Evidence map›Paper›PMID 30324179›Full record

ArticleJournal of the Endocrine Society2018

Evaluation of Hypothalamic-Pituitary-Adrenal Axis by the GHRP2 Test: Comparison With the Insulin Tolerance Test.

Tomoaki Hayakawa, Tetsuhiro Kitamura, Daisuke Tamada, Kosuke Mukai, Reiko Hayashi, Mitsuyoshi Takahara, Michio Otsuki, Iichiro Shimomura

Open access · goldAbstract read
In one paragraph

Article in Journal of the Endocrine Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 22% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Guideline
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. Provocative growth hormone testing in children: how did we get here and where do we go now?Journal of pediatric endocrinology & metabolism : JPEM · 2021
    Review
  8. Review
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

8 authors at 1 institution in 1 country.

Tomoaki HayakawaDepartment of Metabolic Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.
Tetsuhiro KitamuraDepartment of Metabolic Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.
Daisuke TamadaDepartment of Metabolic Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.
Kosuke MukaiDepartment of Metabolic Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.
Reiko HayashiDepartment of Metabolic Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.
Mitsuyoshi TakaharaDepartment of Metabolic Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.
Michio OtsukiDepartment of Metabolic Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.
Iichiro ShimomuraDepartment of Metabolic Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.
Osaka University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextGH-releasing peptide 2 (GHRP2) stimulates the hypothalamic-pituitary-adrenal axis (HPA) through the GH secretagogue receptor (GHSR) in the hypothalamus, in which ghrelin is a natural ligand. Therefore, the GHRP2 test (GHRP2T) could be used instead of the insulin tolerance test (ITT).

objectiveCan the GHRP2T replace the ITT for evaluation of HPA?

designThe present retrospective study analyzed the clinical features and laboratory data from 254 patients admitted for evaluation of hypopituitarism who underwent both GHRP2T and ITT. We analyzed the association between the maximum cortisol level (Fmax) during both tests. Adrenocortical insufficiency was diagnosed by ITT. The suitability of GHRP2T was examined using the receiver operating characteristic curve.

resultsA strong correlation was found between Fmax measured using both tests (

conclusionITT can be substituted with GHRP2T for assessment of HPA in male patients free of functional adenoma.

Indexed as

genderghrelingrowth hormone-releasing peptide 2 testhypothalamicinsulin tolerance testpituitary-adrenal axis

Identifiers

PMID30324179
PMCPMC6055535
OpenAlexW2811281419

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.