Preoperative Calcium or Vitamin D Supplement in Thyroidectomy: A Systematic Review and Meta-Analysis

source extracted confidence: high 2026-04-09
#humans #thyroidectomy #vitamin-d #dietary-supplements #hypocalcemia

Preoperative Calcium or Vitamin D Supplement in Thyroidectomy: A Systematic Review and Meta-Analysis

Jullamusi et al., 2025 | Laryngoscope | Meta Analysis

Citation

Jullamusi Witsanu, Ratanaprasert Narin, ... Kasemsuk Navarat. Preoperative Calcium or Vitamin D Supplement in Thyroidectomy: A Systematic Review and Meta-Analysis. Laryngoscope. 2025-Apr;135(4):1267-1277. doi:10.1002/lary.31860

Abstract

OBJECTIVES: The objective of this systematic review and meta-analysis was to assess the role of preoperative calcium and vitamin D supplementation in patients who underwent total thyroidectomy. DATA SOURCES: The search for randomized controlled trials was performed in the OVID Medline and Embase databases. REVIEW METHODS: The last search was made on September 16, 2024. Three independent reviewers evaluated full-text articles from relevant reports based on eligibility criteria. The quality of the included studies was assessed by two reviewers according to the ROB 2 tool. RESULTS: This systematic review and meta-analysis considered 13 studies with 1504 participants. There were positive results in treatment outcomes including the mean postoperative calcium level (MD, 0.30 mg/dL: 95% CI, 0.15 to 0.44); the 48 h of postoperative hypocalcemia (OR, 0.41; 95% CI, 0.27 to 0.62); the postoperative symptomatic hypocalcemia (OR, 0.38; 95% CI, 0.24 to 0.62); the IV calcium supplementation (OR, 0.32; 95% CI, 0.18 to 0.58); and length of hospital stays (MD, -0.29; 95% CI, -0.51 to -0.07) as compared to the control group. Readmission rates showed no significant differences between the groups (OR, 0.15; 95% CI, 0.01 to 3.08). CONCLUSIONS: Preoperative calcium and vitamin D supplementation in patients who underwent total thyroidectomy results in reduction of postoperative symptomatic hypocalcemia. The finding is critical because it offers a feasible and effective solution that could improve patient care while potentially reducing the burden of numerous blood tests during the postoperative period. REGISTRATION: This systematic review protocol was registered with PROSPERO (registration number CRD42021278859). LEVEL OF EVIDENCE: 1 Laryngoscope, 135:1267-1277, 2025.

Key Findings

This systematic review and meta-analysis considered 13 studies with 1504 participants. There were positive results in treatment outcomes including the mean postoperative calcium level (MD, 0.30 mg/dL: 95% CI, 0.15 to 0.44); the 48 h of postoperative hypocalcemia (OR, 0.41; 95% CI, 0.27 to 0.62); the postoperative symptomatic hypocalcemia (OR, 0.38; 95% CI, 0.24 to 0.62); the IV calcium supplementation (OR, 0.32; 95% CI, 0.18 to 0.58); and length of hospital stays (MD, -0.29; 95% CI, -0.51 to -0.

Outcomes Measured

  • Requires manual extraction

Population

Field Value
Population See abstract
Sample Size 1504
Age Range See abstract
Condition See abstract

MeSH Terms

  • Humans
  • Thyroidectomy
  • Vitamin D
  • Dietary Supplements
  • Hypocalcemia
  • Postoperative Complications
  • Calcium
  • Preoperative Care
  • Randomized Controlled Trials as Topic
  • Treatment Outcome
  • Female
  • Length of Stay

Evidence Classification

  • Level: Meta Analysis
  • Publication Types: Journal Article, Systematic Review, Meta-Analysis
  • Vertical: calcium

Provenance

Source extracted via PubMed E-utilities API on 2026-04-09