Evidence map›Paper›PMID 33247226›Full record

ReviewNature reviews. Endocrinology2021

Insights into non-classic and emerging causes of hypopituitarism.

Flavia Prodam, Marina Caputo, Chiara Mele, Paolo Marzullo, Gianluca Aimaretti

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Endocrinology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 6% 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

41 citing papers in PubMed, 2 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  5. An update on hypophysitis.Nature reviews. Endocrinology · 2026
    Review
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  16. An overview of hypopituitarism's causes.Frontiers in endocrinology · 2025
    Review
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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

5 authors at 1 institution in 1 country.

Flavia Prodam *Endocrinology, Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.ORCID 0000-0001-9660-5335
Marina Caputo *Endocrinology, Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.ORCID 0000-0003-0470-9343
Chiara MeleEndocrinology, Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.
Paolo MarzulloEndocrinology, Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.
Gianluca AimarettiEndocrinology, Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy. gianluca.aimaretti@med.uniupo.it.ORCID 0000-0002-6186-0106
Università degli Studi del Piemonte Orientale “Amedeo Avogadro” · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hypopituitarism is defined as one or more partial or complete pituitary hormone deficiencies, which are related to the anterior and/or posterior gland and can have an onset in childhood or adulthood. The most common aetiology is a sellar or suprasellar lesion, often an adenoma, which causes hypopituitarism due to tumour mass effects, or the effects of surgery and/or radiation therapy. However, other clinical conditions, such as traumatic brain injury, and autoimmune and inflammatory diseases, can result in hypopituitarism, and there are also genetic causes of hypopituitarism. Furthermore, the use of immune checkpoint inhibitors to treat cancer is increasing the risk of hypopituitarism, with a pattern of hormone defects that is different from the classic patterns and depends on mechanisms that are specific for each drug. Moreover, autoantibody production against the pituitary and hypothalamus has been demonstrated in studies investigating the development or worsening of some cases of hypopituitarism. Finally, evidence suggests that posterior pituitary damage can affect oxytocin secretion. The aim of this Review is to summarize current knowledge on non-classic and emerging causes of hypopituitarism, so as to help clinicians improve early identification, avoid life-threatening events and improve the clinical care and quality of life of patients at risk of hypopituitarism.

Indexed as

AdenomaAdrenocorticotropic HormoneAutoimmune HypophysitisBrain Injuries, TraumaticDwarfism, PituitaryEmpty Sella SyndromeEndocrine System DiseasesGenetic Diseases, InbornHumansHypoglycemiaHypogonadismHypophysitisHypopituitarismHypothyroidismImmune Checkpoint InhibitorsOxytocinAdrenocorticotropic HormoneImmune Checkpoint InhibitorsOxytocin

Identifiers

PMID33247226
OpenAlexW3109900326

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.