Evidence map›Paper›PMID 39669652›Full record

ArticleJournal of the Endocrine Society2024

Impact of Female Sex and Mild Cortisol Secretion on Coagulation Profile in Adrenal Incidentalomas.

Ilaria Bonaventura, Marianna Minnetti, Davide Ferrari, Valeria Hasenmajer, Alessandra Tomaselli, Dario De Alcubierre, Andrea Lenzi, Riccardo Pofi, Andrea M Isidori

Registry-linked trialAbstract read
In one paragraph

Article in Journal of the Endocrine Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04127552 (Impact of Adrenal IncidenTalomas and Possible Autonomous Cortisol Secretion on Cardiovascular and Metabolic Alterations), which is not on this map. Cited by 1 paper.

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

NCT04127552 recruitingnot on this map

Impact of Adrenal IncidenTalomas and Possible Autonomous Cortisol Secretion on Cardiovascular and Metabolic Alterations (ITACA Study)

TypeobservationalSponsorUniversity of Roma La SapienzaRan2019 to 2025Enrolled68ConditionsAdrenal Incidentaloma, Hypercortisolism, Adrenal TumorArmsAdrenalectomy
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

9 authors.

Ilaria BonaventuraDepartment of Experimental Medicine, Sapienza University of Rome, Rome 00161, Italy.
Marianna MinnettiDepartment of Experimental Medicine, Sapienza University of Rome, Rome 00161, Italy.ORCID https://orcid.org/0000-0002-9091-2809
Davide FerrariDepartment of Experimental Medicine, Sapienza University of Rome, Rome 00161, Italy.
Valeria HasenmajerDepartment of Experimental Medicine, Sapienza University of Rome, Rome 00161, Italy.
Alessandra TomaselliDepartment of Experimental Medicine, Sapienza University of Rome, Rome 00161, Italy.
Dario De AlcubierreDepartment of Experimental Medicine, Sapienza University of Rome, Rome 00161, Italy.ORCID https://orcid.org/0000-0001-5242-1761
Andrea LenziDepartment of Experimental Medicine, Sapienza University of Rome, Rome 00161, Italy.
Riccardo PofiOxford Centre for Diabetes, Endocrinology and Metabolism, NIHR Oxford Biomedical Research Centre, University of Oxford, Churchill Hospital, Oxford OX3 7LJ, UK.ORCID https://orcid.org/0000-0001-7808-5735
Andrea M IsidoriDepartment of Experimental Medicine, Sapienza University of Rome, Rome 00161, Italy.ORCID https://orcid.org/0000-0002-9037-5417

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Context: Studies describing the coagulation profile in adrenal adenomas still need to be added. Objective: We explored how sex and mild autonomous cortisol secretion (MACS) affect coagulation parameters in patients with adrenal adenomas. Design: Cross-sectional study. Methods: From January 2019 until April 2023, participants in the Impact of Adrenal IncidenTalomas and Possible Autonomous Cortisol Secretion on Cardiovascular and Metabolic Alterations trial (NCT04127552) diagnosed with adrenal adenoma were categorised according to the 1 mg overnight dexamethasone-suppression test (1 mg-DST). Coagulation parameters were evaluated, and two-way ANOVA was used to elucidate the cortisol-by-sex interaction. Results: Of 153 patients screened, 90 were enrolled (62.2% female, mean age 62 ± 10 years): 41 with non-functioning adrenal tumour (1 mg-DST ≤ 1.8 µg/dL), and 49 with a MACS (1 mg-DST > 1.8 µg/dL). Platelet counts were higher in the MACS group ( Conclusion: Our findings revealed a worse coagulation profile in women with MACS, underscoring the need for a sex-specific approach in clinical practice to manage thrombotic risks effectively. Dedicated prospective studies are needed to validate and integrate these findings into clinical strategies for thromboprophylaxis.

Indexed as

adrenal incidentalomascoagulation factorsgender medicinehypercoagulabilitymild autonomous cortisol secretionvenous thromboembolism

Identifiers

PMID39669652
PMCPMC11635453

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Registered trials

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.