Evidence map›Paper›PMID 41047428›Full record

SynthesisPituitary2025

The effect of growth hormone replacement therapy on craniopharyngioma recurrence: a systematic review and meta-analysis.

Lai-Sheng Pan, Yu-Tong Xiong, Zhi-Cheng Ye, Jing Zhang, Xiao-Hui Deng, Qi-Yuan Wang, Tao Hong

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

7 authors.

Lai-Sheng Pan *Jiangxi Key Laboratory of Neurological Diseases, Department of Neurosurgery, the First Affiliated Hospital, Jiangxi Medical College, Nanchang University, 17 Yong Wai Zheng Street, Nanchang, 330006, China.
Yu-Tong Xiong *Jiangxi Medical College, Nanchang University, Nanchang, 330006, China.
Zhi-Cheng Ye *Jiangxi Key Laboratory of Neurological Diseases, Department of Neurosurgery, the First Affiliated Hospital, Jiangxi Medical College, Nanchang University, 17 Yong Wai Zheng Street, Nanchang, 330006, China.
Jing ZhangJiangxi Medical College, Nanchang University, Nanchang, 330006, China.
Xiao-Hui DengDepartment of Endocrinology, the First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330006, China.
Qi-Yuan WangDepartment of Radiology, the People's Hospital of China Medical University, the People's Hospital of Liaoning Province, 33 Wenyi Road, Shenhe District, Shenyang, 110067, China. qywang23@cmu.edu.cn.ORCID http://orcid.org/0009-0009-2768-4389
Tao HongJiangxi Key Laboratory of Neurological Diseases, Department of Neurosurgery, the First Affiliated Hospital, Jiangxi Medical College, Nanchang University, 17 Yong Wai Zheng Street, Nanchang, 330006, China. ndyfy00567@ncu.edu.cn.ORCID http://orcid.org/0000-0002-2693-8991

Funding

Jiangxi Provincial Health Technology Project 2023ZD002National Natural Science Foundation of China grant nos. 82360611Postgraduate Project of Jiangxi Society for Science Education 2025KXJYS256
6 · The paper itself

Abstract

purposeCraniopharyngiomas (CPs) cause hypopituitarism in most patients, with growth hormone deficiency (GHD) being the most prevalent form. Growth hormone replacement therapy (GHRT) is the standard treatment for GHD, but the impact of this therapy on CP recurrence remains unclear. This study aimed to evaluate the effect of GHRT on CP recurrence in both pediatric and adult populations.

methodsThe PubMed, Cochrane Library, Web of Science, Embase and ClinicalTrials.gov databases were systematically searched in accordance with the 2020 PRISMA guidelines. Original studies comparing the impact of GHRT and non-GHRT on CP recurrence were included. Among the 817 initially identified records, 12 studies met the inclusion criteria. Two independent investigators extracted the data and assessed the quality of the included studies.

resultsThe meta-analysis revealed that GHRT significantly reduced the risk of recurrence (OR = 0.56, 95% CI 0.41-0.77). Subgroup analyses revealed that GHRT had a more significant effect among patients with a follow-up period of more than five years. Initiating GHRT within 12 months after CP treatment significantly reduced the recurrence rate (OR = 0.32, 95% CI 0.16-0.62). Sensitivity analyses and publication bias tests revealed that the results were robust.

conclusionsThe meta-analysis shows that GHRT does not increase the risk of recurrence in CP, even when initiated within 12 months postoperatively. GHRT should be considered an essential treatment for CP patients with GHD.

Indexed as

CraniopharyngiomaHormone Replacement TherapyHuman Growth HormoneNeoplasm Recurrence, LocalPituitary NeoplasmsHumansHypopituitarismHuman Growth HormoneCraniopharyngiomaGrowth hormoneMeta-analysisRecurrenceSystematic review

Identifiers

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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.