Evidence map›Paper›PMID 32888174›Full record

SynthesisPituitary2021

Effect of long-term growth hormone replacement on glucose metabolism in adults with growth hormone deficiency: a systematic review and meta-analysis.

He Zhou, Lin Sun, Siwen Zhang, Yingxuan Wang, Guixia Wang

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Pituitary, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.1field-weighted citation impact, top 20% 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, 25 citations in OpenAlex.

  1. Trial
  2. Article
  3. Growth Hormone, Not Simply Just a Hormone for Growth.Endocrinology and metabolism (Seoul, Korea) · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Review
  14. Review
  15. Observational
  16. Review
  17. Article
  18. Article
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

5 authors at 1 institution in 1 country.

He ZhouDepartment of Endocrinology and Metabolism, The First Hospital of Jilin University, Changchun, 130021, China.
Lin SunDepartment of Endocrinology and Metabolism, The First Hospital of Jilin University, Changchun, 130021, China.
Siwen ZhangDepartment of Endocrinology and Metabolism, The First Hospital of Jilin University, Changchun, 130021, China.
Yingxuan WangDepartment of Endocrinology and Metabolism, The First Hospital of Jilin University, Changchun, 130021, China.
Guixia WangDepartment of Endocrinology and Metabolism, The First Hospital of Jilin University, Changchun, 130021, China. gwang168@jlu.edu.cn.ORCID http://orcid.org/0000-0001-8107-616X
Jilin University · CN

Funding

the Development and Reform Commission Innovation Project 2017C019the Engineering Research Center of Individualized Accurate Diagnosis and Treatment of Jilin Province Science and Technology Department Project 20170623005TCthe Key Laboratory of Endocrine and Metabolic Diseases of Jilin Province 20190901006JC
6 · The paper itself

Abstract

purposeThis systematic review and meta-analysis was performed to summarize the long-term (more than 6 months) effect of growth hormone (GH) replacement therapy (GHRT) on glucose metabolism among adults growth hormone deficiency (AGHD) patients.

methodsWe searched MEDLINE, EMBASE and the Cochrane Library databases from inception till March 2020 for relevant studies evaluating the effect of GHRT on glucose metabolism in AGHD patients. Results were stratified into two periods (6-12 months and more than12 months) according to the length of follow-up.

resultsThirty-three studies including 11 randomized controlled trials (RCTs) and 22 prospective open-label studies (POLs) were included in the meta-analysis. The findings of this meta-analysis showed that GH supplementation with a duration of 6-12 months among adults with growth hormone deficiency (GHD) significantly increased fasting plasma glucose (FPG) (SMD 0.37; 95% CI 0.25 to 0.49; I

conclusionOverall, the current meta-analysis demonstrated that GHRT with a shorter duration (6-12 months) led to a deterioration in glucose metabolism including FPG, FI, HbA1c and HOMA-IR in AGHD patients. However, the negative effects of GH therapy on these glucose homeostasis parameters were not seen in longer duration of GHRT, except for FPG.

Indexed as

Blood GlucoseGlycated HemoglobinHuman Growth HormoneHumansBlood GlucoseGlycated HemoglobinHuman Growth HormoneAdults with growth hormone deficiencyGlucose metabolismGrowth hormone replacementMeta-analysis

Identifiers

PMID32888174
OpenAlexW3083208673

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.