Evidence map›Paper›PMID 29797214›Full record

ArticleEndocrine2018

Epidemiology of acromegaly in Italy: analysis from a large longitudinal primary care database.

Federico Gatto, Gianluca Trifirò, Francesco Lapi, Francesco Cocchiara, Claudia Campana, Carlotta Dell'Aquila, Carmen Ferrajolo, Marica Arvigo, Claudio Cricelli, Massimo Giusti and 1 more

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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 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 9% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Changing understanding of acromegaly epidemiology and early mortality risk.The Journal of clinical endocrinology and metabolism · 2026
    Review
  5. The changing landscape of acromegaly - an epidemiological perspective.Reviews in endocrine & metabolic disorders · 2024
    Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Octreotide-Resistant Acromegaly: Challenges and Solutions.Therapeutics and clinical risk management · 2020
    Review
  17. Article
  18. Malaysian Consensus Statement for the Diagnosis and Management of Acromegaly.Journal of the ASEAN Federation of Endocrine Societies · 2019
    Article
  19. 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 4 institutions in 1 country.

Federico GattoEndocrinology, Department of Internal Medicine and Medical Specialties (DIMI), University of Genoa, Genoa, Italy. fedgatto@hotmail.it.
Gianluca TrifiròDepartment of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy.
Francesco LapiHealth Search, Italian College of General Practitioners and Primary Care, Florence, Italy.
Francesco CocchiaraEndocrinology, Department of Internal Medicine and Medical Specialties (DIMI), University of Genoa, Genoa, Italy.
Claudia CampanaEndocrinology, Department of Internal Medicine and Medical Specialties (DIMI), University of Genoa, Genoa, Italy.
Carlotta Dell'AquilaEndocrinology, Department of Internal Medicine and Medical Specialties (DIMI), University of Genoa, Genoa, Italy.
Carmen FerrajoloDepartment of Experimental Medicine, Pharmacology Section, Campania Regional Centre of Pharmacovigilance and Pharmacoepidemiology, University of Campania, Naples, Italy.
Marica ArvigoEndocrinology, Department of Internal Medicine and Medical Specialties (DIMI), University of Genoa, Genoa, Italy.
Claudio CricelliItalian College of General Practitioners and Primary Care, Florence, Italy.
Massimo GiustiEndocrinology, Department of Internal Medicine and Medical Specialties (DIMI), University of Genoa, Genoa, Italy.
Diego FeroneEndocrinology, Department of Internal Medicine and Medical Specialties (DIMI), University of Genoa, Genoa, Italy.
University of Genoa · ITOspedale Policlinico San Martino · ITSocietà Italiana di Medicina Generale · ITUniversity of Messina · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEpidemiological data are pivotal for the estimation of disease burden in populations.

aimOf the study was to estimate the incidence and prevalence of acromegaly in Italy along with the impact of comorbidities and hospitalization rates as compared to the general population.

methodsRetrospective epidemiological study (from 2000 to 2014) and case control-study. Data were extracted from the Health Search Database (HSD). HSD contains patient records from about 1000 general practitioners (GPs) throughout Italy, covering a population of more than 1 million patients. It includes information about patient demographics and medical data including clinical diagnoses and diagnostic tests.

resultsAt the end of the study period, 74 acromegaly patients (out of 1,066,871 people) were identified, resulting in a prevalence of 6.9 per 100,000 inhabitants [95% CI 5.4-8.5]. Prevalence was higher in females than men (p = 0.004), and showed a statistically significant trend of increase over time (p < 0.0001). Overall, incidence during the study period was 0.31 per 100,000 person-years. Hypertension and type II diabetes mellitus were the comorbidities more frequently associated with acromegaly (31.3 and 14.6%, respectively) and patients were more likely to undergo a high frequency of yearly hospitalization (≥3 accesses/year, p < 0.001) compared to sex-age matched controls.

conclusionsThis epidemiological study on acromegaly carried out using a large GP-based database, documented a disease prevalence of about 7 cases per 100,000 inhabitants. As expected, acromegaly was associated with a number of comorbidities (mainly hypertension and type II diabetes mellitus) and a high rate of patients' hospitalization.

Indexed as

AcromegalyAdolescentAdultAgedAged, 80 and overCase-Control StudiesDatabases, FactualFemaleHumansIncidenceItalyMaleMiddle AgedPrevalenceRetrospective StudiesYoung AdultAcromegalyComorbiditiesEpidemiologyIncidencePrevalence

Identifiers

PMID29797214
OpenAlexW2804195540

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.