Evidence map›Paper›PMID 34203283›Full record

ArticleBiomedicines2021

Diagnostic Accuracy of Dehydroepiandrosterone Sulfate and Corticotropin in Autonomous Cortisol Secretion.

Lindsay E Carafone, Catherine D Zhang, Dingfeng Li, Natalia Lazik, Oksana Hamidi, Maria Daniela Hurtado, William F Young, Melinda A Thomas, Benzon M Dy, Melanie L Lyden and 3 more

Open access · goldAbstract read
In one paragraph

Article in Biomedicines, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
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  14. Approach to the Patient With Adrenal Incidentaloma.The Journal of clinical endocrinology and metabolism · 2021
    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

13 authors at 2 institutions in 1 country.

Lindsay E CarafoneDepartment of Internal Medicine, May Clinic, Rochester, MN 55902, USA.
Catherine D ZhangDivision of Endocrinology, Mayo Clinic, Rochester, MN 55902, USA.
Dingfeng LiDivision of Endocrinology, Mayo Clinic, Rochester, MN 55902, USA.
Natalia LazikDivision of Endocrinology, Mayo Clinic, Rochester, MN 55902, USA.
Oksana HamidiDivision of Endocrinology, Mayo Clinic, Rochester, MN 55902, USA.ORCID 0000-0002-7367-3885
Maria Daniela HurtadoDivision of Endocrinology, Mayo Clinic, Rochester, MN 55902, USA.
William F YoungDivision of Endocrinology, Mayo Clinic, Rochester, MN 55902, USA.
Melinda A ThomasDivision of Endocrinology, Mayo Clinic, Rochester, MN 55902, USA.
Benzon M DyDepartment of Surgery, Mayo Clinic, Rochester, MN 55902, USA.
Melanie L LydenDepartment of Surgery, Mayo Clinic, Rochester, MN 55902, USA.
Trenton R FosterDepartment of Surgery, Mayo Clinic, Rochester, MN 55902, USA.
Travis J McKenzieDepartment of Surgery, Mayo Clinic, Rochester, MN 55902, USA.
Irina BancosDivision of Endocrinology, Mayo Clinic, Rochester, MN 55902, USA.ORCID 0000-0001-9332-2524
Mayo Clinic · USMayo Clinic in Arizona · US

Funding

Skeletal Consequences of Mild Autonomous Cortisol SecretionK23DK121888 · NIDDK · MAYO CLINIC ROCHESTER · PI BANCOS, IRINA · 2019 to 2022
$630k
NIDDK NIH HHS K23 DK121888NIDDK NIH HHS K23DK121888
6 · The paper itself

Abstract

Autonomous cortisol secretion (ACS) affects up to 50% of patients with adrenal adenomas. Despite the limited evidence, clinical guidelines recommend measurement of serum concentrations of dehydroepiandrosterone-sulfate (DHEA-S) and corticotropin (ACTH) to aid in the diagnosis of ACS. Our objective was to determine the accuracy of serum concentrations of DHEA-S and ACTH in diagnosing ACS. We conducted a retrospective single center study of adults with adrenal adenoma evaluated between 2000-2020. Main outcome measure was diagnostic accuracy of DHEA-S and ACTH. ACS was defined as post-dexamethasone cortisol >1.8 mcg/dL. Of 468 patients, ACS was diagnosed in 256 (55%) patients with a median post-DST cortisol of 3.45 mcg/dL (range, 1.9-32.7). Patients with ACS demonstrated lower serum concentrations of DHEA-S (35 vs. 87.3 mcg/dL,

Indexed as

adrenal adenomaadrenal massdexamethasone suppression test

Identifiers

PMID34203283
PMCPMC8301396
OpenAlexW3175434453

What OpenQuestion holds

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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.