Evidence map›Paper›PMID 39725802›Full record

Observational studyNeurosurgical review2024

Factors affecting hormonal outcomes in patients undergoing surgery for non-functioning pituitary neuroendocrine tumors: a prospective observational study.

Harsimran Singh, Achal Sharma, Madhur Choudhary, Gaurav Jain, Vinod Sharma

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Neurosurgical review, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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. 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

5 authors.

Harsimran SinghDepartment of Neurosurgery, Sawai Man Singh Medical College, Jaipur, Rajasthan, 302004, India.
Achal SharmaDepartment of Neurosurgery, Sawai Man Singh Medical College, Jaipur, Rajasthan, 302004, India.
Madhur ChoudharyDepartment of Neurosurgery, Sawai Man Singh Medical College, Jaipur, Rajasthan, 302004, India.
Gaurav JainDepartment of Neurosurgery, Sawai Man Singh Medical College, Jaipur, Rajasthan, 302004, India. drgauravjain9@gmail.com.
Vinod SharmaDepartment of Neurosurgery, Sawai Man Singh Medical College, Jaipur, Rajasthan, 302004, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Surgical resection of non-functioning pituitary neuroendocrine tumors (NF-PitNET) is associated with new onset hormonal axis (HA) dysfunction, and factors predicting HA dysfunction are controversial, especially in large and giant NF-PitNET. Thus, we evaluated the postoperative hormonal function and assessed factors affecting HA dysfunction in patients with NF-PitNET. This prospective observational study involved 50 patients who underwent endoscopic surgical resection of NF-PitNET in the Department of Neurosurgery (April 2023-March 2024). The preoperative tumor diameter and volume were calculated radiologically. Hormonal evaluation was performed preoperatively, and again postoperatively at 7-days and 90-days. At 90-days, 36% patients recovered HA function, 34% remained unchanged, while 30% worsened. Serum cortisol (p < 0.0001), adrenocorticotropic hormone (p = 0.012), growth hormone (p = 0.013), and luteinizing hormone (p = 0.020) levels increased significantly; serum prolactin (p = 0.016) decreased significantly; while serum thyroid-stimulating hormone, follicle-stimulating hormone, and testosterone levels remained unchanged (all p > 0.05). Overall, there was no significant change in grade of HA dysfunction (p > 0.05). Male sex (OR:5.630, 95%CI:1.648-19.232; p = 0.006), tumor volume (OR:3.511, 95%CI:1.308-9.423; p = 0.013) and tumor diameter (OR:9.489, 95%CI:2.916-30.878; p < 0.0001) were significantly associated with postoperative HA dysfunction. Tumor volume and diameter (cut-off: 8.87 cm

Indexed as

Neuroendocrine TumorsPituitary NeoplasmsAdrenocorticotropic HormoneAdultAgedFemaleHumansLuteinizing HormoneMaleMiddle AgedNeurosurgical ProceduresPostoperative ComplicationsProspective StudiesTreatment OutcomeAdrenocorticotropic HormoneLuteinizing HormoneGiant pituitary neuroendocrine tumorsHypopituitarismNon-functioning pituitary neuroendocrine tumorsPituitary surgeryTumor volume

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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.