Evidence map›Paper›PMID 41830485›Full record

ReviewThe Journal of clinical endocrinology and metabolism2026

Measuring cortisol in Cushing syndrome: diagnosis, monitoring, and cortisol circadian rhythm improvement.

Oksana Hamidi, Matthieu St-Jean, André Lacroix, Irina Bancos

Erratum issuedAbstract readReview
In one paragraph

Review in The Journal of clinical endocrinology and metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Oksana HamidiDivision of Endocrinology, University of Texas Southwestern Medical Center, Dallas, TX 75390-8857, USA.ORCID 0000-0002-7367-3885
Matthieu St-JeanDivision of Endocrinology, Department of Medicine, Centre hospitalier de l'Université de Sherbrooke, Sherbrooke, QC J1H 5H3, Canada.ORCID 0000-0001-9791-2118
André LacroixDivision of Endocrinology, Department of Medicine, Centre hospitalier de l'Université de Montréal, Montreal, QC H2W 1T8, Canada.ORCID 0000-0003-4137-3025
Irina BancosDivision of Endocrinology, Diabetes, Metabolism and Nutrition, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0000-0001-9332-2524

Funding

Exploring Pathophysiology and Treatment Approaches in Mild Autonomous Cortisol SecretionK23DK142038 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI Oksana Hamidi · 2025 to 2026
$379k
NIDDK NIH HHSNIDDK NIH HHS K23 DK142038NIH HHSRecordati Rare Diseases Inc
6 · The paper itself

Abstract

Endogenous Cushing syndrome (CS) is a rare disorder resulting from chronic exposure to excessive concentrations of cortisol. It is likely underdiagnosed because many clinical signs and symptoms are non-specific and overlap with those of common conditions. Furthermore, biochemical testing to diagnose CS can be complex and challenging, especially in milder cases. CS is characterized by excessive daily cortisol production, but it is also associated with a disrupted circadian rhythm of cortisol secretion. Traditional cortisol monitoring techniques rely on single-time-point measurements or a cumulation of measurements, which are unable to capture the complete daily rhythm of cortisol fluctuations. Currently, the utility of assessing individual patients' cortisol circadian rhythm during diagnosis and treatment of CS is not well characterized. In this review, we will discuss how cortisol is measured in clinical practice and the potential benefit of measurement and normalization of the cortisol circadian rhythm.

Indexed as

Circadian RhythmCushing SyndromeHydrocortisoneHumansHydrocortisonecortisol circadian rhythmcortisoneCushing syndromehypercortisolismmild autonomous cortisol secretiontreatment monitoring

Identifiers

PMID41830485
PMCPMC13183435

What Socratic holds

Textmetadata
LicenceCC BY
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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.