Evidence map›Paper›PMID 34504526›Full record

ReviewInternational journal of endocrinology2021

Surgery and Medical Treatment in Microprolactinoma: A Systematic Review and Meta-Analysis.

Jianglong Lu, Lin Cai, Zerui Wu, Weiwei Lin, Jiadong Xu, Zhangzhang Zhu, Chengde Wang, Qun Li, Zhipeng Su

Open access · goldAbstract readReview
In one paragraph

Review in International journal of endocrinology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.9field-weighted citation impact, top 13% 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

8 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Pituitary · 2022
    Article
  8. Review
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

9 authors at 1 institution in 1 country.

Jianglong LuDepartment of Neurosurgery, First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China.ORCID https://orcid.org/0000-0001-7984-2582
Lin CaiDepartment of Neurosurgery, First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China.ORCID https://orcid.org/0000-0002-7087-4948
Zerui WuDepartment of Neurosurgery, First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China.ORCID https://orcid.org/0000-0003-4769-2430
Weiwei LinDepartment of Neurosurgery, First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China.ORCID https://orcid.org/0000-0001-8304-9659
Jiadong XuDepartment of Neurosurgery, First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China.ORCID https://orcid.org/0000-0002-6107-9838
Zhangzhang ZhuDepartment of Neurosurgery, First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China.ORCID https://orcid.org/0000-0001-7999-2767
Chengde WangDepartment of Neurosurgery, First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China.ORCID https://orcid.org/0000-0001-8069-4396
Qun LiDepartment of Neurosurgery, First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China.ORCID https://orcid.org/0000-0003-0869-6922
Zhipeng SuDepartment of Neurosurgery, First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China.ORCID https://orcid.org/0000-0002-0794-4122
Wenzhou Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDopamine agonists (DAs) are recommended as the first-line treatment for prolactinomas; however, tumour recurrence after drug withdrawal remains a clinical problem. Recent studies have reported high remission rates via surgery in microprolactinomas. The aim of this systematic review and meta-analysis was to compare the clinical result of DA treatment with surgery as initial therapy in patients with treatment-naive microprolactinoma.

methodsA comprehensive literature search for studies and reports regarding microprolactinoma patients treated with DAs and/or surgery published between January 1970 and November 2020 was conducted using four electronic databases (PubMed, Embase, Google Scholar, and the Cochrane Library). Clinical treatment outcome was evaluated by the biochemical remission of serum prolactin level to normal after treatment. The

resultsEighteen studies with 661 patients were included for analysis. The DA treatment group achieved a higher remission rate at ≥12 months follow-up (96% vs. 86%;

conclusionSurgery showed a high remission rate in treatment-naive microprolactinoma patients after treatment withdrawal and may be an alternative first-line treatment strategy in addition to DAs, particularly in patients with a preoperative prolactin level of ≤200 ng/mL.

Identifiers

PMID34504526
PMCPMC8423556
OpenAlexW3198764374

What OpenQuestion holds

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LicenceCC BY
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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.