Evidence map›Paper›PMID 37592077›Full record

ReviewNature reviews. Endocrinology2023

Pituitary adenoma or neuroendocrine tumour: the need for an integrated prognostic classification.

Ken K Y Ho, Ursula B Kaiser, Phillippe Chanson, Monica Gadelha, John Wass, Lynnette Nieman, Andrew Little, Manish K Aghi, Lori Raetzman, Kalmon Post and 11 more

Abstract readReview
In one paragraph

Review in Nature reviews. Endocrinology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–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

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Approach to the patient: precision medicine-guided evaluation and treatment of acromegaly.The Journal of clinical endocrinology and metabolism · 2026
    Review
  4. Review
  5. Pathogenesis of nonfamilial somatotroph adenomas.The Journal of clinical endocrinology and metabolism · 2026
    Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Observational
  16. Article
  17. Article
  18. Pituitary adenomas: biology, nomenclature and clinical classification.Reviews in endocrine & metabolic disorders · 2025
    Review
  19. Article
  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

21 authors.

Ken K Y HoThe Garvan Institute of Medical Research, Sydney, New South Wales, Australia. k.ho@garvan.org.au.ORCID http://orcid.org/0000-0002-2508-9588
Ursula B KaiserBrigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
Phillippe ChansonUniversité Paris-Saclay, Assistance Publique-Hôpitaux de Paris, Hôpital Bicêtre, Le Kremlin-Bicêtre, France.
Monica GadelhaUniversidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
John WassChurchill Hospital, Oxford, UK.
Lynnette NiemanNational Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD, USA.ORCID http://orcid.org/0000-0003-0534-8025
Andrew LittleBarrow Neurological Institute, Phoenix, AZ, USA.
Manish K AghiUniversity of California, San Francisco, San Francisco, CA, USA.
Lori RaetzmanUniversity of Illinois Urbana-Champaign, Urbana, IL, USA.
Kalmon PostIcahn School of Medicine at Mount Sinai, New York, NY, USA.
Gerald RaverotHospices Civils de Lyon, Groupement Hospitalier Est, Université Claude Bernard Lyon 1, Bron, France.ORCID http://orcid.org/0000-0002-9517-338X
Alexander D BorowskyUniversity of California at Davis School of Medicine, Davis, CA, USA.
Dana EricksonMayo Clinic, Rochester, MN, USA.
Justo P CastañoMaimónides Biomedical Research Institute of Córdoba, University of Córdoba, Córdoba, Spain.ORCID http://orcid.org/0000-0002-3145-7287
Edward R LawsBrigham and Women's Hospital, Boston, MA, USA.
Maria Chiara ZatelliUniversity of Ferrara, Ferrara, Italy.ORCID http://orcid.org/0000-0001-8408-7796
Jill SiscoThe Acromegaly Community, Grove, OK, USA.
Laura EssermanUniversity of California, San Francisco, San Francisco, CA, USA.
Kevin C J YuenBarrow Neurological Institute, Phoenix, AZ, USA.
Martin ReinckeKlinikum der Universität, Ludwig-Maximilians-Universität, München, Germany.ORCID http://orcid.org/0000-0002-9817-9875
Shlomo MelmedCedars-Sinai Medical Center, Los Angeles, CA, USA.ORCID http://orcid.org/0000-0002-2355-3447

Funding

The differential diagnosis and treatment of Cushing's syndromeZIAHD008833 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI NIEMAN, LYNNETTE · 2009 to 2015
$2.5M
The Physiology Of HypercortisolismZIADK075121 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI NIEMAN, LYNNETTE · 2016 to 2024
$1.7M
Intramural NIH HHS ZIA HD008833
6 · The paper itself

Abstract

In the 2022 fifth edition of the WHO Classification of Endocrine Tumours and of Central Nervous System Tumours, pituitary adenomas are reclassified as neuroendocrine tumours (NETs). This change confers an oncology label to neoplasms that are overwhelmingly benign. A comprehensive clinical classification schema is required to guide prognosis, therapy and outcomes for all patients with pituitary adenomas. Pituitary adenomas and NETs exhibit some morphological and ultrastructural similarities. However, unlike NETs, pituitary adenomas are highly prevalent, yet indolent and rarely become malignant. This Perspective presents the outcomes of an interdisciplinary international workshop that addressed the merit and clinical implications of the classification change of pituitary adenoma to NET. Many non-histological factors provide mechanistic insight and influence the prognosis and treatment of pituitary adenoma. We recommend the development of a comprehensive classification that integrates clinical, genetic, biochemical, radiological, pathological and molecular information for all anterior pituitary neoplasms.

Identifiers

PMID37592077
PMCPMC12519436

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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.