Evidence map›Paper›PMID 39044264›Full record

ArticleBMC endocrine disorders2024

Pregnancies complicated with functioning adrenal adenomas causing severe obstetric outcomes: a 20-year experience at a tertiary center.

Caixia Zhu, Shiqin Cai, Xue Zhong, Linhuan Huang

Abstract read
In one paragraph

Article in BMC endocrine disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

4 authors.

Caixia ZhuDepartment of Obstetrics and Gynecology, The First Affiliated Hospital of Sun Yat-sen University, Zhongshan er Road, No.58, Guangzhou, 510080, China.
Shiqin CaiDepartment of Obstetrics and Gynecology, The First Affiliated Hospital of Sun Yat-sen University, Zhongshan er Road, No.58, Guangzhou, 510080, China.
Xue ZhongDepartment of Obstetrics and Gynecology, The First Affiliated Hospital of Sun Yat-sen University, Zhongshan er Road, No.58, Guangzhou, 510080, China.
Linhuan HuangDepartment of Obstetrics and Gynecology, The First Affiliated Hospital of Sun Yat-sen University, Zhongshan er Road, No.58, Guangzhou, 510080, China. hlhuan@mail.sysu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFunctioning adrenal adenoma during pregnancy is rare, and the diagnosis is challenging owing to unspecific symptoms and restricted investigations. The obstetric outcomes of patients who undergo surgery during pregnancy or who receive only medical treatment are poorly described.

objectiveThe aim was to investigate the associations between functioning adrenal adenomas and obstetric outcomes.

methodsA retrospective study was performed in a tertiary center over 20 years. The clinical characteristics, management and obstetric outcomes of the diagnosed pregnant women were reviewed.

resultsA total of 12 women were diagnosed with functioning adrenal adenomas during pregnancy from January 2002 to September 2022. Eight women had cortisol-secreting adrenal adenomas, two had excessive catecholamine secretion, and two had primary aldosteronism. The initial symptoms of adrenal adenoma during pregnancy included hypertension or preeclampsia, gestational diabetes mellitus or prepregnancy diabetes mellitus, hypokalemia and ecchymosis. Four women underwent adrenalectomy during pregnancy, while 8 women received only medical therapy. Preterm birth occurred in all patients who received medicine, whereas 1 patient who underwent surgery experienced preterm birth. Among the 8 women in the medical treatment group, 3 had neonates who died.

conclusionsOnce hypertension, hyperglycemia and hypokalemia occur during the 1st or 2nd trimester, pregnant women with adrenal adenomas should be evaluated via laboratory and imaging examinations. The maternal and fetal outcomes were unpredictable owing to the severity of adrenal adenoma, particularly in patients who received only medical treatment. Adrenalectomy should be recommended during pregnancy.

Indexed as

Adrenal Gland NeoplasmsPregnancy Complications, NeoplasticPregnancy OutcomeTertiary Care CentersAdenomaAdrenalectomyAdrenocortical AdenomaAdultFemaleHumansPregnancyPrognosisRetrospective StudiesYoung AdultAdrenal adenomaNeonatalObstetricOutcomePregnancy

Identifiers

PMID39044264
PMCPMC11267956

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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.