PARACAL: Intraoperative Monitoring to Predict Postoperative Complications After Thyroidectomy
Study Details
Study Description
Brief Summary
The goal of this study is to evaluate the role of intraoperative continous and intermittent neuromonitoring and intraoperative parathormone (PTH) to predict postoperative nerve morbidity and hypocalcemia.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
Intraoperative PTH values and intraoperative continuous neuromonitoring will be collected prospectively in consecutive patients who undergo total thyroidectomy.
Postoperative parathyroid morbidity and recurrent laryngeal nerve morbidity will be evaluated within 1 week after total thyroidectomy and at 1 year postoperatively.
Other postoperative morbidity will be evaluated at 1 year postoperatively using validated classification.
Study Design
Outcome Measures
Primary Outcome Measures
- intraoperative parathormone values [intraoperative]
parathormone in pg/mL
Secondary Outcome Measures
- postoperative hypocalcemia [within 1 week after thyroidectomy]
calcium in mg/L
- postoperative hypoparathyroidism [within 1 week after thyroidectomy]
parathormone in pg/mL
- permanent postoperative hypocalcemia [at one year after thyroidectomy]
calcium in mg/L
- permanent postoperative hypoparathyroidism [at one year after thyroidectomy]
parathormone in pg/mL
- laryngeal nerve palsy [during thyroidectomy]
continuous intraoperative neuromonitoring (> 50% baseline values yes/no)
- laryngeal nerve palsy [within 1 week after thyroidectomy]
laryngoscopy (normal / palsy)
- laryngeal nerve palsy [at one year after thyroidectomy]
laryngoscopy (normal / palsy)
- Postoperative complications other than outcomes from 1 to 8 [at one year after thyroidectomy]
Postoperative morbidity classification (using a Clavien-Dindo classification) postoperatively
Eligibility Criteria
Criteria
Inclusion Criteria:
- patients scheduled for total thyroidectomy in university of Nancy (University Hospital)
Exclusion Criteria:
- refusal to participate
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | CHU Nancy | Vandœuvre-lès-Nancy | France | 54511 |
Sponsors and Collaborators
- Central Hospital, Nancy, France
Investigators
- Principal Investigator: Brunaud, CHU Nancy
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- PARACAL
- R2016-25