Glucocorticoid Replacement and Mortality in Patients with Nonfunctioning Pituitary Adenoma
Author(s) -
Thomas Zueger,
Paul Kirchner,
Coline Herren,
Stefan Fischli,
Marcel Zwahlen,
Emanuel Christ,
Christoph Stettler
Publication year - 2012
Publication title -
the journal of clinical endocrinology and metabolism
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.206
H-Index - 353
eISSN - 1945-7197
pISSN - 0021-972X
DOI - 10.1210/jc.2012-2432
Subject(s) - hypopituitarism , medicine , pituitary adenoma , glucocorticoid , acromegaly , concomitant , hazard ratio , proportional hazards model , context (archaeology) , hydrocortisone , endocrinology , adenoma , hormone , growth hormone , biology , confidence interval , paleontology
Current treatment guidelines generally suggest using lower and weight-adjusted glucocorticoid replacement doses in patients with insufficiency of the hypothalamic-pituitary-adrenal (HPA) axis. Although data in patients with acromegaly revealed a positive association between glucocorticoid dose and mortality, no comparable results exist in patients with nonfunctioning pituitary adenomas (NFPA).
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