Evidence map›Paper›PMID 37523026›Full record

ArticlePituitary2023

Changing presentation of acromegaly in half a century: a single-center experience.

Ahmet Numan Demir, Cem Sulu, Zehra Kara, Serdar Sahin, Dilan Ozaydin, Ozge Sonmez, Fatma Ela Keskin, Necmettin Tanriover, Nurperi Gazioglu, Pinar Kadioglu

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Article in Pituitary, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Pituitary adenoma imaging as a determinant of acromegaly diagnosis and 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

10 authors.

Ahmet Numan DemirDepartment of Endocrinology, Metabolism, and Diabetes, Istanbul University-Cerrahpasa, 34098, Istanbul, Türkiye.
Cem SuluDepartment of Endocrinology, Metabolism, and Diabetes, Istanbul University-Cerrahpasa, 34098, Istanbul, Türkiye.
Zehra KaraDepartment of Endocrinology, Metabolism, and Diabetes, Istanbul University-Cerrahpasa, 34098, Istanbul, Türkiye.
Serdar SahinDepartment of Endocrinology, Metabolism, and Diabetes, Istanbul University-Cerrahpasa, 34098, Istanbul, Türkiye.
Dilan OzaydinDepartment of Neurosurgery, Health Sciences University, Kartal Doktor Lütfi Kırdar City Hospital, Istanbul, Türkiye.
Ozge SonmezDepartment of Internal Medicine, Istanbul University-Cerrahpasa, Istanbul, Türkiye.
Fatma Ela KeskinDepartment of Endocrinology, Metabolism, and Diabetes, Demiroglu Bilim University, Istanbul, Türkiye.
Necmettin TanrioverDepartment of Neurosurgery, Istanbul University-Cerrahpasa, Istanbul, Türkiye.
Nurperi GaziogluDepartment of Neurosurgery, Istinye University, Istanbul, Türkiye.
Pinar KadiogluDepartment of Endocrinology, Metabolism, and Diabetes, Istanbul University-Cerrahpasa, 34098, Istanbul, Türkiye. kadioglup@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveInvestigate the changes in the characteristics of presentation, in patients with acromegaly over a period of approximately half a century.

methodsThe medical records of patients diagnosed with acromegaly between 1980 and 2023 were retrospectively reviewed. The collected data were examined to assess any changes observed over the years and a comparison was made between the characteristics of patients diagnosed in the last decade and those diagnosed in previous years.

resultsA total of 570 patients were included in the study, 210 (37%) patients were diagnosed in the last decade. Patients diagnosed before 2014 had longer symptom duration before diagnosis, advanced age, larger pituitary adenomas, higher incidence of cavernous sinus invasion, and higher GH and IGF-1 levels than those diagnosed last decade (p < 0.05, for all). Furthermore, the patients diagnosed before 2014 had a lower rate of surgical remission (p < 0.001), and a higher prevalence of comorbidities such as diabetes, hypertension, colon polyps, and thyroid cancer at the time of diagnosis (p < 0.05, for all).

conclusionThere may be a trend for earlier detection of patients with acromegaly.

Indexed as

AcromegalyAdenomaPituitary NeoplasmsComorbidityHumansInsulin-Like Growth Factor IRetrospective StudiesInsulin-Like Growth Factor IAcromegalyComorbidityDiagnosisPresentation

Identifiers

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.