Evidence map›Paper›PMID 34697905›Full record

ArticleCancer medicine2021

Pituitary function following peptide receptor radionuclide therapy for neuroendocrine tumours.

Marianne S Elston, Amanda Love, Dev Kevat, Richard Carroll, Zhen Rong Siow, Sharon Pattison, Veronica Boyle, Eva Segelov, Andrew H Strickland, David Wyld and 4 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Cancer medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.2field-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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Success ofEndocrine oncology (Bristol, England) · 2025
    Article
  5. Review
  6. Review
  7. Review
  8. New Insights in PRRT: Lessons From 2021.Frontiers in endocrinology · 2022
    Review
  9. 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

14 authors at 7 institutions in 2 countries.

Marianne S ElstonWaikato Clinical Campus, University of Auckland, Hamilton, New Zealand.ORCID 0000-0002-0748-2300
Amanda LoveDepartment of Endocrinology and Diabetes, Royal Brisbane and Women's Hospital, Herston, Brisbane, Queensland, Australia.
Dev KevatMonash Health, Victoria, Australia.
Richard CarrollEndocrinology Unit, Capital & Coast Health, Wellington, New Zealand.
Zhen Rong SiowMonash Health, Victoria, Australia.
Sharon PattisonDepartment of Medicine, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand.
Veronica BoyleWaikato Clinical Campus, University of Auckland, Hamilton, New Zealand.
Eva SegelovMonash Health, Victoria, Australia.
Andrew H StricklandMonash Health, Victoria, Australia.
David WyldDepartment of Endocrinology and Diabetes, Royal Brisbane and Women's Hospital, Herston, Brisbane, Queensland, Australia.
Richard GauciFiona Stanley Hospital, Perth, Western Australia, Australia.
Kim KennedyFiona Stanley Hospital, Perth, Western Australia, Australia.
David RansomFiona Stanley Hospital, Perth, Western Australia, Australia.
Commonwealth Neuroendocrine Tumour Collaboration (CommNETs)
Monash Health · AUFiona Stanley Hospital · AUUniversity of Auckland · NZCapital and Coast District Health Board · NZRoyal Brisbane and Women's Hospital · AUThe University of Queensland · AUUniversity of Otago · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Peptide receptor radionuclide therapy (PRRT) is an increasingly used treatment for unresectable neuroendocrine tumours (NETs) that express somatostatin receptors. Normal pituitary tissue expresses somatostatin receptors so patients receiving PRRT may be at risk of developing hypopituitarism. The aim was to assess the prevalence of clinically significant hypopituitarism a minimum of 2 years following radioisotope therapy for metastatic NET. This was a multicentre study (Australia and New Zealand). Sixty-six patients with unresectable NETs were included-34 had received PRRT and 32 comparison patients. Median follow-up after PRRT was 68 months. Male hypogonadism was the most common hormonal abnormality (16 of 38 men [42%]) from the total cohort. Of these, seven men had primary hypogonadism (five from PRRT group) and nine had secondary hypogonadism (six in PRRT group). There was no difference in either male hypogonadism or other hormonal dysfunction between patients who had received PRRT and those that had not. Patients who have received PRRT out to 68 months following treatment do not show concerning hypopituitarism although there may be the suggestion of growth hormone deficiency developing. However, hypogonadism is common in men with NETs so the gonadal axis should be assessed in men with suggestive symptoms as the treatment of testosterone deficiency may improve the quality of life.

Indexed as

AgedAustraliaFemaleHumansHypopituitarismMaleMiddle AgedNeuroendocrine TumorsNew ZealandPituitary Function TestsQuality of LifeRadiotherapy DosageReceptors, PeptideReceptors, Peptidehypogonadismhypopituitarismneuroendocrine tumoursradioisotopesreceptorsomatostatin

Identifiers

PMID34697905
PMCPMC8633256
OpenAlexW3210688982

What OpenQuestion holds

Textmetadata
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.