Evidence map›Paper›PMID 35349010›Full record

SynthesisPituitary2022

Endocrine disorders after primary gamma knife radiosurgery for pituitary adenomas: A systematic review and meta-analysis.

Paolo Palmisciano, Christian Ogasawara, Maya Ogasawara, Gianluca Ferini, Gianluca Scalia, Ali S Haider, Othman Bin Alamer, Maurizio Salvati, Giuseppe E Umana

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Pituitary, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Iatrogenic adrenal insufficiency in adults.Nature reviews. Endocrinology · 2024
    Review
  7. Article
  8. Review
  9. Article
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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

9 authors at 8 institutions in 3 countries.

Paolo PalmiscianoDepartment of Neurosurgery, University of Cincinnati, Cincinnati, OH, USA.ORCID http://orcid.org/0000-0003-0711-3975
Christian OgasawaraJohn A. Burns School of Medicine, University of Hawai'i, Honolulu, HI, USA.
Maya OgasawaraUniversity of California, Berkeley, CA, USA.
Gianluca FeriniDepartment of Radiation Oncology, REM Radioterapia srl, Viagrande, Italy.
Gianluca ScaliaDepartment of Neurosurgery, Highly Specialized Hospital of National Importance "Garibaldi", Catania, Italy.
Ali S HaiderTexas A&M University College of Medicine, Houston, TX, USA.
Othman Bin AlamerCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Maurizio SalvatiDepartment of Neurosurgery, IRCCS, Sapienza University of Rome, NeuromedPozzilli, Italy.
Giuseppe E UmanaDepartment of Neurosurgery, Trauma Center, Gamma Knife Center, Cannizzaro Hospital, Via Messina 829, 95126, Catania, Italy. umana.nch@gmail.com.ORCID http://orcid.org/0000-0002-1573-431X
Istituto Neurologico Mediterraneo · ITKing Saud bin Abdulaziz University for Health Sciences · SAOspedale Cannizzaro · ITOspedale Garibaldi · ITTexas A&M University · USUniversity of California, Berkeley · USUniversity of Cincinnati · USUniversity of Hawaiʻi at Mānoa · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeGamma Knife radiosurgery (GKRS) is feasible for pituitary adenomas, but post-surgery GKRS may cause severe hormone deficits. We reviewed the literature on primary GKRS for pituitary adenoma focusing on radiation-induced hormone deficiencies.

methodsPubMed, Web-of-Science, Scopus, and Cochrane were searched upon the PRISMA guidelines to include studies describing primary GKRS for pituitary adenomas. Pooled-rates of GKRS-induced hormone deficiencies and clinical-radiological responses were analyzed with a random-effect model meta-analysis.

resultsWe included 24 studies comprising 1381 patients. Prolactinomas were the most common (34.2%), and 289 patients had non-functioning adenomas (20.9%). Median tumor volume was 1.6cm

conclusionPrimary GKRS for pituitary adenoma may correlate with lower rates of radiation-induced hypopituitarism (11.4%) than post-surgery GKRS (18-32%). Minimal doses to normal pituitary structures and long-term endocrine follow-up are of primary importance.

Indexed as

AdenomaPituitary NeoplasmsRadiosurgeryFollow-Up StudiesHormonesHumansRetrospective StudiesTreatment OutcomeHormonesEndocrine disordersGamma knifeHypopituitarismPituitary adenomaRadiation-induced complicationsRadiosurgery

Identifiers

PMID35349010
OpenAlexW4221020461

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.