Evidence map›Paper›PMID 35319491›Full record

ReviewEuropean journal of endocrinology2022

Safety of growth hormone replacement in survivors of cancer and intracranial and pituitary tumours: a consensus statement.

Margaret C S Boguszewski, Cesar L Boguszewski, Wassim Chemaitilly, Laurie E Cohen, Judith Gebauer, Claire Higham, Andrew R Hoffman, Michel Polak, Kevin C J Yuen, Nathalie Alos and 37 more

Open access · greenAbstract readReviewConsensus Statement
In one paragraph

Review in European journal of endocrinology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 3 pooled it
5.0field-weighted citation impact, top 4% 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

53 citing papers in PubMed, 3 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
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  4. Article
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  6. Approach to the patient with acquired hypothalamic syndrome.The Journal of clinical endocrinology and metabolism · 2026
    Review
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  12. Radiomitigators: Breakthroughs in Post-Radiation Recovery.Antioxidants (Basel, Switzerland) · 2026
    Review
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  14. Suprasellar CNS germ cell tumors and endocrine sequelae: early growth hormone therapy as a contributor to height gain: a single institute analysis.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Article
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  16. Observational
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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

47 authors at 20 institutions in 18 countries.

Margaret C S BoguszewskiDepartment of Pediatrics, Federal University of Paraná, Curitiba, Brazil.
Cesar L BoguszewskiSEMPR (Endocrine Division), Department of Internal Medicine, Federal University of Parana, Curitiba, Brazil.
Wassim ChemaitillyDivision of Endocrinology, Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Laurie E CohenDivision of Endocrinology and Diabetes, Department of Pediatrics, The Children's Hospital at Montefiore, Albert Einstein College of Medicine, New York, New York, USA.
Judith GebauerDepartment of Internal Medicine I, University Medical Center Schleswig-Holstein, Luebeck, Germany.ORCID 0000-0003-4428-8010
Claire HighamDepartment of Endocrinology, Christie Hospital NHS Foundation Trust, University of Manchester, and Manchester Academic Health Science Centre, Manchester, UK.
Andrew R HoffmanStanford University School of Medicine, Stanford, California, USA.
Michel PolakDepartment of Pediatric Endocrinology, Gynecology and Diabetology, Hôpital Universitaire Necker Enfants Malades, AP-HP, Université de Paris, Paris, France.
Kevin C J YuenBarrow Pituitary Center, Barrow Neurological Institute, Phoenix, Arizona, USA.ORCID 0000-0002-8169-2728
Nathalie AlosDivision of Endocrinology, Sainte-Justine University Hospital Centre, University of Montreal, Montreal, Quebec, Canada.
Zoltan AntalMemorial Sloan-Kettering Cancer Center and Weill Cornel Medicine New York Presbyterian Hospital, New York, New York, USA.
Martin BidlingmaierMedizinische Klinik und Poliklinik IV, LMU Klinikum, Munich, Germany.
Beverley M K BillerNeuroendocrine & Pituitary Tumor Clinical Center, Massachusetts General Hospital, Boston, Massachusetts, USA.
George BrabantDepartment of Diabetes, Endocrinology and Gastroenterology, School of Medical Sciences, University of Manchester, Manchester, UK.
Catherine S Y ChoongDepartment of Endocrinology and Diabetes, Perth Children's Hospital, Child & Adolescent Health Service, Perth, Australia.
Stefano CianfaraniDepartment of Systems Medicine, University of Rome Tor Vergata, Rome Italy.
Peter E ClaytonFaculty of Biology, Medicine & Health, University of Manchester, Manchester, UK.ORCID 0000-0003-1225-4537
Regis CoutantDepartment of Pediatric Endocrinology, University Hospital, Angers, France.
Adriane A Cardoso-DemartiniPediatric Endocrinology Unit, Department of Pediatrics, Hospital de Clínicas, Federal University of Parana, Curitiba, Brazil.
Alberto FernandezEndocrinology Department, Hospital Universitario de Mostoles, Mostoles, Spain.
Adda GrimbergDepartment of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Kolbeinn GuðmundssonChildren's Medical Center, Landspitali - The National University Hospital of Iceland, Reykjavik, Iceland.
Jaime Guevara-AguirreDepartment of Diabetes and Endocrinology, College of Medicine, Universidad San Francisco de Quito at Quito, Quito, Ecuador.
Ken K Y HoThe Garvan Institute of Medical Research and St. Vincent Hospital, Sydney, Australia.ORCID 0000-0002-2508-9588
Reiko HorikawaDivision of Endocrinology and Metabolism, National Center for Child Health and Development, Tokyo, Japan.ORCID 0000-0003-3429-3246
Andrea M IsidoriDepartment of Experimental Medicine, Sapienza University of Rome, Roma, Italy.
Jens Otto Lunde JørgensenDepartment of Endocrinology and Internal Medicine, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0001-7408-1526
Peter KamenickyUniversité Paris-Saclay, Inserm, Physiologie et Physiopathologie Endocriniennes, Assistance Publique-Hôpitaux de Paris, Hôpital Bicêtre, Service d'Endocrinologie et des Maladies de la Reproduction, Centre de Référence des Maladies Rares de l'Hypophyse, Le Kremlin-Bicêtre, France.ORCID 0000-0002-1994-4226
Niki KaravitakiInstitute of Metabolism and Systems Research, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.ORCID 0000-0002-4696-0643
John J KopchickEdison Biotechnology Institute and Heritage College of Osteopathic Medicine, Ohio University, Athens, Ohio, USA.
Maya LodishDivision of Pediatric Endocrinology and Diabetes, University of California, San Francisco, California, USA.
Xiaoping LuoDepartment of Pediatrics, Tongji Hospital, Tonji Medical College, Hu, China.
Ann I McCormackDepartment of Endocrinology, St Vincent's Hospital, Sydney, Australia.
Lillian MeachamChildren's Healthcare of Atlanta Aflac Cancer and Blood Disorders Service, Department of Pediatrics, Emory University, Atlanta, Georgia, USA.
Shlomo MelmedPituitary Center, Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Sogol Mostoufi MoabDivisions of Oncology and Endocrinology, Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Hermann L MüllerDepartment of Pediatrics and Pediatric Hematology/Oncology, University Children's Hospital, Klinikum Oldenburg AöR, Carl von Ossietzki University Oldenburg, Oldenburg, Germany.ORCID 0000-0003-4929-9966
Sebastian J C M M NeggersDepartment of Medicine, Erasmus University Medical Centre, Rotterdam, the Netherlands.
Manoel H Aguiar OliveiraDivision of Endocrinology, Health Sciences Graduate Program, Federal University of Sergipe, Aracaju, Sergipe, Brazil.
Keiichi OzonoDepartment of Pediatrics, Osaka University Graduate School of Children, Osaka, Japan.
Patricia A PennisiCentro de Investigaciones Endocrinológicas 'Dr. César Bergadá', CEDIE-CONICET-FEI, División de Endocrinología, Hospital de Niños Ricardo Gutiérrez, Buenos Aires, Argentina.ORCID 0000-0001-5179-7353
Vera PopovicMedical Faculty, University of Belgrade, Belgrade, Serbia.
Sally RadovickDepartment of Pediatrics, Rutgers Robert Wood, Johnson Medical School, New Brunswick, New Jersey, USA.
Lars SavendahlDepartment of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Philippe TouraineDepartment of Endocrinology and Reproductive Medicine, Center for Rare Endocrine and Gynecological Disorders, Pitie Salpetriere Hospital, Sorbonne Université Medecine, Paris, France.ORCID 0000-0002-8462-7753
Hanneke M van SantenDepartment of Pediatric Endocrinology, Wilhelmina Chilrdren's Hospital, University Medical Center and Princess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
Gudmundur JohannssonInstitute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0003-3484-8440
Hospital de Clínicas Universidade Federal do Paraná · BRChildren's Hospital of Philadelphia · USGarvan Institute of Medical Research · AUUniversity of Manchester · GBAarhus University Hospital · DKAlbert Einstein College of Medicine · USBarrow Neurological Institute · USBiotechnology Institute · USCedars-Sinai Medical Center · USCentre Hospitalier Universitaire d'Angers · FRCentre Hospitalier Universitaire Sainte-Justine · CAConsejo Nacional de Investigaciones Científicas y Técnicas · AREmory University · USErasmus MC · NLHôpital Necker-Enfants Malades · FRHospital Universitario de Móstoles · ESInserm · FRKarolinska University Hospital · SEKlinikum Oldenburg · DELMU Klinikum · DE

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Growth hormone (GH) has been used for over 35 years, and its safety and efficacy has been studied extensively. Experimental studies showing the permissive role of GH/insulin-like growth factor 1 (IGF-I) in carcinogenesis have raised concerns regarding the safety of GH replacement in children and adults who have received treatment for cancer and those with intracranial and pituitary tumours. A consensus statement was produced to guide decision-making on GH replacement in children and adult survivors of cancer, in those treated for intracranial and pituitary tumours and in patients with increased cancer risk. With the support of the European Society of Endocrinology, the Growth Hormone Research Society convened a Workshop, where 55 international key opinion leaders representing 10 professional societies were invited to participate. This consensus statement utilized: (1) a critical review paper produced before the Workshop, (2) five plenary talks, (3) evidence-based comments from four breakout groups, and (4) discussions during report-back sessions. Current evidence reviewed from the proceedings from the Workshop does not support an association between GH replacement and primary tumour or cancer recurrence. The effect of GH replacement on secondary neoplasia risk is minor compared to host- and tumour treatment-related factors. There is no evidence for an association between GH replacement and increased mortality from cancer amongst GH-deficient childhood cancer survivors. Patients with pituitary tumour or craniopharyngioma remnants receiving GH replacement do not need to be treated or monitored differently than those not receiving GH. GH replacement might be considered in GH-deficient adult cancer survivors in remission after careful individual risk/benefit analysis. In children with cancer predisposition syndromes, GH treatment is generally contraindicated but may be considered cautiously in select patients.

Indexed as

Human Growth HormonePituitary NeoplasmsAdultChildGrowth HormoneHumansInsulin-Like Growth Factor INeoplasm Recurrence, LocalSurvivorsGrowth HormoneHuman Growth HormoneInsulin-Like Growth Factor I

Identifiers

PMID35319491
PMCPMC9066587
OpenAlexW4220955944

What OpenQuestion holds

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Registered trials

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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.