Evidence map›Paper›PMID 38650041›Full record

ArticleReproductive biology and endocrinology : RB&E2024

Pregnancy and acromegaly: clinical outcomes of retrospectively analysed data from the German acromegaly registry.

Anke Tönjes, Marleen Würfel, Marcus Quinkler, Ulrich J Knappe, Jürgen Honegger, Nina Krause-Joppig, Konrad Bacher, Timo Deutschbein, Sylvère Störmann, Jochen Schopohl and 2 more

Open access · goldAbstract read
In one paragraph

Article in Reproductive biology and endocrinology : RB&E, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 39% 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

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Current controversies in acromegaly care.The Journal of clinical endocrinology and metabolism · 2026
    Review
  2. 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

12 authors at 6 institutions in 1 country.

Anke Tönjes *Medical Department III - Endocrinology, Nephrology, Rheumatology, University of Leipzig Medical Center, Liebigstraße 20, 04103, Leipzig, Germany. anke.toenjes@medizin.uni-leipzig.de.
Marleen Würfel *Medical Department III - Endocrinology, Nephrology, Rheumatology, University of Leipzig Medical Center, Liebigstraße 20, 04103, Leipzig, Germany.
Marcus QuinklerEndocrinology in Charlottenburg, Berlin, Germany.
Ulrich J KnappeDepartment of Neurosurgery, Johannes Wesling Hospital, Minden, Germany.
Jürgen HoneggerDepartment of Neurosurgery, University of Tübingen, Tübingen, Germany.
Nina Krause-JoppigENDOKRINOLOGIKUM Hannover, Hannover, Germany.
Konrad BacherPractice for Endocrinology and Diabetes, Stuttgart, Germany.
Timo DeutschbeinMedicover Oldenburg MVZ, Oldenburg, Germany.
Sylvère StörmannMedizinische Klinik Und Poliklinik IV, LMU Klinikum, Munich, Germany.
Jochen SchopohlMedizinische Klinik Und Poliklinik IV, LMU Klinikum, Munich, Germany.
Sebastian M MeyhöferInstitute of Endocrinology and Diabetes, University of Lübeck, Lübeck, Germany.
participants of the German Acromegaly Registry
LMU Klinikum · DEEndokrinologikum · DEJohannes Wesling Klinikum Minden · DEMedicover · DEUniversity of Lübeck · DEUniversity of Tübingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextAcromegaly is a rare disease caused by excessive growth hormone (GH) secretion, mostly induced by pituitary adenomas. The care of pregnant women with acromegaly is challenging, in part due to existing clinical data being limited and not entirely consistent with regard to potential risks for mother and child.

objectiveTo retrospectively examine data on pregnancy and maternal as well as neonatal outcomes in patients with acromegaly. DESIGN &

methodsRetrospective data analysis from 47 pregnancies of 31 women treated in centers of the German Acromegaly Registry.

results87.1% of the studied women underwent transsphenoidal surgery before pregnancy. In 51.1% a combination of dopamine agonists and somatostatin analogs were used before pregnancy. Three women did not receive any therapy for acromegaly. During pregnancy only 6.4% received either somatostatin analogs or dopamine agonists. In total, 70.2% of all documented pregnancies emerged spontaneously. Gestational diabetes was diagnosed in 10.6% and gravid hypertension in 6.4%. Overall, no preterm birth was detected. Indeed, 87% of acromegalic women experienced a delivery without complications.

conclusionPregnancies in women with acromegaly are possible and the course of pregnancy is in general safe for mother and child both with and without specific treatment for acromegaly. The prevalence of concomitant metabolic diseases such as gestational diabetes is comparable to the prevalence in healthy pregnant women. Nevertheless, larger studies with more data in pregnant patients with acromegaly are needed to provide safe and effective care for pregnant women with this condition.

Indexed as

AcromegalyPregnancy ComplicationsPregnancy OutcomeRegistriesAdultDiabetes, GestationalFemaleGermanyHumansInfant, NewbornPregnancyRetrospective StudiesSomatostatinSomatostatinAcromegalyDopamine agonistsGestational diabetesPregnancySomatostatin analogs

Identifiers

PMID38650041
PMCPMC11034139
OpenAlexW4395005928

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.