Evidence map›Paper›PMID 31632468›Full record

ArticleTherapeutic advances in medical oncology2019

Syndrome of inappropriate anti-diuretic hormone secretion in cancer patients: results of the first multicenter Italian study.

Rossana Berardi, Candida Mastroianni, Giuseppe Lo Russo, Roberta Buosi, Daniele Santini, Agnese Montanino, Carlo Carnaghi, Marcello Tiseo, Rita Chiari, Andrea Camerini and 28 more

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in medical oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

12 citing papers in PubMed, 24 citations in OpenAlex.

  1. Bipolar disorder in oncology: Considerations for the psychiatrist.Journal of mood and anxiety disorders · 2026
    Review
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  7. The VJournal of endocrinological investigation · 2022
    Article
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  11. Supportive Care: An Indispensable Component of Modern Oncology.Clinical oncology (Royal College of Radiologists (Great Britain)) · 2020
    Review
  12. 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

38 authors at 20 institutions in 1 country.

Rossana BerardiClinica Oncologica, Università Politecnica delle Marche, Azienda Ospedaliero-Universitaria Ospedali Riuniti Umberto I - GM Lancisi - G Salesi di Ancona, Via Conca 71, Ancona, 60126, Italy.
Candida MastroianniAzienda Ospedaliera di Cosenza, Italy.
Giuseppe Lo RussoThoracic Oncology Fondazione IRCCS Istituto dei Tumori, Milano, Italy.
Roberta BuosiOncology Unit- S. Spirito Hospital - Casale M.to - Alessandria, Italy.
Daniele SantiniMedical Oncology Unit, Campus Bio-Medico University of Rome, Rome, Italy.
Agnese MontaninoThoracic Medical Oncology, Istituto Nazionale Tumori 'Fondazione G Pascale', IRCCS, Napoli, Italy.
Carlo CarnaghiIstituto Clinico Humanitas, Rozzano, Italy.
Marcello TiseoU.O. Oncologia Medica Azienda Ospedaliero-Universitaria di Parma, Italy.
Rita ChiariMedical Oncology, Santa Maria della Misericordia Hospital, Azienda Ospedaliera di Perugia, Perugia, Italy.
Andrea CameriniMedical Oncology, Azienda USL Toscana nord-ovest, Ospedale Versilia, Italy.
Sandro BarniOncology Unit, ASST Bergamo Ovest, Treviglio, Italy.
Valeria De MarinoU.O. Pneumologia ad indirizzo Oncologico. Azienda dei colli-Monaldi, Napoli, Italy.
Daris FerrariU.O. Oncologia Medica ASST Santi Paolo e Carlo, Presidio Ospedaliero San Paolo, Milano, Italy.
Antonella CristofanoDepartment of Oncology, Ospedale Regionale della Valle d'Aosta, Italy.
Laura DoniOspedale Careggi, Firenze, Italy.
Federica FreddariOncologia Medica, Ospedale Civile di Senigallia, Senigallia, Italy.
Daniele FumagalliU.O. Oncologia Multimedica Sesto San Giovanni (MI), Italy.
Luigi PortalonePneumologia Oncologica 2, Az. Osp. S. Camillo Forlanini, Roma, Italy.
Roberta SarmientoOspedale San Filippo Neri, Roma, Italy.
Giovanni SchinzariPolo Scienze Oncologiche ed Ematologiche, UOC di Oncologia Medica, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario Agostino Gemelli, Rome, Italy.
Francesca SperandiU.O. Oncologia Medica, Azienda Ospedaliero-Universitaria S.Orsola-Malpighi, Bologna, Italy.
Marcello TucciDivision of Medical Oncology, Department of Oncology, San Luigi Gonzaga Hospital, University of Turin, Turin, Italy.
Alessandro InnoMedical Oncology, Ospedale Sacro Cuore Don Calabria, Negrar, Verona, Italy.
Libero CiuffredaAzienda Ospedaliero Universitaria Città della Salute e della Scienza, Torino, Italy.
Marita MariottiIstituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori, Meldola, Italy.
Cinzia MarianiOncologia Medica, Ospedale di Macerata, Macerata, Italy.
Miriam CaramantiClinica Oncologica, Università Politecnica delle Marche, Azienda Ospedaliero-Universitaria Ospedali Riuniti Umberto I, GM Lancisi, G Salesi, Ancona, Italy Current address: UOC Oncologia, Ospedale E.Profili di Fabriano Asur, Marche Area Vasta 2, Italy.
Mariangela TorniaiClinica Oncologica, Università Politecnica delle Marche, Azienda Ospedaliero-Universitaria Ospedali Riuniti Umberto I, GM Lancisi, G Salesi, Ancona, Italy.
Rosaria GallucciThoracic Oncology Fondazione IRCCS Istituto dei Tumori, Milano, Italy.
Chiara BennatiDipartimento di Oncologia-Ematologia, AUSL della Romagna, Ravenna, Italy.
Paola BordiU.O. Oncologia Medica Azienda Ospedaliero-Universitaria di Parma, Italy.
Lucio BuffoniAzienda Ospedaliero Universitaria Città della Salute e della Scienza, Torino, Italy.
Achille GaleassiHumanitas Materdomini, Castellanza, Italy.
Michele GhidiniMedical Oncology and Hematology Unit, Humanitas Cancer Center, Humanitas Clinical and Research Center-IRCCS, Rozzano (Milan), Italy.
Emidio GrossiDivision of Oncological Endocrinology, Department of Medical Sciences, University of Turin, Italy.
Alessandro MorabitoThoracic Medical Oncology, Istituto Nazionale Tumori 'Fondazione G Pascale', IRCCS, Napoli, Italy.
Bruno VincenziMedical Oncology Unit, Campus Bio-Medico University of Rome, Rome, Italy.
Emanuela ArvatDivision of Oncological Endocrinology, Department of Medical Sciences, University of Turin, Italy.
University of Turin · ITAzienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITFondazione IRCCS Istituto Nazionale dei Tumori · ITIstituto Nazionale Tumori IRCCS "Fondazione G. Pascale" · ITOspedale di Parma · ITUniversità Campus Bio-Medico · ITAzienda Ospedaliera di Cosenza · ITAzienda Ospedaliera di Perugia · ITAzienda Ospedaliera Treviglio · ITAzienda Ospedaliero-Universitaria Careggi · ITAzienda Ospedaliero Universitaria Ospedali Riuniti · ITAzienda Sanitaria Locale Alessandria · ITAzienda Unità Sanitaria Locale Della Romagna · ITAzienda USL della Valle d’Aosta · ITFondazione Humanitas per la Ricerca · ITHumanitas Mater Domini · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITIstituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori · ITMarche Polytechnic University · ITMultiMedica · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHyponatremia in cancer patients is often caused by the syndrome of inappropriate antidiuretic hormone secretion (SIADH). The aim of this observational multicenter study was to analyze the medical and economic implications of SIADH in this setting.

methodsThis study included 90 oncological patients from 28 Italian institutions that developed SIADH between January 2010 and September 2015. Data on clinical-pathological characteristics, anticancer therapies, hyponatremia, and related treatments were statistically analyzed.

resultsThe majority were lung cancer patients (73%) with metastatic disease at the onset of hyponatremia (83%). A total of 76 patients (84%) were hospitalized because of SIADH and less than half (41%) received tolvaptan for SIADH treatment. The duration of hospitalization was significantly longer in patients who did not receive tolvaptan and in those who do not reach sodium normalization during hospitalization. Patients who experienced a second episode of hyponatremia following tolvaptan dose modification/discontinuation presented a significantly lower serum sodium value at the time of hospitalization and minimum sodium value during hospitalization compared with patients who had not experienced another episode. The severity of hyponatremia, defined as minimum sodium value during hospitalization with a cut-off value of 110 mmol/l, and not obtaining sodium correction during hospitalization significantly correlated with overall survival rate.

conclusionsHyponatremia due to SIADH could result in longer hospitalization and in a decreased overall survival when not adequately treated, and tolvaptan represents an effective treatment with a potential effect of both improving overall survival and decreasing duration of hospitalization.

Indexed as

hyponatremiaprognosisSIADHstudytolvaptan

Identifiers

PMID31632468
PMCPMC6767731
OpenAlexW2976481906

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