Normalized early post-operative cortisol and ACTH values predict nonremission after surgery for Cushing's disease. (Record no. 2742)

MARC details
000 -LEADER
fixed length control field 03615nam a22005897a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 170428s20172017 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 0021-972X
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 28323961
245 ## - TITLE STATEMENT
Title Normalized early post-operative cortisol and ACTH values predict nonremission after surgery for Cushing's disease.
251 ## - Source
Source Journal of Clinical Endocrinology & Metabolism. 102(7):2179-2187, 2017 Jul 01
252 ## - Abbreviated Source
Abbreviated source J Clin Endocrinol Metab. 102(7):2179-2187, 2017 Jul 01
253 ## - Journal Name
Journal name The Journal of clinical endocrinology and metabolism
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2017
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2018
266 ## - Date added to catalog
Date added to catalog 2017-05-06
501 ## - WITH NOTE
Local holdings Available online through MWHC library: 1999- June 2013, Available in print through MWHC library: 1999 - 2006
520 ## - SUMMARY, ETC.
Abstract Conclusions: NEPV for cortisol and ACTH predict non-remission after TSS for CD.
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Abstract Context: Perioperative increases in adrenocorticotropic hormone (ACTH) and cortisol mimic corticotropin releasing hormone (CRH) stimulation testing. This phenomenon may help identify patients with residual adenoma after transsphenoidal surgery (TSS) for Cushing's disease (CD).
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Abstract Design: Retrospective case control study of patients treated at a single center from December 2003 till July 2016. Early and medium-term remission were assessed at 10 days and 11 months.
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Abstract Interventions: Normalized early post-operative values (NEPV) for cortisol and ACTH were calculated as immediate post-operative cortisol or ACTH minus preoperative post-CRH stimulation test levels.
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Abstract Main Outcome Measures: Prediction of early non-remission was evaluated using logistic regression. Prediction of medium-term remission was assessed using Cox regression. Predictive ability was quantified by areas under the receiver operating characteristic curve (AUROC).
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Abstract Objective: To predict non-remission after TSS for CD.
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Abstract Patients: 291 consecutive TSS cases from 257 patients with biochemical evidence of CD.
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Abstract Results: NEPV for cortisol and ACTH predicted early non-remission (adjusted OR 1.1, 95% CI 1.0 - 1.1, P = 0.016; and adjusted OR 1.0, 95% CI 1.0 - 1.0, P = 0.048 respectively). AUROC for NEPV cortisol was 0.78, 95% CI 0.61 - 0.95; and for NEPV ACTH was 0.80, 95% CI 0.61 - 0.98. NEPV for both cortisol and ACTH predicted medium-term non-remission (hazard ratios (HR) 1.1, 95% CI 1.0 - 1.1, P = 0.023; and HR 1.0, 95% CI 1.0 - 1.0, P = 0.025 respectively).
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Abstract Setting: Clinical Center.
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Language note English
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Topical term or geographic name entry element *Adrenocorticotropic Hormone/bl [Blood]
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Topical term or geographic name entry element *Hydrocortisone/bl [Blood]
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Topical term or geographic name entry element *Pituitary ACTH Hypersecretion/su [Surgery]
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Topical term or geographic name entry element Adult
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Topical term or geographic name entry element Age Factors
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Topical term or geographic name entry element Biomarkers/bl [Blood]
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Topical term or geographic name entry element Female
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Topical term or geographic name entry element Humans
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Topical term or geographic name entry element Male
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Topical term or geographic name entry element Pituitary ACTH Hypersecretion/bl [Blood]
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Topical term or geographic name entry element Postoperative Period
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Topical term or geographic name entry element Predictive Value of Tests
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Topical term or geographic name entry element Prognosis
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Topical term or geographic name entry element Reference Values
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Remission Induction
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Topical term or geographic name entry element Retrospective Studies
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Topical term or geographic name entry element Sex Factors
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Institution MedStar Washington Hospital Center
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Department Medicine/Endocrinology
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Medline publication type Journal Article
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Local Authors Sharma, Susmeeta T
790 ## - Authors
All authors Asuzu D, Benzo S, Beri A, Chatain GP, Chittiboina P, Hayes C, Keil M, Lodish M, Lonser RR, McGlotten R, Nieman L, Oldfield EH, Sharma ST, Stratakis C
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1210/jc.2016-3908">https://dx.doi.org/10.1210/jc.2016-3908</a>
Public note https://dx.doi.org/10.1210/jc.2016-3908
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 05/06/2017   28323961 28323961 05/06/2017 05/06/2017 Journal Article

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