Evidence map›Paper›PMID 32681462›Full record

ArticleJournal of endocrinological investigation2021

Pituitary neuroendocrine tumors and differentiated thyroid cancer: do metabolic and inflammatory risk factors play roles?

G Cortês Nascimento, A G P de Araujo Cortês Nascimento, C de Maria Ribeiro Veiga Parente, V P Rodrigues, R S de Sousa Azulay, V C de Carvalho Rocha, S da Silva Pereira Damianse, M Magalhães, M Dos Santos Faria, M B Gomes

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In one paragraph

Article in Journal of endocrinological investigation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact, top 87% 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

2 citing papers in PubMed, 0 citations in OpenAlex.

  1. 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

10 authors at 3 institutions in 1 country.

G Cortês NascimentoService of Endocrinology, Presidente Dutra University Hospital, Federal University of Maranhão (UFMA), São Luís, MA, Brazil. gilvancortes@uol.com.br.ORCID http://orcid.org/0000-0002-3373-4372
A G P de Araujo Cortês NascimentoClinical Research Center, Presidente Dutra University Hospital, Federal University of Maranhão (UFMA), São Luís, MA, Brazil.ORCID http://orcid.org/0000-0002-3825-9267
C de Maria Ribeiro Veiga ParenteService of Endocrinology, Presidente Dutra University Hospital, Federal University of Maranhão (UFMA), São Luís, MA, Brazil.ORCID http://orcid.org/0000-0002-0335-7000
V P RodriguesResearch Group in Clinical and Molecular Endocrinology and Metabology (ENDOCLIM), São Luís, MA, Brazil.ORCID http://orcid.org/0000-0002-6785-7864
R S de Sousa AzulayService of Endocrinology, Presidente Dutra University Hospital, Federal University of Maranhão (UFMA), São Luís, MA, Brazil.ORCID http://orcid.org/0000-0002-6097-8145
V C de Carvalho RochaService of Endocrinology, Presidente Dutra University Hospital, Federal University of Maranhão (UFMA), São Luís, MA, Brazil.ORCID http://orcid.org/0000-0002-2498-3289
S da Silva Pereira DamianseService of Endocrinology, Presidente Dutra University Hospital, Federal University of Maranhão (UFMA), São Luís, MA, Brazil.ORCID http://orcid.org/0000-0001-6531-8122
M MagalhãesClinical Research Center, Presidente Dutra University Hospital, Federal University of Maranhão (UFMA), São Luís, MA, Brazil.ORCID http://orcid.org/0000-0002-0464-4343
M Dos Santos FariaService of Endocrinology, Presidente Dutra University Hospital, Federal University of Maranhão (UFMA), São Luís, MA, Brazil.ORCID http://orcid.org/0000-0003-0732-668X
M B GomesDiabetes Unit-Department of Internal Medicine, State University of Rio de Janeiro (UERJ), Rio de Janeiro, RJ, Brazil.ORCID http://orcid.org/0000-0003-4458-4741
Universidade Federal do Maranhão · BRInstituto Adolfo Lutz · BRUniversidade do Estado do Rio de Janeiro · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIt is postulated that patients with different types of pituitary neuroendocrine tumors (PitNETs) may present a higher incidence of cancer. Factors underlying individuals becoming overweight, such as insulin resistance, hyperleptinemia, and low-grade inflammation, may play a role in the risk of differentiated thyroid carcinoma (DTC) in such patients. This study aimed to investigate the frequency of and obesity-related risk factors associated with DTC in patients with PitNETs.

methodsThis cross-sectional study involved 149 patients with nonacromegalic PitNETs (AG group), 71 patients with acromegaly (ACRO group), and 156 controls (CG group). All participants underwent insulin and blood glucose measurements with the determination of the homeostatic model assessment-insulin resistance (HOMA-IR) index, leptin, and high-sensitivity C-reactive protein (hsCRP), and they also underwent thyroid ultrasound. Clinically significant nodules were biopsied for subsequent cytopathological evaluation, and participants were operated on when indicated.

resultsPatients in the AG group had high levels of insulin resistance and significantly higher levels of leptin and hsCRP compared with those of patients in the ACRO group. There were no cases of DTC in the AG group; two findings, one incidental, of DTC occurred in the CG group, and three cases of DTC were present in the ACRO group. Acromegaly was associated with DTC after adjusted analysis.

conclusionsOur findings in patients with nonacromegalic PitNETs do not indicate a high risk for DTC despite the presence of metabolic and inflammatory risk factors for neoplastic events. In contrast, acromegaly promotes a greater risk of DTC.

Indexed as

Cardiometabolic Risk FactorsAcromegalyAdenocarcinomaAdultAgedAged, 80 and overBlood GlucoseBrazilCase-Control StudiesCross-Sectional StudiesFemaleHumansIncidenceInflammationInsulinInsulin ResistanceBlood GlucoseInsulinAcromegalyInsulin resistanceLeptinLow-grade inflammationPituitary tumorsThyroid cancer

Identifiers

PMID32681462
OpenAlexW3043629387

What OpenQuestion holds

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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.