Evidence map›Paper›PMID 28860331›Full record

ReviewJournal of neurology, neurosurgery, and psychiatry2017

The screening and management of pituitary dysfunction following traumatic brain injury in adults: British Neurotrauma Group guidance.

Chin Lik Tan, Seyed Alireza Alavi, Stephanie E Baldeweg, Antonio Belli, Alan Carson, Claire Feeney, Anthony P Goldstone, Richard Greenwood, David K Menon, Helen L Simpson and 3 more

Open access · hybridAbstract readReview
In one paragraph

Review in Journal of neurology, neurosurgery, and psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
7.6field-weighted citation impact, top 2% 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

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 102 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. Delayed onset arginine vasopressin deficiency after traumatic brain injury.Endocrinology, diabetes & metabolism case reports · 2024
    Article
  10. Article
  11. Review
  12. Article
  13. Traumatic brain injury inducing swift transition from syndrome of inappropriate antidiuretic hormone secretion to central diabetes insipidus: a case report.Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric Endocrinology · 2024
    Article
  14. Review
  15. Article
  16. Review
  17. Neuroendocrine Disruptions Following Head Injury.Current neurology and neuroscience reports · 2023
    Review
  18. Article
  19. Article
  20. 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

13 authors at 8 institutions in 1 country.

Chin Lik TanDivision of Neurosurgery, Department of Clinical Neurosciences, University of Cambridge, Cambridge Biomedical Campus, Cambridge, CB20QQ, UK.
Seyed Alireza AlaviDepartment of Neurosurgery, Queens Medical Centre, Nottingham, UK.
Stephanie E BaldewegDepartment of Endocrinology, University College London Hospitals, London, UK.
Antonio BelliNIHR Surgical Reconstruction and Microbiology Research Centre, Queen Elizabeth Hospital, Birmingham, UK.
Alan CarsonCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.
Claire FeeneyCentre for Neuropsychopharmacology and Computational, Cognitive and Clinical Neuroimaging Laboratory, Division of Brain Sciences, Imperial College London, Hammersmith Hospital, London, UK.
Anthony P GoldstoneCentre for Neuropsychopharmacology and Computational, Cognitive and Clinical Neuroimaging Laboratory, Division of Brain Sciences, Imperial College London, Hammersmith Hospital, London, UK.
Richard GreenwoodInstitute of Neurology, University College London, London, UK.
David K MenonDepartment of Medicine, Division of Anaesthesia, University of Cambridge, Cambridge Biomedical Campus, Cambridge, UK.
Helen L SimpsonDepartment of Endocrinology, University College London Hospitals, London, UK.
Andrew A ToogoodDepartment of Endocrinology, Queen Elizabeth Hospital Birmingham, Birmingham, Edgbaston, UK.
Mark GurnellWellcome Trust-MRC Institute of Metabolic Science, University of Cambridge, Cambridge Biomedical Campus, Cambridge, United Kingdom.
Peter J HutchinsonDivision of Neurosurgery, Department of Clinical Neurosciences, University of Cambridge, Cambridge Biomedical Campus, Cambridge, CB20QQ, UK.
University of Cambridge · GBQueen Elizabeth Hospital Birmingham · GBUniversity College London · GBImperial College Healthcare NHS Trust · GBQueen's Medical Centre · GBRoyal London Hospital · GBSt Mary's Hospital · GBUniversity of Edinburgh · GB

Funding

Department of Health NIHR-RP-R3-12-013
6 · The paper itself

Abstract

Pituitary dysfunction is a recognised, but potentially underdiagnosed complication of traumatic brain injury (TBI). Post-traumatic hypopituitarism (PTHP) can have major consequences for patients physically, psychologically, emotionally and socially, leading to reduced quality of life, depression and poor rehabilitation outcome. However, studies on the incidence of PTHP have yielded highly variable findings. The risk factors and pathophysiology of this condition are also not yet fully understood. There is currently no national consensus for the screening and detection of PTHP in patients with TBI, with practice likely varying significantly between centres. In view of this, a guidance development group consisting of expert clinicians involved in the care of patients with TBI, including neurosurgeons, neurologists, neurointensivists and endocrinologists, was convened to formulate national guidance with the aim of facilitating consistency and uniformity in the care of patients with TBI, and ensuring timely detection or exclusion of PTHP where appropriate. This article summarises the current literature on PTHP, and sets out guidance for the screening and management of pituitary dysfunction in adult patients with TBI. It is hoped that future research will lead to more definitive recommendations in the form of guidelines.

Indexed as

Mass ScreeningAdrenal InsufficiencyAdultBrain Injuries, TraumaticEarly DiagnosisEarly Medical InterventionFemaleFollow-Up StudiesHumansHypopituitarismInappropriate ADH SyndromeMalePatient AdmissionPituitary Function TestsPituitary Gland, AnteriorUnited Kingdommanagementpituitary dysfunctionscreeningtraumatic brain injury

Identifiers

PMID28860331
PMCPMC5740545
OpenAlexW2752710898

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.