Evidence map›Paper›PMID 27279011›Full record

ReviewPituitary2016

Challenges in the diagnosis and management of acromegaly: a focus on comorbidities.

Alin Abreu, Alejandro Pinzón Tovar, Rafael Castellanos, Alex Valenzuela, Claudia Milena Gómez Giraldo, Alejandro Castellanos Pinedo, Doly Pantoja Guerrero, Carlos Alfonso Builes Barrera, Humberto Ignacio Franco, Antônio Ribeiro-Oliveira and 11 more

Abstract readReview
In one paragraph

Review in Pituitary, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

74 citing papers in PubMed.

  1. Article
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14 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Alin AbreuEndocrinology Unit, Centro Médico Imbanaco Cali, Cali, Colombia.
Alejandro Pinzón TovarInternal Medicine Department, Hospital of Neiva, University Surcolombiana, Neiva, Colombia.
Rafael CastellanosInternal Medicine Department, University Industrial of Santander, Bucaramanga, Colombia.
Alex ValenzuelaDepartment of Internal Medicine, Endocrinology Fundación Cardio-Infantil, Instituto de Cardiología, Universidad del Rosario, Bogotá, Colombia.
Claudia Milena Gómez GiraldoEndocrinology Unit, Hospital Universitario San Ignacio, Bogotá, Colombia.
Alejandro Castellanos PinedoInternal Medicine Department, Hospital San Jerónimo de Montería, Montería, Córdoba, Colombia.
Doly Pantoja GuerreroEndocrinology Unit, Hospital Universitario Departamental de Nariño, CENTRO de Endocrinologia CENDOO, Universidad Nacional de Colombia, Pasto, Colombia.
Carlos Alfonso Builes BarreraEndocrinology Department, Hospital Universitario San Vicente Fundación, Universidad de Antioquia, Medellín, Colombia.
Humberto Ignacio FrancoEndocrinology Faculty, Universidad Caldas, Manizales, Colombia.
Antônio Ribeiro-OliveiraFederal University of Minas Gerais, Belo Horizonte, Brazil.
Lucio VilarEndocrinology and Chair, Division of Endocrinology, Hospital das Clínicas, Pernambuco Federal University Medical School, Recife, Brazil.
Raquel S JalladNeuroendocrine Unit, Division of Endocrinology and Metabolism, Hospital das Clínicas, University of São Paulo Medical School, Av. Dr. Eneas de Carvalho, 255, 7ºandar, sala 7037, São Carlos, SP, CEP 05403-000, Brazil.
Felipe Gaia DuarteNeuroendocrine Unit, Division of Endocrinology and Metabolism, Hospital das Clínicas, University of São Paulo Medical School, Av. Dr. Eneas de Carvalho, 255, 7ºandar, sala 7037, São Carlos, SP, CEP 05403-000, Brazil.
Mônica GadelhaEndocrine Section, Medical School and Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
Cesar Luiz BoguszewskiDepartment of Internal Medicine, Endocrine Division (SEMPR), Federal University of Paraná, Curitiba, Brazil.
Julio AbuchamNeuroendocrine Unit, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Luciana A NavesDepartment of Endocrinology, Faculty of Medicine, University of Brasilia, Brasília, Brazil.
Nina Rosa C MusolinoNeuroendocrine Unit, Division of Neurosurgery, Hospital das Clínicas, University of Sao Paulo School of Medicine, São Paulo, SP, Brazil.
Maria Estela Justamante de FariaDepartment of Odontology, Central Unit, Hospital das Clínicas, University of Sao Paulo School of Medicine, São Paulo, SP, Brazil.
Ciliana RossatoDepartment of Odontology, Central Unit, Hospital das Clínicas, University of Sao Paulo School of Medicine, São Paulo, SP, Brazil.
Marcello D BronsteinNeuroendocrine Unit, Division of Endocrinology and Metabolism, Hospital das Clínicas, University of São Paulo Medical School, Av. Dr. Eneas de Carvalho, 255, 7ºandar, sala 7037, São Carlos, SP, CEP 05403-000, Brazil. mdbronstein@uol.com.br.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAcromegaly is a rare, insidious disease resulting from the overproduction of growth hormone (GH) and insulin-like growth factor 1 (IGF-1), and is associated with a range of comorbidities. The extent of associated complications and mortality risk is related to length of exposure to the excess GH and IGF-1, thus early diagnosis and treatment is imperative. Unfortunately, acromegaly is often diagnosed late, when patients already have a wide range of comorbidities. The presence of comorbid conditions contributes significantly to patient morbidity/mortality and impaired quality of life.

methodsWe conducted a retrospective literature review for information relating to the diagnosis of acromegaly, and its associated comorbidities using PubMed. The main aim of this review is to highlight the issues of comorbidities in acromegaly, and to reinforce the importance of early diagnosis and treatment. FINDINGS AND

conclusionsSuccessful management of acromegaly goes beyond treating the disease itself, since many patients are diagnosed late in disease evolution, they present with a range of comorbid conditions, such as cardiovascular disease, diabetes, hypertension, and sleep apnea. It is important that patients are screened carefully at diagnosis (and thereafter), for common associated complications, and that biochemical control does not become the only treatment goal. Mortality and morbidities in acromegaly can be reduced successfully if patients are treated using a multimodal approach with comprehensive comorbidity management.

Indexed as

AdenomaCardiovascular DiseasesCarpal Tunnel SyndromeComorbidityDiabetes MellitusDisease ManagementGrowth Hormone-Secreting Pituitary AdenomaHeadacheHeart FailureHumansHypertensionHypertrophy, Left VentricularMacroglossiaOsteoarthritisPrognosisSleep Apnea SyndromesAcromegaly comorbiditiesAcromegaly diagnosisLatin America

Identifiers

PMID27279011
PMCPMC4935749

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.