Evidence map›Paper›PMID 29388043›Full record

ArticleEndocrine2018

Longitudinal AddiQoL scores may identify higher risk for adrenal crises in Addison's disease.

Gesine Meyer, Maike Koch, Eva Herrmann, Jörg Bojunga, Klaus Badenhoop

Abstract read
PubMed Publisher
In one paragraph

Article in Endocrine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 12% 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

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

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Therapeutic Patient Education for Adrenal Insufficiency under COVID-19 Pandemic Conditions.Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association · 2021
    Review
  12. Review
  13. Article
  14. Adrenal crisis: prevention and management in adult patients.Therapeutic advances in endocrinology and metabolism · 2019
    Review
  15. Article
  16. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Gesine MeyerDivision of Endocrinology, Department of Internal Medicine 1, Goethe-University Hospital, Frankfurt, Germany. gesine.meyer@kgu.de.ORCID 0000-0001-5639-4537
Maike KochDivision of Endocrinology, Department of Internal Medicine 1, Goethe-University Hospital, Frankfurt, Germany.
Eva HerrmannInstitut for Biostatistics and Mathematic Modelling, Goethe-University, Frankfurt, Germany.
Jörg BojungaDivision of Endocrinology, Department of Internal Medicine 1, Goethe-University Hospital, Frankfurt, Germany.
Klaus BadenhoopDivision of Endocrinology, Department of Internal Medicine 1, Goethe-University Hospital, Frankfurt, Germany.
Goethe University Frankfurt · DE

Funding

EUADRENAL 2008-201167
6 · The paper itself

Abstract

purposeSeveral studies have shown a reduced quality of life (QoL) in patients with Addison's disease (AD), but investigations of QoL over a long-term course are lacking. Adrenal crises (AC) are life-threatening complications in AD. The purpose of this prospective study was to test whether the repeated use of QoL-questionnaires can detect prodromal periods of an AC.

methods110 patients with AD were asked to complete the disease specific-QoL questionnaire AddiQoL and a short questionnaire about adverse events once monthly over a period of ten months. AC was defined if at least two of the following symptoms were reported: (a) hypotension, (b) nausea or vomiting, (c) severe fatigue, (d) documented hyponatremia, hyperkalemia, or hypoglycemia, and subsequent parenteral glucocorticoid administration was carried out.

resultsPrevalence of AC was 10.9/100 patient years. AddiQoL scores in patients with AC showed a trend (p = 0,08) to a wider fluctuation over time. Subjective precrises not meeting the criteria for AC were reported by 31 patients who had significantly lower AddiQoL scores (p = 0,018).

conclusionsThese are the first data showing the course of QoL during a period of ten months in patients with AD. Incidence of AC exceeds previous data. Our data show, that subjective precrises in AD associate with lower QoL. AC, as well as precrises affect intraindividual AddiQol-scores over time with a trend to a stronger fluctuation. Longitudinal AddiQol scores and self-reporting of precrises via patient diaries are additional clinical tools to identify higher risk for critical events.

Indexed as

Addison DiseaseAdultAgedFemaleHumansLongitudinal StudiesMaleMiddle AgedProdromal SymptomsProspective StudiesQuality of LifeSymptom Flare UpYoung AdultAddiQoLAddison’s diseaseAdrenal crisesAdrenal insufficiency

Identifiers

PMID29388043
OpenAlexW2789806465

What OpenQuestion holds

Textmetadata
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.