Evidence map›Paper›PMID 30937523›Full record

GuidelineLangenbeck's archives of surgery2019

Surgical therapy of adrenal tumors: guidelines from the German Association of Endocrine Surgeons (CAEK).

K Lorenz, P Langer, B Niederle, P Alesina, K Holzer, Ch Nies, Th Musholt, P E Goretzki, N Rayes, M Quinkler and 19 more

Abstract readPractice GuidelineSystematic Review
PubMed Publisher
In one paragraph

Guideline in Langenbeck's archives of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
9.9field-weighted citation impact, top 1% of its field
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

22 citing papers in PubMed, 64 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. [Multimorbid patients in endocrine surgery].Chirurgie (Heidelberg, Germany) · 2025
    Article
  6. Article
  7. [Robotic adrenalectomy-current evidence].Chirurgie (Heidelberg, Germany) · 2024
    Review
  8. Article
  9. [Personalized treatment of pheochromocytoma].Chirurgie (Heidelberg, Germany) · 2024
    Review
  10. Observational
  11. Article
  12. Article
  13. Review
  14. [Endocrine and neuroendocrine tumors].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021
    Review
  15. [EUROCRINE®: adrenal surgery 2015-2019- surprising initial results].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021
    Article
  16. Management of adrenocortical carcinoma: are we making progress?Therapeutic advances in medical oncology · 2021
    Review
  17. Article
  18. Plant Natural Compounds in the Treatment of Adrenocortical Tumors.International journal of endocrinology · 2021
    Review
  19. [Surgery of adrenal diseases].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2020
    Article
  20. 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

29 authors at 20 institutions in 3 countries.

K LorenzUniversitätsklinikum Halle, Halle/Saale, Germany. kerstin.lorenz@uk-halle.de.ORCID http://orcid.org/0000-0003-0281-1950
P LangerKlinikum Hanau, Hanau, Germany.
B NiederleOrdination Siebenbrunnenstrasse, Wien, Austria.
P AlesinaKliniken Essen-Mitte, Essen, Germany.
K HolzerUniversitätsklinikum Marburg, Marburg, Germany.
Ch NiesMarienhospital Osnabrück, Osnabrück, Germany.
Th MusholtUniversitatsklinikum Mainz, Mainz, Germany.
P E GoretzkiCharité Universitätsmedizin Berlin, Berlin, Germany.
N RayesUniversitätsklinikum Leipzig, Leipzig, Germany.
M QuinklerEndokrinologiepraxis Berlin, Berlin, Germany.
J WaldmannMIVENDO Klinik Hamburg, Hamburg, Germany.
D SimonEvangelisches Krankenhaus BETHESDA Duisburg, Duisburg, Germany.
A TrupkaKlinikum Starnberg, Klinikum Starnberg, Germany.
R LadurnerLudwig-Maximilians-Universität München, München, Germany.
K HallfeldtLudwig-Maximilians-Universität München, München, Germany.
A ZielkeDiakonie-Klinikum Stuttgart, Stuttgart, Germany.
D SaegerUniversitätsklinikum Hamburg, Hamburg, Germany.
Th PöppelHeinrich-Heine-Universität Düsseldorf, Düsseldorf, Germany.
G KukukUniversitätsklinikum Bonn, Bonn, Germany.
A HötkerUniversitätsklinikum Zürich, Zürich, Switzerland.
P SchabramRAE Ratacjzak und Partner, Sindelfingen, Germany.
S SchopfKrankenhaus Agatharied, Hausham, Germany.
C DotzenrathHELIOS Universitätsklinikum Wuppertal, Wuppertal, Germany.
P RissMedizinische Universität Wien, Wien, Austria.
Th SteinmüllerDeutsches Rotes Kreuz Krankenhaus Berlin, Berlin, Germany.
I KoppAWMF, Frankfurt am Main, Germany.
C VorländerBürgerhospital Frankfurt, Frankfurt am Main, Germany.
M K WalzKliniken Essen-Mitte, Essen, Germany.
D K BartschUniversitätsklinikum Marburg, Marburg, Germany.
Kliniken Essen-Mitte · DELudwig-Maximilians-Universität München · DEUniversity Medical Center Hamburg-Eppendorf · DEAssociation of the Scientific Medical Societies · DEBürgerhospital Frankfurt am Main · DECharité - Universitätsmedizin Berlin · DEDiakonie-Klinikum Stuttgart · DEEndokrinologikum · DEEvangelisches Krankenhaus Bethesda · DEGerman Red Cross · DEHeinrich Heine University Düsseldorf · DEHelios Universitätsklinikum Wuppertal · DEJohannes Gutenberg University Mainz · DEKlinikum Hanau · DEKrankenhaus Agatharied · DEMarienhospital Osnabrück · DEMedical University of Vienna · ATStarnberg Hospital · DEUniversity Hospital Bonn · DEUniversity Hospital in Halle · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsPrevious guidelines addressing surgery of adrenal tumors required actualization in adaption of developments in the area. The present guideline aims to provide practical and qualified recommendations on an evidence-based level reviewing the prevalent literature for the surgical therapy of adrenal tumors referring to patients of all age groups in operative medicine who require adrenal surgery. It primarily addresses general and visceral surgeons but offers information for all medical doctors related to conservative, ambulatory or inpatient care, rehabilitation, and general practice as well as pediatrics. It extends to interested patients to improve the knowledge and participation in the decision-making process regarding indications and methods of management of adrenal tumors. Furthermore, it provides effective medical options for the surgical treatment of adrenal lesions and balances positive and negative effects. Specific clinical questions addressed refer to indication, diagnostic procedures, effective therapeutic alternatives to surgery, type and extent of surgery, and postoperative management and follow-up regime.

methodsA PubMed research using specific key words identified literature to be considered and was evaluated for evidence previous to a formal Delphi decision process that finalized consented recommendations in a multidisciplinary setting.

resultsOverall, 12 general and 52 specific recommendations regarding surgery for adrenal tumors were generated and complementary comments provided.

conclusionEffective and balanced medical options for the surgical treatment of adrenal tumors are provided on evidence-base. Specific clinical questions regarding indication, diagnostic procedures, alternatives to and type as well as extent of surgery for adrenal tumors including postoperative management are addressed.

Indexed as

Adrenal Gland NeoplasmsDelphi TechniqueEndocrine Surgical ProceduresEvidence-Based MedicineGermanyHumansAdrenal Cushing diseaseAdrenal surgeryConn syndromeGuidelinePheochromocytoma

Identifiers

PMID30937523
OpenAlexW2930199453

What Socratic holds

Textmetadata
Read underepoch 390

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 Socratic graph.