Evidence map›Paper›PMID 28018289›Full record

ArticleFrontiers in endocrinology2016

Choroidal and Retinal Abnormalities by Optical Coherence Tomography in Endogenous Cushing's Syndrome.

Maria Fernanda Abalem, Marcio Carlos Machado, Helen Nazareth Veloso Dos Santos, Rafael Garcia, John Helal, Pedro Carlos Carricondo, Sérgio Luis Gianotti Pimentel, Mario Luiz Ribeiro Monteiro, Cynthia X Qian, Marcello Delano Bronstein and 1 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in endocrinology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 18% of its field
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Pachychoroid spectrum disease and choriocapillary flow analysis in patients with Cushing disease: an optical coherence tomography angiography study.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2022
    Observational
  6. Article
  7. Observational
  8. Article
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

11 authors at 3 institutions in 3 countries.

Maria Fernanda AbalemDepartment of Ophthalmology and Otolaryngology, University of São Paulo Medical School, São Paulo, São Paulo, Brazil; Department of Ophthalmology and Visual Sciences, Kellogg Eye Center, University of Michigan, Ann Arbor, MI, USA.
Marcio Carlos MachadoDepartment of Endocrinology, University of São Paulo Medical School, São Paulo, São Paulo, Brazil; Endocrinology Service, AC Camargo Cancer Center, São Paulo, São Paulo, Brazil.
Helen Nazareth Veloso Dos SantosDepartment of Ophthalmology and Otolaryngology, University of São Paulo Medical School , São Paulo, São Paulo , Brazil.
Rafael GarciaDepartment of Ophthalmology and Otolaryngology, University of São Paulo Medical School , São Paulo, São Paulo , Brazil.
John HelalDepartment of Ophthalmology and Otolaryngology, University of São Paulo Medical School , São Paulo, São Paulo , Brazil.
Pedro Carlos CarricondoDepartment of Ophthalmology and Otolaryngology, University of São Paulo Medical School , São Paulo, São Paulo , Brazil.
Sérgio Luis Gianotti PimentelDepartment of Ophthalmology and Otolaryngology, University of São Paulo Medical School , São Paulo, São Paulo , Brazil.
Mario Luiz Ribeiro MonteiroDepartment of Ophthalmology and Otolaryngology, University of São Paulo Medical School , São Paulo, São Paulo , Brazil.
Cynthia X QianDepartment of Ophthalmology and Visual Sciences, Kellogg Eye Center, University of Michigan, Ann Arbor, MI, USA; Department of Ophthalmology, Maisonneuve-Rosemont Hospital Research Centre, University of Montreal, Montreal, QC, Canada.
Marcello Delano BronsteinDepartment of Endocrinology, University of São Paulo Medical School , São Paulo, São Paulo , Brazil.
Maria Cândida Villares Barisson FragosoDepartment of Endocrinology, University of São Paulo Medical School , São Paulo, São Paulo , Brazil.
Universidade de São Paulo · BRHôpital Maisonneuve-Rosemont · CAUniversity of Michigan–Ann Arbor · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextCortisol has been suggested as a risk factor for choroidal thickening, which may lead to retinal changes.

objectiveTo compare choroidal thickness measurements using optical coherence tomography (OCT) in patients with endogenous active Cushing's syndrome (CS) and to evaluate the occurrence of retinal abnormalities in the same group of patients.

designCross-sectional study.

settingOutpatient clinic. PATIENTS: Eleven female patients with CS in hypercortisolism state as determined by the presence of at least two abnormal measurements from urinary cortisol 24 h, no suppression of cortisol with low dose dexamethasone suppression test, and nocturnal salivary cortisol levels and 12 healthy controls.

methodsChoroidal and retinal morphology was assessed using OCT.

main outcome measuresChoroidal thickness measurements and the presence of retinal changes.

resultsThe mean subfoveal choroidal thickness was 372.96 ± 73.14 µm in the patients with CS and 255.63 ± 50.70 µm in the control group (

conclusionChoroidal thickness is increased in the eyes of patients with active CS compared to healthy and matched control. Also, 18.18% of patients presented with macular changes, possibly secondary to choroidal thickening. While further studies are necessary to confirm our findings, excess corticosteroid levels seem to have a significant effect on the choroid and might be associated with secondary retinal diseases.

Indexed as

choroidCushing syndromeeyehypercortisolismoptical coherence tomography

Identifiers

PMID28018289
PMCPMC5145875
OpenAlexW2560655704

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.