Evidence map›Paper›PMID 28634705›Full record

ArticleJournal of endocrinological investigation2018

How does pregnancy affect the patients with pituitary adenomas: a study on 113 pregnancies from Turkey.

Z Karaca, S Yarman, I Ozbas, P Kadioglu, M Akturk, F Kilicli, H S Dokmetas, R Colak, H Atmaca, Z Canturk and 6 more

Abstract read
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In one paragraph

Article in Journal of endocrinological investigation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
2.5field-weighted citation impact, top 10% 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

14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. The effects of non-functioning pituitary adenomas on pregnancy.Journal of the Turkish German Gynecological Association · 2025
    Article
  7. Review
  8. Surgical management of pituitary adenoma during pregnancy.World journal of clinical cases · 2023
    Article
  9. Approach of Acromegaly during Pregnancy.Diagnostics (Basel, Switzerland) · 2022
    Review
  10. Review
  11. Review
  12. Article
  13. Review
  14. Prolactinoma Outcome After Pregnancy and Lactation: A Cohort Study.Indian journal of endocrinology and metabolism
    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

16 authors at 8 institutions in 1 country.

Z KaracaDepartment of Endocrinology, Erciyes University Medical School, 38039, Kayseri, Turkey.
S YarmanDivision of Endocrinology and Metabolism, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
I OzbasDepartment of Endocrinology, İstanbul University Cerrahpaşa Medical School, Istanbul, Turkey.
P KadiogluDepartment of Endocrinology, İstanbul University Cerrahpaşa Medical School, Istanbul, Turkey.
M AkturkDepartment of Endocrinology, Gazi University Medical School, Ankara, Turkey.
F KilicliDepartment of Endocrinology, İstanbul Medipol University Medical School, Istanbul, Turkey.
H S DokmetasDepartment of Endocrinology, İstanbul Medipol University Medical School, Istanbul, Turkey.
R ColakDepartment of Endocrinology, Ondokuz Mayis University Medical School, Samsun, Turkey.
H AtmacaDepartment of Endocrinology, Ondokuz Mayis University Medical School, Samsun, Turkey.
Z CanturkDepartment of Endocrinology, Kocaeli University Medical School, Kocaeli, Turkey.
Y AltuntasDepartment of Endocrinology, Şişli Hamidiye Etfal Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.
N OzbeyDivision of Endocrinology and Metabolism, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
N HatipogluDepartment of Pediatric Endocrinology, Erciyes University Medical School, Kayseri, Turkey.
F TanriverdiDepartment of Endocrinology, Erciyes University Medical School, 38039, Kayseri, Turkey.
K UnluhizarciDepartment of Endocrinology, Erciyes University Medical School, 38039, Kayseri, Turkey.
F KelestimurDepartment of Endocrinology, Erciyes University Medical School, 38039, Kayseri, Turkey. fktimur@erciyes.edu.tr.
Erciyes University · TRIstanbul Medipol University · TRIstanbul University · TRIstanbul University-Cerrahpaşa · TROndokuz Mayıs University · TRGazi University · TRKocaeli Üniversitesi · TRSağlık Bilimleri Üniversitesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveData regarding pregnancies in relation to pituitary tumors are limited. The effects of pregnancy on pituitary adenomas and the effects of adenoma itself (hormonal activity, mass effects and pituitary insufficiency) and/or treatment on the ongoing gestation and developing fetus were evaluated.

methodsThe study was a retrospective study. A questionnaire involving questions regarding medical history before index gestation, history of related pregnancy, result of index gestation and postpartum follow-up of the patients was filled by the investigator in one of the eight Referral Endocrinology Centers from Turkey.

resultsOne hundred and thirteen (83 prolactinoma, 21 acromegaly, 8 NFPA and 1 plurihormonal pituitary adenoma) pregnancies of 87 (60 prolactinoma, 19 acromegaly, 7 NFPA and 1 plurihormonal pituitary adenoma) patients were reviewed. The clinically important pregnancy-related tumor growth of pituitary adenomas was found to be low in previously treated adenomas. Prolactinomas were more likely to increase in size during pregnancy especially if effective prior treatment was lacking. The risk of hypopituitarism is also minimal due to pituitary adenomas during pregnancy. The results of pregnancies did not differ in patients who were on medical treatment or not for prolactinomas and acromegaly during gestation. Neural tube defect and microcephaly associated with maternal cabergoline use; Down syndrome and corpus callosum agenesis associated with maternal bromocriptine use; unilateral congenital cataract, craniosynostosis and microcephaly associated with maternal acromegaly were detected for the first time.

conclusionMedical treatment can be safely done stopped in patients with prolactinoma and acromegaly when pregnancy is confirmed and reinstituted when necessary. Prospective studies may help to determine the effects of medical treatment during gestation on the mother and fetus.

Indexed as

AdenomaAdultFemaleHuman Growth HormoneHumansInsulin-Like Growth Factor IPituitary NeoplasmsPregnancyPregnancy Complications, NeoplasticPregnancy OutcomeProlactinProlactinomaRetrospective StudiesTurkeyHuman Growth HormoneInsulin-Like Growth Factor IProlactinAcromegalyAdenomaPituitaryPregnancyProlactinoma

Identifiers

PMID28634705
OpenAlexW2653912184

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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.