Evidence map›Paper›PMID 31001736›Full record

ArticleHormones & cancer2019

Cabergoline Withdrawal Before and After Menopause: Outcomes in Microprolactinomas.

Rita Indirli, Emanuele Ferrante, Elisa Sala, Claudia Giavoli, Giovanna Mantovani, Maura Arosio

Open access · hybridAbstract read
In one paragraph

Article in Hormones & cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-weighted citation impact, top 21% 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

7 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Isolated hypoprolactinemia: The rarest of the rare?Reviews in endocrine & metabolic disorders · 2024
    Review
  3. Review
  4. Approach to the Patient With Prolactinoma.The Journal of clinical endocrinology and metabolism · 2023
    Review
  5. Review
  6. Review
  7. 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

6 authors at 2 institutions in 1 country.

Rita IndirliDepartment of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
Emanuele FerranteEndocrinology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano - Padiglione Zonda, Via F. Sforza, 35, 20122, Milan, Italy. emanuele.ferrante@policlinico.mi.it.
Elisa SalaEndocrinology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano - Padiglione Zonda, Via F. Sforza, 35, 20122, Milan, Italy.
Claudia GiavoliEndocrinology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano - Padiglione Zonda, Via F. Sforza, 35, 20122, Milan, Italy.
Giovanna MantovaniDepartment of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
Maura ArosioDepartment of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITUniversity of Milan · IT

Funding

Associazione Italiana per la Ricerca sul Cancro IG 2017-20594Ministero della Salute Ricerca Corrente FundusMinistero dell'Istruzione, dell'Università e della Ricerca 2015ZHKFTA - PRIN (Progetti di Ricerca di Interesse Nazionale)
6 · The paper itself

Abstract

Natural course of prolactinomas after menopause is not fully elucidated. The aim of this study was to compare recurrence rate after cabergoline withdrawal in premenopausal vs. postmenopausal women with microprolactinoma. Sixty-two women with microprolactinoma treated with cabergoline for at least 1 year and followed for 2 years after drug withdrawal were retrospectively selected. Patients were divided into two groups: 48 patients stopped cabergoline before menopause ("PRE" group), while 14 after menopause ("POST" group). Recurrence was defined by prolactin levels above normal, confirmed on two occasions. Overall, 39/62 women relapsed. Patients who relapsed apparently had higher prolactin before withdrawal (median 216.2, range 21.2-464.3 mIU/L) compared with those in long-term remission (94.3, 29.7-402.8 mIU/L; p < 0.05), and the risk of recurrence seemed lower in POST women (4/14, 29%) than in PRE ones (35/48, 73%, p < 0.005, OR 0.149, 95% CI 0.040-0.558). However, none of the factors (prolactin before withdrawal, menopausal status, treatment duration, complete adenoma regression) showed a correlation with recurrence risk in multivariate analysis. The best strategy able to optimize CBG treatment and withdrawal's outcomes is still to be defined in microprolactinomas. Postmenopausal status cannot reliably predict long-term remission, and follow-up is needed also in women of this age.

Indexed as

PostmenopausePremenopauseAdenomaAdolescentAdultCabergolineDopamine AgonistsFemaleHumansHyperprolactinemiaMiddle AgedPituitary NeoplasmsProlactinProlactinomaRecurrenceRemission InductionCabergolineDopamine AgonistsProlactinCabergolineDopamine agonistHyperprolactinemiaMenopauseProlactinomaRecurrence

Identifiers

PMID31001736
PMCPMC10355708
OpenAlexW2940380379

What OpenQuestion holds

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LicenceCC BY
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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.