Evidence map›Paper›PMID 35593947›Full record

ArticleJournal of neuro-oncology2022

Long-term hormonal and imaging outcomes of adjunctive gamma knife radiosurgery in non-functioning pituitary adenomas: a single center experience.

Aasim N Maldar, Sanjeev Pattankar, Basant K Misra, Phulrenu H Chauhan, Milind Sankhe, Ketan Desai, N F Shah

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In one paragraph

Article in Journal of neuro-oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 37% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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

7 authors at 1 institution in 1 country.

Aasim N MaldarDepartment of Endocrinology, P.D. Hinduja Hospital and Medical Research Center, Mumbai, 400016, India.ORCID http://orcid.org/0000-0002-4878-6845
Sanjeev PattankarDepartment of Neurosurgery & Gamma Knife Radiosurgery, P.D. Hinduja Hospital and Medical Research Center, Mumbai, 400016, India.ORCID http://orcid.org/0000-0003-3229-2194
Basant K MisraDepartment of Neurosurgery & Gamma Knife Radiosurgery, P.D. Hinduja Hospital and Medical Research Center, Mumbai, 400016, India.
Phulrenu H ChauhanDepartment of Endocrinology, P.D. Hinduja Hospital and Medical Research Center, Mumbai, 400016, India. chauhanph@rediffmail.com.ORCID http://orcid.org/0000-0002-9049-6008
Milind SankheDepartment of Neurosurgery & Gamma Knife Radiosurgery, P.D. Hinduja Hospital and Medical Research Center, Mumbai, 400016, India.
Ketan DesaiDepartment of Neurosurgery & Gamma Knife Radiosurgery, P.D. Hinduja Hospital and Medical Research Center, Mumbai, 400016, India.
N F ShahDepartment of Endocrinology, P.D. Hinduja Hospital and Medical Research Center, Mumbai, 400016, India.ORCID http://orcid.org/0000-0003-2483-1629
P. D. Hinduja Hospital and Medical Research Centre · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeGamma Knife Radiosurgery(GKRS) is an established modality for treatment of non-functioning pituitary adenomas(NFPA). The objective of the study was to assess long-term hormonal and imaging outcomes after adjunctive GKRS in patients with NFPA.

methodsA retrospective review of records of 109 patients with NFPA, from 1996 to 2020, who received adjunctive GKRS, was performed. Patients who had received GKRS as the primary modality of treatment for NFPA were not included.

resultsSixty-three (57.8%) patients were available for follow up at our institute. The median follow-up period was 47 months (range, 6-260). At a median time of 38 months (range, 8-97), 25 (39.7%) patients developed ≥ 1 new pituitary hormone deficiency. Median time to cortisol deficiency was 38 months (range, 8-55), thyroid hormone deficiency was 45.5 months (range, 12-97) and gonadotropin deficiency was 45 months (range, 21-75). The actuarial risk of developing a new pituitary hormone deficit at 1, 3, 5, 7, and 10 years was 2.5%, 11%, 26.3%, 28% and 29.7%, respectively. Adenoma size decreased in 36 (57.1%) patients, remained unchanged in 19 (30.2%) patients, and increased in 8 (12.7%) patients. Overall tumor control rate was 87.3%. Endocrinopathy-Free Survival was 47.1%, and tumor Progression-Free Survival was 93.3%, at 5 years. Five (4.6%) patients required additional treatment after GKRS. One (1.6%) patient each had worsening of headache, optic atrophy and cerebellar infarct after GKRS therapy.

conclusionGKRS offers a safe adjunctive treatment modality, with satisfactory long-term preservation of hormone functions and a high rate of tumor control, in patients with NFPA.

Indexed as

AdenomaHypopituitarismPituitary NeoplasmsRadiosurgeryFollow-Up StudiesHumansRetrospective StudiesTreatment OutcomeGamma KnifeHypopituitarismNon-functioningPituitary adenomasRadiosurgeryTumour control

Identifiers

PMID35593947
OpenAlexW4280503693

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.