Evidence map›Paper›PMID 29043559›Full record

ArticleEndocrine2017

Nonfunctioning adrenal incidentaloma affecting central blood pressure and arterial stiffness parameters.

Tolga Akkan, Mustafa Altay, Yasemin Ünsal, Murat Dağdeviren, Esin Beyan

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In one paragraph

Article in Endocrine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
–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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Increased arterial stiffness and atherosclerosis in patients with nonfunctioning adrenal incidentaloma.Hypertension research : official journal of the Japanese Society of Hypertension · 2025
    Observational
  4. Lowering the dexamethasone suppression test cut-off: is it time yet?Journal of endocrinological investigation · 2025
    Review
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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

5 authors.

Tolga AkkanDepartment of Internal Medicine, Sağlık Bilimleri Üniversitesi (University of Health Sciences) Keçiören SUAM, Ankara, Turkey.
Mustafa AltayDepartment of Endocrinology and Metabolism, Sağlık Bilimleri Üniversitesi (University of Health Sciences) Keçiören SUAM, Ankara, Turkey. altay_mustafa@hotmail.com.
Yasemin ÜnsalDepartment of Internal Medicine, Sağlık Bilimleri Üniversitesi (University of Health Sciences) Keçiören SUAM, Ankara, Turkey.
Murat DağdevirenDepartment of Endocrinology and Metabolism, Sağlık Bilimleri Üniversitesi (University of Health Sciences) Keçiören SUAM, Ankara, Turkey.
Esin BeyanDepartment of Internal Medicine, Sağlık Bilimleri Üniversitesi (University of Health Sciences) Keçiören SUAM, Ankara, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRecently, cardiovascular risk is thought to be increased in patients with nonfunctioning adrenal incidentaloma (NFAI). There are no sufficient studies in the literature to evaluate this situation in NFAI patients without cardiovascular risk. The objective of this study is to compare peripheral and central blood pressure and arterial stiffness between patients with NFAI and healthy volunteers (of a similar age, gender and body mass index as the NFAI group) who have no traditional cardiovascular risk factors and autonomous cortisol secretion, with pulse wave analysis (PWA).

methodsIn this cross-sectional study, we evaluated 35 NFAI patients who have no traditional cardiovascular risk factors and 35 healthy volunteers. PWA was performed in the participants of similar gender, age and body mass index, with a Mobil-O-Graph PWA/ABPM (I.E.M. GmBH, Stolberg, Germany) device. Radiological and biochemical data were obtained retrospectively in the NFAI group.

resultsIn our study, systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP), central SBP, central DBP, peripheral vascular resistance, augmentation pressure (AP), heart rate-corrected augmentation index (Aix@75) and pulse wave velocity (PWV) values were significantly higher in the NFAI group compared to the control group. In addition, peripheral and central blood pressure and arterial stiffness parameters were correlated with age and duration of NFAI diagnosis of more than 1 year.

conclusionsNFAIs are known as cardiometabolically innocent, but in our study, both peripheral and central blood pressure values and arterial stiffness parameters were negatively affected in patients diagnosed with NFAI who have no traditional cardiovascular risk factors. These patients are at risk of cardiovascular diseases.

Indexed as

Blood PressureVascular StiffnessAdolescentAdrenal Gland NeoplasmsAdultCross-Sectional StudiesFemaleHealthy VolunteersHumansIncidental FindingsMaleMiddle AgedPulse Wave AnalysisRetrospective StudiesRisk FactorsVascular ResistanceArterial stiffnessAugmentation indexCardiovascular riskNonfunctioning adrenal incidentalomaPulse wave velocity

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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.