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[# PeerJ Staff Note - this decision was reviewed and approved by Stefano Menini, a PeerJ Section Editor covering this Section #]
The responses and changes are adequate for publication
n/a
n/a
fine.
well design
quite valuable
no any comment.
**PeerJ Staff Note:** Please ensure that all review, editorial, and staff comments are addressed in a response letter and that any edits or clarifications mentioned in the letter are also inserted into the revised manuscript where appropriate.
Sometimes it can be difficult to follow along with.
Overall good review of factors affecting hypocalcemia after TT. I would suggest reviewing more articles or expanding on the current review, as it is a bit short. Consider merging the PTH section and the PT gland section
Evidence only seems to show significant links to PTH levels s/p TT as it relates to hypocalcemia.
In your rationale/conclusions, you have to make the argument why figuring out another risk factor for hypocalcemia is relevant (are you arguing for more robust/earlier detection of hypocalcemia, cheaper methods than PTH measurements, etc). Since PTH measurements give us a pretty good idea of the risk of post-op hypocalcemia, you need to make a final determination/rationale on why this specific study matters.
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This narrative review covers the incidence and prevalence of hypocalcemia following thyroidectomy, focusing on patient-related and perioperative risk factors that may predict post-operative hypocalcemia. The background is detailed with relevant citations, and the language is clear and succinct. This is not a meta-analysis or systematic review, but rather a limited review of two databases, including PubMed.
The review primarily includes recent literature from PubMed and a Chinese database. There is no meta-analysis, and the selection of studies from these databases is somewhat arbitrary and not well defined. Authors should elaborate on the selection criteria for the included papers, as not all published studies were chosen.
Given the inclusion of a Chinese database, authors must address potential bias and the limited generalizability of the data. Nonetheless, the review provides a sound overview of the literature on risk factors for hypocalcemia post-thyroidectomy.
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Good review!
Some faults:
1) Define the term “Hypocalcemia” and subclinical hypocalcemia.
2) Review more about Post-TT hypocalcemia for Graves’ disease.
3) The management of parathyroid venous congestion
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