Evidence map›Paper›PMID 36105896›Full record

ReviewCureus2022

A Comprehensive Review of Four Clinical Practice Guidelines of Acromegaly.

Oboseh J Ogedegbe, Asfand Yar Cheema, Muhammad Ali Khan, Syeda Zeenat S Junaid, Jolomi K Erebo, Ewuradjoa Ayirebi-Acquah, Jennifer Okpara, Daramfon Bofah, Jennifer G Okon, Mishaal Munir and 6 more

Open access · diamondAbstract readReview
In one paragraph

Review in Cureus, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 8% 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

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

  1. Uterine fibroids in women diagnosed with acromegaly: a systematic review.Reviews in endocrine & metabolic disorders · 2024
    Pooled it
  2. [Efficacy of octreotide LAR and lanreotide autogel in acromegaly assessed by SAGIT].Revista medica del Instituto Mexicano del Seguro Social · 2026
    Observational
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Observational
  10. Article
  11. Review
  12. Article
  13. Review
  14. Acromegaly: diagnostic challenges and individualized treatment.Expert review of endocrinology & metabolism · 2025
    Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Approach of Acromegaly during Pregnancy.Diagnostics (Basel, Switzerland) · 2022
    Review
  20. 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

16 authors at 6 institutions in 4 countries.

Oboseh J OgedegbeInternal Medicine, Lifeway Medical Center, Abuja, NGA.
Asfand Yar CheemaMedicine, Services Hospital Lahore, Lahore, PAK.
Muhammad Ali KhanGeneral Surgery, Ibn-e-Siena Hospital and Research Center, Multan, PAK.
Syeda Zeenat S JunaidInternal Medicine, Aga Khan University Hospital, Karachi, PAK.
Jolomi K EreboInternal Medicine, General Hospital Nasarawa, Nasarawa, NGA.
Ewuradjoa Ayirebi-AcquahInternal Medicine, Lekma Hospital, Accra, GHA.
Jennifer OkparaMedicine, Windsor University School of Medicine, Cayon, KNA.
Daramfon BofahMedicine and Surgery, Avalon University School of Medicine, Willemstad, CUW.
Jennifer G OkonInternal Medicine, All Saints University College of Medicine, Kingstown, VCT.
Mishaal MunirMedicine, Ghurki Trust Teaching Hospital, Lahore, PAK.
Gabriel AlugbaInternal Medicine, Delta State University, Abraka, NGA.
Aaron EzekielCommunity Medicine, Bingham University Teaching Hospital, Jos, NGA.
Ohikhuare OkunInternal Medicine, Maviscope Hospital and Fertility Centre, Benin, NGA.
Tioluwani K OjoInternal Medicine, St. Nicholas Hospital, Lagos, NGA.
Eunice O MejuluMedical School, Western Illinois University, Macomb, USA.
Abdulmalik JimohInternal Medicine, Mount Horeb Clinic and Dialysis Center, Warri, NGA.
Aga Khan University Hospital · PKCMH Lahore Medical College and Institute of Dentistry · PKDelta State University · NGServices Hospital · PKSt Nicholas Hospital · GBWindsor University School of Medicine · KN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acromegaly is an endocrine disorder characterized by dysregulated hypersecretion of growth hormone (GH), leading to an overproduction of insulin-like growth factor 1 (IGF-1). The etiology is usually a GH-secreting pituitary adenoma with the resultant presentation of coarse facial features, frontal bossing, arthritis, prognathism (protrusion of the mandible), and impaired glucose tolerance, among others. Most pituitary adenomas arise due to sporadic mutations that lead to unregulated cellular division, subsequent tumor formation, and resultant GH hypersecretion. Major scientific organizations and authorities in endocrinology release regularly updated guidelines for diagnosing and managing acromegaly. We have holistically evaluated four data-driven and evidentiary approaches in the management of acromegaly to compare and contrast these guidelines and show their salient differences. These guidelines have been reviewed because they are major authorities in acromegaly management. In this comprehensive article, differences in the diagnosis and treatment recommendations of the discussed guidelines have been highlighted. Our findings showed that diagnosing modalities were similar among the four approaches; however, some guidelines were more specific about additional supporting investigations to confirm a diagnosis of acromegaly. For management options, each guideline had suggestions about ideal therapeutic outcomes. Treatment options were identical but salient differences were noticed, such as the addition of combination therapy and alternative therapy in the setting of failure to respond to first and second-line treatments. Reviewing clinical guidelines for various pathologies encourages sharing ideas among medical practitioners and ensures that global best practices are adopted. Therefore, a constant review of these clinical practice guidelines is necessary to keep clinicians up to date with the latest trends in patient management.

Indexed as

acromegalygrowth hormoneguidelineinsulin-like growth factor 1treatment recommendations

Identifiers

PMID36105896
PMCPMC9453869
OpenAlexW4294398029

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.