Evidence map›Paper›PMID 32221764›Full record

ArticlePituitary2020

An evaluation of the Acromegaly Treatment Satisfaction Questionnaire (Acro-TSQ) in adult patients with acromegaly, including correlations with other patient-reported outcome measures: data from two large multicenter international studies.

Maria Fleseriu, Leon Fogelfeld, Murray B Gordon, Jill Sisco, Ross D Crosby, William H Ludlam, Asi Haviv, Susan D Mathias

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Pituitary, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 8% 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
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  10. The acromegaly patient experience: burden of treatment and quality of life.The Journal of clinical endocrinology and metabolism · 2026
    Review
  11. Article
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  16. Development and evaluation of the Acromegaly Symptom Diary.Journal of patient-reported outcomes · 2023
    Article
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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 6 institutions in 1 country.

Maria FleseriuDepartments of Medicine and Neurological Surgery and Northwest Pituitary Center, Oregon Health and Science University, 3303 SW Bond Ave, CH8N, Portland, OR, 97239, USA. fleseriu@ohsu.edu.
Leon FogelfeldJohn H. Stroger Jr. Hospital of Cook County, Rush University Medical Center, Chicago, IL, USA.
Murray B GordonAllegheny Neuroendocrinology Center, Allegheny General Hospital, Pittsburgh, PA, USA.
Jill SiscoAcromegaly Community, Grove, OK, USA.
Ross D CrosbyHealth Outcomes Solutions, Winter Park, FL, USA.
William H LudlamChiasma, Inc., Waltham, MA, USA.
Asi HavivChiasma, Inc., Waltham, MA, USA.
Susan D MathiasHealth Outcomes Solutions, Winter Park, FL, USA.
Chiasma (United States) · USAllegheny General Hospital · USHealth Outcomes Solutions (United States) · USNeuropsychiatric Research Institute · USOregon Health & Science University · USRush University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe Acromegaly Treatment Satisfaction Questionnaire (Acro-TSQ) is a new patient-reported outcome (PRO) measure for patients with acromegaly receiving injectable somatostatin analogs (SSAs) to assess clinical symptoms and adverse drug reaction interference, treatment satisfaction, and convenience. We evaluated its scale structure, reliability, validity, responsiveness, and what constitutes clinically meaningful change.

methodsData from two longitudinal studies (N = 79 and 82) of patients receiving a stable injectable SSA dose for ≥ 6 months who completed the Acro-TSQ and other collateral measures (e.g., AcroQoL, AIS, WPAI:SHP, EQ-5D-5L) were analyzed.

resultsThe first study demonstrated internal consistency of the Acro-TSQ. However, several items had high ceiling effects, responsiveness could not be established, and the minimally important difference (MID) was not estimable. In the second study, factor analysis revealed six scales: Symptom Interference, Treatment Convenience, Injection Site Interference, GI Interference, Treatment Satisfaction, and Emotional Reaction. Internal consistency and test-retest reliability were confirmed; most scales demonstrated significant differences in mean scores by disease severity. Correlations between Acro-TSQ scales and other collateral measures exceeded 0.30 in absolute value, confirming convergent validity. Responsiveness in Acro-TSQ scale scores reflected improved disease control. The MID was estimated for Symptom Interference (10-12 points), Treatment Convenience (9-11) and GI Interference (8-10).

conclusionsThe Acro-TSQ is a brief, yet comprehensive tool to monitor important outcomes associated with injectable acromegaly SSA treatments. Its content reflects both disease and treatment burden as well as patient satisfaction, and its relevant for use in clinical studies.

Indexed as

Patient Reported Outcome MeasuresPatient SatisfactionAcromegalyAdenomaAdultAntineoplastic Agents, HormonalDelayed-Action PreparationsFactor Analysis, StatisticalFemaleGrowth Hormone-Secreting Pituitary AdenomaHumansInjections, IntramuscularInjections, SubcutaneousMaleMiddle AgedMinimal Clinically Important DifferenceAntineoplastic Agents, HormonalDelayed-Action PreparationslanreotideOctreotidePeptides, CyclicSomatostatinAcromegalyAcro-TSQMeasurement propertiesPatient reported outcomesQuality of lifeQuestionnaireValidation

Identifiers

PMID32221764
PMCPMC7316852
OpenAlexW3013964317

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.