Evidence map›Paper›PMID 36187106›Full record

ArticleFrontiers in endocrinology2022

Clinical, hormonal and pathomorphological markers of somatotroph pituitary neuroendocrine tumors predicting the treatment outcome in acromegaly.

Agnieszka Tomasik, Maria Stelmachowska-Banaś, Maria Maksymowicz, Izabella Czajka-Oraniec, Dorota Raczkiewicz, Grzegorz Zieliński, Jacek Kunicki, Wojciech Zgliczyński

Open access · goldAbstract read
In one paragraph

Article in Frontiers in endocrinology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.2field-weighted citation impact, top 10% 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

14 citing papers in PubMed, 16 citations in OpenAlex.

  1. Approach to the patient: precision medicine-guided evaluation and treatment of acromegaly.The Journal of clinical endocrinology and metabolism · 2026
    Review
  2. Article
  3. Can acromegaly be controlled in all cases?Journal of neuroendocrinology · 2026
    Review
  4. Current controversies in acromegaly care.The Journal of clinical endocrinology and metabolism · 2026
    Review
  5. Adenoma receptors and histologic characteristics determining management outcomes.The Journal of clinical endocrinology and metabolism · 2026
    Review
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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

8 authors at 3 institutions in 1 country.

Agnieszka TomasikDepartment of Endocrinology, Centre of Postgraduate Medical Education, Warsaw, Poland.
Maria Stelmachowska-BanaśDepartment of Endocrinology, Centre of Postgraduate Medical Education, Warsaw, Poland.
Maria MaksymowiczDepartment of Cancer Pathomorphology, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland.
Izabella Czajka-OraniecDepartment of Endocrinology, Centre of Postgraduate Medical Education, Warsaw, Poland.
Dorota RaczkiewiczDepartment of Medical Statistics, School of Public Health, Centre of Postgraduate Medical Education, Warsaw, Poland.
Grzegorz ZielińskiDepartment of Neurosurgery, Military Institute of Medicine, Warsaw, Poland.
Jacek KunickiDepartment of Neurosurgery, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland.
Wojciech ZgliczyńskiDepartment of Endocrinology, Centre of Postgraduate Medical Education, Warsaw, Poland.
Postgraduate School of Molecular Medicine · PLThe Maria Sklodowska-Curie National Research Institute of Oncology · PLWojskowy Instytut Medycyny Lotniczej · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Transsphenoidal adenomectomy (TSS) of somatotroph pituitary neuroendocrine tumor (PitNET) is the first-line treatment of acromegaly. Pharmacological treatment is recommended if surgery is contraindicated or did not lead to disease remission. The choice of treatment best fitting each patient should be based on thorough investigation of patients' characteristics. The current analysis attempts to create a tool for personalized treatment planning. Aim: This study aimed to assess whether clinical, biochemical, imaging and pathological characteristics can predict surgical remission and response to first-generation somatostatin receptor ligands (SRLs) and pasireotide-LAR in acromegaly. Patients and methods: A retrospective study of 153 acromegaly patients, treated in the Department of Endocrinology in Bielanski Hospital in Warsaw, Poland was performed. Data on demographics, hormonal and imaging results, pathological evaluation, and treatment outcome was extracted from the Polish Acromegaly Registry collecting information from 11 endocrinology centers in Poland and analyzed. Results: Patients with surgical remission had lower GH and IGF-1 concentrations at diagnosis (median GH 5.5 µg/L [IQR: 3.1-16.0] Conclusions: Younger age at diagnosis, male sex, lower GH, IGF-1 and PRL concentrations, smaller tumor size at diagnosis as well as positive α-SU staining, lower Ki-67 index and DG tumors predicted better treatment outcome in acromegaly patients.

Indexed as

AcromegalyNeuroendocrine TumorsPituitary NeoplasmsSomatotrophsHumansInsulin-Like Growth Factor IKi-67 AntigenMaleReceptors, SomatostatinRetrospective StudiesTreatment OutcomeInsulin-Like Growth Factor IKi-67 AntigenReceptors, Somatostatinacromegalypathological resultsresponse to somatostatin receptor ligandssomatotroph tumorssurgical remissiontreatment outcome

Identifiers

PMID36187106
PMCPMC9523725
OpenAlexW4296041507

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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.