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CTRI Number  CTRI/2025/10/096306 [Registered on: 22/10/2025] Trial Registered Prospectively
Last Modified On: 01/11/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   prospective analytical study 
Study Design  Single Arm Study 
Public Title of Study   Effect Of optimisation of preoperative hypocalcemia on incidence and effects of post operative hypocalcemia in patients undergoing total thyroidectomy 
Scientific Title of Study   Effect of prehabilitation on post-operative hypocalcemia in patients undergoing total thyroidectomy. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  E Madhuri 
Designation  Junior Resident 
Affiliation  Jawaharal Nehru Medical College 
Address  Dept. of General Surgery, 4th floor, SMSC building, Sawangi

Wardha
MAHARASHTRA
442001
India 
Phone  9491687751  
Fax    
Email  emadhuyadav504@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Swati Ghanshyam Deshpande 
Designation  Associate Professor General Surgery 
Affiliation  Jawaharal Nehru Medical College 
Address  Dept. of General Surgery, 4th floor, SMSC building, Sawangi

Wardha
MAHARASHTRA
442001
India 
Phone  9969274572  
Fax    
Email  dswat86@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Swati Ghanshyam Deshpande 
Designation  Associate Professor General Surgery 
Affiliation  Jawaharal Nehru Medical College 
Address  Dept. of General Surgery, 4th floor, SMSC building, Sawangi

Wardha
MAHARASHTRA
442001
India 
Phone  9969274572  
Fax    
Email  dswat86@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Datta Meghe Institute of Higher Education and Rsearch 
Address  Sawangi Meghe, Wardha, maharashtra -442001 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DR E Madhuri  ACHARYA VINOBA BHAVE RURAL HOSPITAL   ACHARYA VINOBA BHAVE RURAL HOSPITAL , JAWAHARALAL NEHRU MEDICAL COLLEGE . DEPARTEMENT OF GENERAL SURGERY , DMIHER, SAWANGI MEGHE, WARDHGA. MAHARASTRA , WARDHA .
Wardha
MAHARASHTRA 
9491687751

emadhuyadav504@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INTITUTIONAL ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  , (1) ICD-10 Condition: E898||Other postprocedural endocrine andmetabolic complications and disorders,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Ages between 18 to 65 years who will be planned for total thyroidectomy.
All genders
Patients with ASA grade1 and 2
All individuals who are consenting for study 
 
ExclusionCriteria 
Details  Patients who will be lost for follow up .
Patients with hypoparathyroidism, renal failure, drugs, ( bicarbonate, rifampicin), hypomagnesemia, acute pancreatitis.
Patients who are not consenting. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
This study will help to evaluate the role of pre operative correction ( pre habilitation) of hypocalcemia and hypovitaminosis D in preventing post op hypocalcemia in pts undergoing total thyroidectomy. It will also help us to evaluate the role of early operative levels of serum parathormone levels to predict post operative hypocalcemia/hypoparathyroidism and risk of protracted hypocalcemia.  2 years  
 
Secondary Outcome  
Outcome  TimePoints 
To estimate hypocalcemia in pts undergoing total thyroidectomy   2 years 
 
Target Sample Size   Total Sample Size="23"
Sample Size from India="23" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   02/11/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  02/11/2025 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Yet Recruiting 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   It is a prospective observational study which aims to assess the demographic profile and indications for total thyroidectomy. To estimate the incidence of preoperative hypocalcaemia and hypovitaminosis D3 in patients posted for total  thyroidectomy and to  correct them preoperatively. To evaluate the intra operative findings in terms of whether parathyroid glands are identified at surgery, superior or inferior or both glands are identified, site of ligation of inferior thryoid artery , whether auto transplatation of parathyroid glands is done during surgery.To estimate te incidence of post operative hypothyroidism 24 hours after surgery by Serum iPTH levels. To estimate the incidence of clinical and biochemical hypocalcemia on Day 1 and Day 3 post surgery.
Hypocalcemia is life threatening situation , many patients preoperatively have hypocalcemia and hypo -vitaminosis D , so we try to evaluate pre operative calcium levels with early post operative parathormone level and serum calcium to reduce the risk of post operative hypocalcemia which might lead to permanent hypothyroidism.

This study will help to evaluate the role of pre-operative correction ( prehabiliatation) of hypcalcemia and hypovitaminosis d in preventing post op hypocalcemia in patients undergoing total thyroidectomy.It will also help us evaluate the role of early operative levels of serum parathormone levels to predict post operative hypocalcemia / hypoparathyroidism and risk of protracted hypocalcemia.

 
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