus injuries are usually a result of road traffic accidents and a cause of severe disability that typically affects young adult males. In 2010, a national centre was established for referral of these cases from Danish trauma centres. In this paper, we report on our surgical activity and reflect...

    journal_title:Danish medical journal

    pub_type: 杂志文章

    doi:

    authors: Stiasny J,Birkeland P

    更新日期:2015-03-01 00:00:00

  • No clinical advantages of coblation tonsillectomy compared with traditional tonsillectomy.

    abstract:INTRODUCTION:Tonsillectomy may be performed by several methods. It is continuously being discussed which method is preferable with regard to postoperative haemorrhage, pain, activity and nutrition. MATERIAL AND METHODS:The present study is a prospective non-randomized study of tonsillectomy. It included 198 patients a...

    journal_title:Danish medical journal

    pub_type: 临床试验,杂志文章

    doi:

    authors: Moesgaard L,Mirz F

    更新日期:2012-01-01 00:00:00

  • EndoBarrier gastrointestinal liner. Delineation of underlying mechanisms and clinical effects.

    abstract::Bariatric surgery (e.g. Roux-en-Y gastric bypass (RYGB)) has proven the most effective way of achieving sustainable weight losses and remission of type 2 diabetes (T2D). Studies indicate that the effectiveness of RYGB is mediated by an altered gastrointestinal tract anatomy, which in particular favours release of the ...

    journal_title:Danish medical journal

    pub_type: 杂志文章,评审

    doi:

    authors: Rohde U

    更新日期:2016-11-01 00:00:00

  • Phonosurgery of vocal fold polyps, cysts and nodules is beneficial.

    abstract:INTRODUCTION:This study reports our experience with microscopic phonosurgery (PS) of benign lesions of the vocal folds. MATERIAL AND METHODS:During the five-year period from 2003 to 2007, a total of 97 patients had PS for vocal fold polyps (n = 63), vocal fold cysts (n = 17), vocal fold nodules (n = 12) or vocal fold ...

    journal_title:Danish medical journal

    pub_type: 杂志文章

    doi:

    authors: Jensen JB,Rasmussen N

    更新日期:2013-02-01 00:00:00

  • Staging of women with breast cancer after introduction of sentinel node guided axillary dissection.

    abstract::Today, sentinel lymph node dissection (SLND) has replaced axillary lymph node dissection (ALND) as standard procedure for staging of the axilla in the treatment of breast cancer. SLND can accurately stage the axilla by removing on average only two lymph nodes. Only in case of metastatic spread to sentinel nodes an ALN...

    journal_title:Danish medical journal

    pub_type: 杂志文章,评审

    doi:

    authors: Tvedskov TF

    更新日期:2012-07-01 00:00:00

  • Diagnostic yield and complications of transthoracic computed tomography-guided biopsies.

    abstract:INTRODUCTION:The widespread use of computed tomography (CT) improves detection of pulmonary lesions, which are not only detected at an increased rate but also at a smaller size. CT-guided lung biopsies are now more frequently used than fluoroscopy-guided lung biopsies. The main aim of the present paper was to investiga...

    journal_title:Danish medical journal

    pub_type: 杂志文章

    doi:

    authors: Vagn-Hansen C,Pedersen MR,Rafaelsen SR

    更新日期:2016-06-01 00:00:00

  • The impact of consanguinity on the frequency of inborn errors of metabolism.

    abstract:INTRODUCTION:We investigated the frequency of con-sanguinity among the parents to newborns with inborn errors of metabolism (IEM) diagnosed by neonatal screening. METHODS:Data were obtained from 15 years of national newborn screening for selected IEM with autosomal recessive mode of inheritance. Among the 838,675 newb...

    journal_title:Danish medical journal

    pub_type: 杂志文章

    doi:

    authors: Afzal RM,Lund AM,Skovby F

    更新日期:2018-10-01 00:00:00

  • Prevalence of sarcopenia in a Danish geriatric out-patient population.

    abstract:INTRODUCTION:The prevalence of sarcopenia varies extensively depending on the definitions and studied populations. The aim of this study was to assess the prevalence of sarcopenia in a Danish geriatric out-patient population using criteria from the European Working Group on Sarcopenia (EWGSOP). METHODS:Patients referr...

    journal_title:Danish medical journal

    pub_type: 杂志文章

    doi:

    authors: Christensen MG,Piper KS,Dreier R,Suetta C,Andersen HE

    更新日期:2018-06-01 00:00:00

  • Treatment of hypoglycaemic diabetics in a prehospital setting is safe.

    abstract:INTRODUCTION:Patients with diabetes suffering from hypoglycaemia may be treated by a Mobile Emergency Care Unit (MECU) and are often released at the scene following treatment. Some of these patients experience secondary hypoglycaemia and require renewed treatment or admission to hospital. The present study was initiate...

    journal_title:Danish medical journal

    pub_type: 杂志文章

    doi:

    authors: Hatting NP,Mikkelsen S

    更新日期:2015-04-01 00:00:00

  • Trends in population blood pressure and determinant factors for population blood pressure.

    abstract::Strategies to reduce the burden of blood pressure attributable diseases require knowledge of secular trend in PBP and its determinants. The issues were investigated in the Copenhagen City Heart Study. The design of CCHS is a repeated measures study. Such designs are uniquely suited to studying changes of an outcome an...

    journal_title:Danish medical journal

    pub_type: 杂志文章

    doi:

    authors: Andersen UO

    更新日期:2017-03-01 00:00:00

  • Medication problems are frequent and often serious in a Danish emergency department and may be discovered by clinical pharmacists.

    abstract:INTRODUCTION:Transferring a patient from one health-care sector to another implies a risk of medication errors. It is of interest to evaluate whether a specialist in clinical pharmacy is beneficial for the patients in the emergency departments (ED). The aim of the present study was to report the incidence, categories a...

    journal_title:Danish medical journal

    pub_type: 杂志文章

    doi:

    authors: Mogensen CB,Thisted AR,Olsen I

    更新日期:2012-11-01 00:00:00