Evidence map›Paper›PMID 39578273›Full record

SynthesisNeurosurgical review2024

Quality of life in non-functioning pituitary adenoma: A systematic review.

Mendel Castle-Kirszbaum, Ann McCormack, Jeremy Kam, James King, Yi Yuen Wang, Tony Goldschlager

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Neurosurgical review, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. 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

6 authors.

Mendel Castle-KirszbaumDepartment of Neurosurgery, Monash Health, Clayton, Australia. mdck.journal@gmail.com.
Ann McCormackFaculty of Medicine, University of New South Wales, Sydney, Australia.
Jeremy KamDepartment of Neurosurgery, Monash Health, Clayton, Australia.
James KingDepartment of Surgery, University of Melbourne, Melbourne, Australia.
Yi Yuen WangDepartment of Neurosurgery, St Vincent's Health, Melbourne, Australia.
Tony GoldschlagerDepartment of Neurosurgery, Monash Health, Clayton, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Non-Functioning Pituitary Adenomas (pituitary neuroendocrine tumours) (NFPA) have a profound detrimental effect of patient-reported health-related quality of life (QOL). Elucidating the underlying mechanisms by which NFPA influence patients' emotional physical and psychosocial wellbeing would provide the foundation for therapeutic strategies to optimise patient outcomes. A systematic review of the literature was performed in accordance with the PRISMA statement. Studies that utilised validated metrics to report QOL in NFPA were included. Patients with NFPA exhibit worse QOL than healthy controls across both mental and physical domains. Surgery provides significant improvements in QOL within 3 months, and QOL can normalise years after successful treatment. Compared with functioning adenomas, QOL is favourable. The underlying mechanisms for QOL detriment in NFPA is multifactorial and includes visual failure, hypopituitarism, headache, sleep dysfunction, pain, the sick role, treatment-related anxiety, and the morbidity of surgical and radiotherapy treatment. The effects of NFPA on QOL are global, with deficits in physical, psychosocial, and cognitive function. With successful treatment, QOL can return to that of the general population. Targeting hypopituitarism, sleep dysfunction, headache, pain, and disease-related anxiety are paths to improve QOL in NFPA.

Indexed as

AdenomaPituitary NeoplasmsQuality of LifeHumansHypopituitarismNon-functionalPituitary adenomaQOLQuality of lifeWellbeing

Identifiers

What OpenQuestion holds

Textmetadata
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.