Evidence mapPaperPMID 39200374Full record

ArticleBiomedicines2024

Clinical Evaluation of Adrenal Incidentaloma: The Experience of a Referral Center.

Luigi Petramala, Francesco Circosta, Luca Marino, Edoardo Palombi, Maria Ludovica Costanzo, Adriana Servello, Gioacchino Galardo, Claudio Letizia

Abstract read
In one paragraph

Article in Biomedicines, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. 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.

Luigi PetramalaDepartment of Translational and Precision Medicine, "Sapienza" University of Rome, 00185 Rome, Italy.ORCID 0000-0003-4463-4956
Francesco CircostaDepartment of Clinical, Internal, Anesthesiological and Cardiovascular Sciences, "Sapienza" University of Rome, 00185 Rome, Italy.
Luca MarinoEmergency Medicine Unit, Department of Emergency-Acceptance, Critical Areas and Trauma, Policlinico "Umberto I", 00185 Rome, Italy.ORCID 0000-0001-7380-6222
Edoardo PalombiEmergency Medicine Unit, Department of Emergency-Acceptance, Critical Areas and Trauma, Policlinico "Umberto I", 00185 Rome, Italy.
Maria Ludovica CostanzoDepartment of Clinical, Internal, Anesthesiological and Cardiovascular Sciences, "Sapienza" University of Rome, 00185 Rome, Italy.
Adriana ServelloEmergency Medicine Unit, Department of Emergency-Acceptance, Critical Areas and Trauma, Policlinico "Umberto I", 00185 Rome, Italy.
Gioacchino GalardoEmergency Medicine Unit, Department of Emergency-Acceptance, Critical Areas and Trauma, Policlinico "Umberto I", 00185 Rome, Italy.ORCID 0000-0001-5941-9947
Claudio LetiziaDepartment of Clinical, Internal, Anesthesiological and Cardiovascular Sciences, "Sapienza" University of Rome, 00185 Rome, Italy.ORCID 0000-0003-4397-0624

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The number of adrenal incidentaloma (AI) cases has increased in the last few years due to the widespread use of imaging diagnostics. Management requires evaluation of the malignant nature and hormonal activity. The aim of the present study is to assess possible clinical abnormalities in 132 AI patients both at baseline and during follow-up (mean 48.6 ± 12.5 months). In all patients, demographic, anthropometric data, biochemical, metabolic and hormonal data, and 24-h ambulatory blood pressure monitoring were assessed. Mild autonomous cortisol secretions (MACS) were diagnosed in patients without signs and symptoms of overt Cushing's syndrome and post dexamethasone (DXM) plasma cortisol concentration > 50 nmol/L (>1.8 μg/dL). Patients with overnight DXM-1 mg test positive showed higher values of diastolic blood pressure, glycemia and uric acid levels compared to patients with negative DXM test at baseline. During follow-up, the potential development of MACS in patients with nonfunctional AI showed a prevalence of 29%, though the cardiovascular and metabolic alterations were less pronounced compared to those diagnosed with MACS at baseline. Therefore, follow-ups with AI patients are useful for observing changes in clinical features.

Indexed as

adrenal incidentalomadexamethasone testhypertensionmetabolic disorders

Identifiers

PMID39200374
PMCPMC11351527

What Socratic holds

Textmetadata
LicenceCC BY
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.