Evidence map›Paper›PMID 42491361›Full record

ArticleJournal of the Endocrine Society2026

Adrenal crises and quality of life after bilateral adrenalectomy vs primary autoimmune adrenal insufficiency.

Alexandra N Bancos, Raul Gregg-Garcia, Natalia Genere, Sanan Mahrokhian, Sara J Achenbach, Elizabeth J Atkinson, Anand Vaidya, Irina Bancos

Abstract read
In one paragraph

Article in Journal of the Endocrine Society, 2026. 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

8 authors.

Alexandra N BancosDivision of Endocrinology and Metabolism, Department of Medicine, Mayo Clinic, Rochester, MN 55905, USA.
Raul Gregg-GarciaDivision of Endocrinology and Metabolism, Department of Medicine, Mayo Clinic, Rochester, MN 55905, USA.
Natalia GenereDivision of Endocrinology and Metabolism, Department of Medicine, Mayo Clinic, Rochester, MN 55905, USA.ORCID https://orcid.org/0000-0001-8361-8778
Sanan MahrokhianCenter for Adrenal Disorders, Brigham and Women's Hospital, Division of Endocrinology, Diabetes, and Metabolism, Mass General Brigham, Harvard Medical School, Boston, MA 02115, USA.
Sara J AchenbachDivision of Clinical Trials and Biostatistics, Department of Quantitative Health Sciences, Mayo Clinic, Rochester, MN 55905, USA.
Elizabeth J AtkinsonDivision of Clinical Trials and Biostatistics, Department of Quantitative Health Sciences, Mayo Clinic, Rochester, MN 55905, USA.
Anand VaidyaCenter for Adrenal Disorders, Brigham and Women's Hospital, Division of Endocrinology, Diabetes, and Metabolism, Mass General Brigham, Harvard Medical School, Boston, MA 02115, USA.ORCID https://orcid.org/0000-0002-0314-9252
Irina BancosDivision of Endocrinology and Metabolism, Department of Medicine, Mayo Clinic, Rochester, MN 55905, USA.ORCID https://orcid.org/0000-0001-9332-2524

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Context: Bilateral adrenalectomy (BLA) and autoimmune adrenal insufficiency (AAI) are 2 major causes of primary adrenal insufficiency (PAI). Comparative data between etiologies are limited. Objective: To compare management, quality of life (QoL), and frequency of adrenal crises between participants post-BLA vs AAI. Methods: We conducted a dual-center, cross-sectional study of adults with AAI or BLA between 2018 and 2025. All participants completed questionnaires on management, adrenal crises, and the Addison Disease-specific QoL Questionnaire (AddiQoL). Results: Of 343 participants, 203 had AAI (median age 54 years, 72% women) and 139 had BLA (median age 57 years, 76% women). AddiQoL scores were similar between participants with AAI and BLA (median 84 vs 83, Conclusion: QoL was comparable between participants with AAI and BLA, though patients post-BLA for pheochromocytoma reported better QoL than patients post-BLA for hypercortisolism. Adrenal crises were more common in participants with AAI than those post-BLA, a finding that was not explained by patients' glucocorticoid management, underscoring the need for tailored crisis prevention strategies.

Indexed as

AAAAIAddiQoLAIBLAmanagementPAIQoL

Identifiers

PMID42491361
PMCPMC13376676

What OpenQuestion holds

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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.