Evidence map›Paper›PMID 40770469›Full record

ArticleCurrent medical imaging2025

Clinical Outcomes of Patients with Adrenal Incidentaloma - Hypertension being a Continuous Risk Factor for the Presence of Comorbidity: A Single Center's Eight-year Experience.

Gamze Akkus, Ulcaz Perihan Aksoydan, Fulya Odabas, Hülya Binokay, Murat Sert, Tamer Tetiker

Abstract read
In one paragraph

Article in Current medical imaging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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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

2 citing papers in PubMed.

  1. Article
  2. A longitudinal study of dual-energy X-ray absorptiometry status in menopausal women with adrenal tumors.Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie
    Article
4 · The record

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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.

Gamze AkkusDivision of Endocrinology, Faculty of Medicine, Cukurova University, Adana, Turkey.
Ulcaz Perihan AksoydanInternal Medicine Department, Faculty of Medicine, Cukurova University, Adana, Turkey.
Fulya OdabasDivision of Endocrinology, Faculty of Medicine, Cukurova University, Adana, Turkey.
Hülya BinokayDivision of Biostatistics, Faculty of Medicine, Cukurova University, Adana, Turkey.
Murat SertDivision of Endocrinology, Faculty of Medicine, Cukurova University, Adana, Turkey.
Tamer TetikerDivision of Endocrinology, Faculty of Medicine, Cukurova University, Adana, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdrenal incidentalomas have increased over the past years. Although there are a lot of studies related to the frequency of adrenal masses and comorbidities, whether patients with functional or nonfunctional adrenal masses have higher risk is still a controversial issue.

methodsA total of 464 patients (female/male: 309/155) with adrenal incidentalomas were evaluated and followed up for 8 years. The patients were divided into 5 subgroups, including Autonomous Cortisol Secretion (ACS), Cushing Syndrome (CS), Pheochromocytoma (Pheo), Non-functional Adrenal Incidentalomas (NFAI), and Primary Aldosteronism (PA).

resultsWhile 336 (72.4%) of the patients had NFAI, the others suffered from ACS (10.8%), CS (4.3%), Pheo (4.1%), and PA (8.4%), respectively. When comparing biochemical and demographical data, BMI (p=0.77), Hba1c (p=0.495), FPG (p=0.28), LDL (p=0.66), and HDL (p=0.521) were similar among the patients with functional and nonfunctional adrenal masses. The most common comorbidities were hypertension (n=259, 55.8%), diabetes mellitus (n=158, 34.1%), and dyslipidemia (33.4%), respectively. While 84 (32.4%) patients with hypertension had functional adrenal masses, the others (n=175, 67.6%) had non-functional adrenal incidentalomas. In subgroup analyses, hypertension was more common in patients with PA (87.2% vs. 72%, p=0.001) and ACS. In multivariable regression analyses, hypertension (p<0.001), cortisol (p=0.003), and aldosterone (p=0.04) levels were significantly correlated with functionality.

conclusionHypertension was the most common comorbidity in patients with adrenal adenomas, especially in functional adrenal adenomas related to serum cortisol and aldosterone levels.

Indexed as

Adrenal Gland NeoplasmsHypertensionAdultAgedComorbidityFemaleHumansHydrocortisoneMaleMiddle AgedRetrospective StudiesRisk FactorsHydrocortisoneAdrenal incidentalomaAdrenal massesComorbidityHypertensionMultivariable regression. ArticleRisk factor

Identifiers

PMID40770469
PMCPMC13176754

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