Evidence map›Paper›PMID 40082297›Full record

SynthesisPituitary2025

Psychiatric morbidity in acromegaly: a cohort study and meta-analysis of the literature.

Astrid Thaarup Matthesen, Christian Rosendal, Emma H Christensen, Helga Beckmann, Frederik Østergaard Klit, Amar Nikontovic, Gustav Bizik, Peter Vestergaard, Jakob Dal

Abstract readMeta-Analysis
In one paragraph

Synthesis in Pituitary, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Acromegaly complications: an update.The Journal of clinical endocrinology and metabolism · 2026
    Review
  6. The acromegaly patient experience: burden of treatment and quality of life.The Journal of clinical endocrinology and metabolism · 2026
    Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. 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.

Astrid Thaarup Matthesen *Department of Endocrinology, Aalborg University Hospital, Aalborg, Denmark.
Christian Rosendal *Department of Endocrinology, Aalborg University Hospital, Aalborg, Denmark. c.rosendal@rn.dk.
Emma H ChristensenDepartment of Endocrinology, Aalborg University Hospital, Aalborg, Denmark.
Helga BeckmannDepartment of Endocrinology, Aalborg University Hospital, Aalborg, Denmark.
Frederik Østergaard KlitDepartment of Endocrinology, Aalborg University Hospital, Aalborg, Denmark.ORCID http://orcid.org/0009-0009-5627-598X
Amar NikontovicSteno Diabetes Center North Denmark, Aalborg University Hospital, Aalborg, Denmark.ORCID http://orcid.org/0000-0003-0237-3620
Gustav BizikDepartment of Psychiatry, Aalborg University Hospital, Aalborg, Denmark.ORCID http://orcid.org/0000-0003-2290-1048
Peter VestergaardSteno Diabetes Center North Denmark, Aalborg University Hospital, Aalborg, Denmark.ORCID http://orcid.org/0000-0002-9046-2967
Jakob DalDepartment of Endocrinology, Aalborg University Hospital, Aalborg, Denmark.ORCID http://orcid.org/0000-0002-0610-7867

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe aimed to evaluate the risk of psychiatric disorders through a retrospective cohort study comparing acromegaly and non-functioning pituitary adenomas (NFPAs) and a meta-analysis of existing literature.

methodsThe cohort study included data from patient records analyzed using Chi

resultsThe study population comprised 105 acromegaly and 211 NFPA patients, with similar sex distributions. Patients with acromegaly presented with smaller pituitary adenomas (17.9 (SD: 9.9) mm vs. 22.9 (SD: 10.6) mm, p < 0.001), more frequent pituitary surgery (89.1 vs. 60.2%, p < 0.001) and hormone replacement therapy (25.7 vs. 16.1%, p = 0.042). Acromegaly patients had higher risk of depression (RR: 1.9, CI95% [1.2-3.2], p = 0.009), and increased need of admissions to the psychiatric ward (5.7 vs. 0.5%, p = 0.006). The relative risk of anxiety was 1.4 (CI95% [0.5-4.4], p = 0.53). Daily opioid use was higher in acromegaly patients with psychiatric morbidity which was associated with a diagnosis of arthropathy (p = 0.009). From the meta-analysis (8 studies, 1387 patients) an increased risk of depression (RR:1.8, CI95% [1.3-2.5]) and anxiety (RR:1.9, CI95% [1.1-3.2]) was observed in acromegaly compared to NFPAs.

conclusionThis study reveals a higher risk of psychiatric disorders in acromegaly, particularly depression and anxiety. Consequently, a need for increased psychiatric awareness in acromegaly is warranted.

Indexed as

AcromegalyMental DisordersAdenomaAdultAgedCohort StudiesFemaleHumansMaleMiddle AgedPituitary NeoplasmsRetrospective StudiesAcromegalyAnxietyDepressionPituitary adenomaPsychiatric disorders

Identifiers

PMID40082297
PMCPMC11906539

What OpenQuestion holds

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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.