Evidence map›Paper›PMID 36248125›Full record

ArticleBrain & spine2022

Update in Cushing disease: What the neurosurgeon has to KNOW, on behalf of the EANS skull base section.

Sayoa Eulate-Beramendi, Ainhoa Casajús, Lola Ollero, Lynnette K Niemann, Juan Carlos Fernández-Miranda, Michaël Bruneau, Moncef Berhouma, Luigi Maria Cavallo, Jan Frederick Cornelius, Roy T Daniel and 11 more

Open access · goldAbstract read
In one paragraph

Article in Brain & spine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 25% 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, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  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

21 authors at 15 institutions in 8 countries.

Sayoa Eulate-BeramendiDepartment of Neurosurgery, University Hospital of Navarre, Pamplona, Spain.
Ainhoa CasajúsDepartment of Neurosurgery, University Hospital of Navarre, Pamplona, Spain.
Lola OlleroDepartment of Endocrinology, University Hospital of Navarre, Pamplona, Spain.
Lynnette K NiemannDepartment of Endocrinology, National Institute of Health, Bethesda, MD, USA.
Juan Carlos Fernández-MirandaDepartment of Neurosurgery, Stanford University Medical Center, USA.
Michaël BruneauDepartment of Neurosurgery, Universitair Ziekenhuis Brussel (UZ Brussel), Vrije Universiteit Brussel (VUB), Brussels, Belgium.
Moncef BerhoumaNeurosurgery Department, Hopital Neurologique Pierre Wertheimer, Hospices Civils de Lyon, France.
Luigi Maria CavalloDepartment of Neurosurgery, University of Naples Federico II, Naples, Italy.
Jan Frederick CorneliusDepartment of Neurosurgery, Medical Faculty, Heinrich-Heine-University, Düsseldorf, Germany.
Roy T DanielDepartment of Neurosurgery, Department of Neuroscience, Centre Hospitalier Universitaire Vaudois, University Hospital, Lausanne, Switzerland.
Sebastien FroelichDepartment of Neurosurgery, Lariboisière Hospital, Université Paris Diderot, Paris, France.
Emmanuel JouanneauNeurosurgery Department, Hopital Neurologique Pierre Wertheimer, Hospices Civils de Lyon, France.
Ekkehard KasperDepartment of Neurosurgery, St Elizabeth's Medical Center, Brighton, Massachusetts, USA.
Diego MazzatentaDepartment of Neurosurgery, Neurological Sciences Institut IRCCS, Bologna, Italy.
Torstein R MelingDepartment of Neurosurgery, University Hospital of Geneva, Geneva, Switzerland.
Mahmoud MessererDepartment of Neurosurgery, Department of Neuroscience, Centre Hospitalier Universitaire Vaudois, University Hospital, Lausanne, Switzerland.
Henry W S SchroederDepartment of Neurosurgery, University Medicine, Greifswald, Germany.
Marcos TatagibaDepartment of Neurosurgery, University Hospital Tübingen, Tübingen, Germany.
Massimiliano VisocchiDepartment of Neurosurgery, Institute of Neurosurgery Catholic University of Rome, Italy.
Eduard H VoormolenDepartment of Neurosurgery, University Medical Center, Utrecht, Netherlands.
Idoya ZazpeDepartment of Neurosurgery, University Hospital of Navarre, Pamplona, Spain.
Universidad de Navarra · ESHospices Civils de Lyon · FRUniversity Hospital of Lausanne · CHHeinrich Heine University Düsseldorf · DEInstitute of Neurological Sciences · ITStanford Medicine · USSt. Elizabeth's Medical Center · USUniversità Cattolica del Sacro Cuore · ITUniversitätsmedizin Greifswald · DEUniversité Paris Cité · FRUniversity Children's Hospital Tübingen · DEUniversity Hospital of Geneva · CHUniversity Medical Center Utrecht · NLUniversity of Naples Federico II · ITVrije Universiteit Brussel · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Cushing's disease is a state of chronic and excessive cortisol levels caused by a pituitary adenoma. Research question: CD is a complex entity and often entails difficulties in its diagnosis and management. For that reason, there are still controversial points to that respect. The aim of this consensus paper of the skull base section of the EANS is to review the main aspects of the disease a neurosurgeon has to know and also to offer updated recommendations on the controversial aspects of its management. Material and methods: PUBMED database was used to search the most pertinent articles published on the last 5 years related with the management of CD. A summary of literature evidence was proposed for discussion within the EANS skull base section and other international experts. Results: This article represents the consensual opinion of the task force regarding optimal management and surgical strategy in CD. Discussion and conclusion: After discussion in the group several recommendations and suggestions were elaborated. Patients should be treated by an experienced multidisciplinary team. Accurate clinical, biochemical and radiological diagnosis is mandatory. The goal of treatment is the complete adenoma resection to achieve permanent remission. If this is not possible, the treatment aims to achieving eucortisolism. Radiation therapy is recommended to patients with CD when surgical options have been exhausted. All patients in remission should be tested all life-long.

Indexed as

ACTHCushing diseaseHypercortisolismPituitary adenomaTranssphenoidal adenomectomy

Identifiers

PMID36248125
PMCPMC9560580
OpenAlexW4291170464

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.