Evidence map›Paper›PMID 35668997›Full record

ArticleJournal of the Endocrine Society2022

The Mount Sinai Clinical Pathway for the Diagnosis and Management of Hypercortisolism due to Ectopic ACTH Syndrome.

Eva L Alba, Emily A Japp, Gustavo Fernandez-Ranvier, Ketan Badani, Eric Wilck, Munir Ghesani, Andrea Wolf, Edward M Wolin, Virginia Corbett, David Steinmetz and 2 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of the Endocrine Society, 2022. 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
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

8 citing papers in PubMed, 21 citations in OpenAlex.

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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

12 authors at 2 institutions in 1 country.

Eva L AlbaThe Adrenal Center, Division of Endocrine, Diabetes and Bone Diseases, Department of Medicine at the Icahn School of Medicine at Mount Sinai, New York , NY, USA.
Emily A JappDivision of Endocrinology, Diabetes, and Nutrition, Department of Medicine at the University of Maryland School of Medicine, Baltimore, MD, USA.
Gustavo Fernandez-RanvierDivision of Metabolic, Endocrine, and Minimally Invasive Surgery, Department of Surgery at the Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Ketan BadaniDivision of Urology, Department of Surgery at the Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Eric WilckDepartment of Diagnostic, Molecular and Interventional Radiology at the Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Munir GhesaniDepartment of Diagnostic, Molecular and Interventional Radiology at the Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Andrea WolfDivision of Thoracic Surgery, Department of Surgery at the Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Edward M WolinThe Center for Carcinoid and Neuroendocrine Tumors, Tisch Cancer Institute, Division of Hematology and Oncology, Department of Medicine at the Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Virginia CorbettDivision of Hematology and Oncology, Department of Medicine at the Icahn School of Medicine at Mount Sinai, New York, NY, USA.
David SteinmetzDivision of Metabolic, Endocrine, and Minimally Invasive Surgery, Department of Surgery at the Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Maria SkamagasThe Adrenal Center, Division of Endocrine, Diabetes and Bone Diseases, Department of Medicine at the Icahn School of Medicine at Mount Sinai, New York , NY, USA.
Alice C LevineThe Adrenal Center, Division of Endocrine, Diabetes and Bone Diseases, Department of Medicine at the Icahn School of Medicine at Mount Sinai, New York , NY, USA.ORCID https://orcid.org/0000-0002-0634-4133
Icahn School of Medicine at Mount Sinai · USUniversity of Maryland, Baltimore · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neoplasms that secrete ectopic adrenocorticotropin (ACTH) may cause severe, life-threatening hypercortisolism. These tumors are often difficult to localize and treat, requiring a comprehensive and systematic management plan orchestrated by a multidisciplinary team. The Mount Sinai Adrenal Center hosted an interdisciplinary retreat of experts in adrenal disorders and neuroendocrine tumors (NETs) with the aim of developing a clinical pathway for the management of Cushing syndrome due to ectopic ACTH production. The result was institutional recommendations for the diagnosis, localization, surgical approaches to intrathoracic tumors and bilateral adrenalectomy, and perioperative and postoperative medical management of hypercortisolism and its sequelae. Specific recommendations were made regarding the timing and selection of therapies based on the considerations of our team as well as a review of the current literature. Our clinical pathway can be applied by other institutions directly or serve as a guide for institution-specific management.

Indexed as

Cushing syndromeectopic ACTHhypercortisolism

Identifiers

PMID35668997
PMCPMC9155620
OpenAlexW4229082310

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.