Evidence map›Paper›PMID 31342434›Full record

ReviewReviews in endocrine & metabolic disorders2019

Current perspectives on the impact of clinical disease and biochemical control on comorbidities and quality of life in acromegaly.

Federico Gatto, Claudia Campana, Francesco Cocchiara, Giuliana Corica, Manuela Albertelli, Mara Boschetti, Gianluigi Zona, Diego Criminelli, Massimo Giusti, Diego Ferone

Abstract readReview
PubMed Publisher
In one paragraph

Review in Reviews in endocrine & metabolic disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.7field-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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. The acromegaly patient experience: burden of treatment and quality of life.The Journal of clinical endocrinology and metabolism · 2026
    Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Acromegaly: diagnostic challenges and individualized treatment.Expert review of endocrinology & metabolism · 2025
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Serum NT-pro-BNP Levels Predict Cardiovascular Events in Acromegaly Patients.Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association · 2022
    Article
  15. Article
  16. Article
  17. Article
  18. Octreotide-Resistant Acromegaly: Challenges and Solutions.Therapeutics and clinical risk management · 2020
    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

10 authors at 2 institutions in 1 country.

Federico GattoEndocrinology Unit, IRCCS Ospedale Policlinico San Martino, 16142, Genoa, Italy. fedgatto@hotmail.it.
Claudia CampanaEndocrinology Unit, IRCCS Ospedale Policlinico San Martino, 16142, Genoa, Italy.
Francesco CocchiaraEndocrinology Unit, IRCCS Ospedale Policlinico San Martino, 16142, Genoa, Italy.
Giuliana CoricaEndocrinology Unit, IRCCS Ospedale Policlinico San Martino, 16142, Genoa, Italy.
Manuela AlbertelliEndocrinology Unit, Department of Internal Medicine and Medical Specialties (DIMI) and Centre of Excellence for Biomedical Research (CEBR), University of Genoa, 16142, Genoa, Italy.
Mara BoschettiEndocrinology Unit, IRCCS Ospedale Policlinico San Martino, 16142, Genoa, Italy.
Gianluigi ZonaNeurosurgery Unit, Department of Neurosciences (DINOGMI), IRCCS Ospedale Policlinico San Martino, University of Genoa, Genoa, Italy.
Diego CriminelliNeurosurgery Unit, Department of Neurosciences (DINOGMI), IRCCS Ospedale Policlinico San Martino, University of Genoa, Genoa, Italy.
Massimo GiustiEndocrinology Unit, IRCCS Ospedale Policlinico San Martino, 16142, Genoa, Italy.
Diego FeroneEndocrinology Unit, IRCCS Ospedale Policlinico San Martino, 16142, Genoa, Italy. ferone@unige.it.ORCID 0000-0002-1410-6143
Ospedale Policlinico San Martino · ITUniversity of Genoa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acromegaly is a rare chronic, systemic disorder caused by excessive growth hormone (GH) secretion from a somatotroph pituitary adenoma. GH hypersecretion leads to overproduction of insulin-like growth factor-1 (IGF-1), which contributes to the somatic overgrowth, physical disfigurement, onset of multiple systemic comorbidities, reduced quality of life (QoL) and premature mortality of uncontrolled patients. Somatostatin receptor ligands, dopamine agonists and a GH receptor antagonist are currently available for medical therapy of acromegaly. The main aim of treatment is biochemical normalisation, defined as age-normalised serum IGF-1 values and random GH levels <1.0 μg/L. However, there is an increasing evidence suggesting that achieving biochemical control does not always decrease the burden of disease-related comorbidities and/or improve patients' QoL. This lack of correlation between biochemical and clinical control can be due to both disease duration (late diagnosis) or to the peculiarity of a given comorbidity. Herein we conducted ad hoc literature searches in order to find the most recent and relevant reports on biochemical and clinical disease control during medical treatment of acromegaly. Particularly, we analyse and describe the relationship between biochemical, as well as clinical disease control in patients with acromegaly receiving medical therapy, with a focus on comorbidities and QoL. In conclusion, we found that current literature data seem to indicate that clinical disease control (besides biochemical control), encompassing clinical signs and symptoms, comorbidities and QoL, emerge as a primary focus of acromegaly patient management.

Indexed as

AcromegalyAnimalsComorbidityFemaleHumansMaleQuality of LifeAcromegalyBiochemical controlClinical controlComorbiditiesMedical therapy

Identifiers

PMID31342434
OpenAlexW2962801903

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.