Multidisciplinary management of acromegaly: A consensus.

Autor: Giustina A; Institute of Endocrine and Metabolic Sciences, San Raffaele Vita-Salute University, IRCCS San Raffaele Hospital, Ospedale San Raffaele, Via Olgettina, 58, 20132, Milan, Italy. giustina.andrea@hsr.it., Barkhoudarian G; Pacific Pituitary Disorders Center, Pacific Neuroscience Institute, Santa Monica, CA, USA., Beckers A; Department of Endocrinology, University of Liège, Liège, Belgium., Ben-Shlomo A; Pituitary Center, Cedars-Sinai Medical Center, Los Angeles, CA, USA., Biermasz N; Division of Endocrinology and Center for Endocrine Tumors, Department of Medicine, Leiden University Medical Center, Leiden, The Netherlands., Biller B; Neuroendocrine Unit, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA., Boguszewski C; SEMPR, Endocrine Division, Department of Internal Medicine, Federal University of Parana, Curitiba, Brazil., Bolanowski M; Department of Endocrinology, Diabetes and Isotope Therapy, Wroclaw Medical University, Wroclaw, Poland., Bollerslev J; Section of Specialized Endocrinology, Department of Endocrinology, University of Oslo, Oslo, Norway., Bonert V; Pituitary Center, Cedars-Sinai Medical Center, Los Angeles, CA, USA., Bronstein MD; Neuroendocrine Unit, Division of Endocrinology and Metabolism, Hospital das Clinicas, University of Sao Paulo, Sao Paulo, Brazil., Buchfelder M; Department of Neurosurgery, University Hospital Erlangen, Erlangen, Germany., Casanueva F; Division of Endocrinology, Santiago de Compostela University and Ciber OBN, Santiago de Compostela, Spain., Chanson P; Centre de Référence des Maladies Rares de l'Hypophyse and Université Paris-Saclay, Univ. Paris-Sud, Inserm, Signalisation Hormonale, Physiopathologie Endocrinienne et Métabolique, Assistance Publique-Hôpitaux de Paris, Hôpital Bicêtre, Service d'Endocrinologie et des Maladies de la Reproduction, Le Kremlin-Bicêtre, Paris, France., Clemmons D; Department of Medicine, University of North Carolina, Chapel Hill, NC, USA., Fleseriu M; Departments of Medicine and Neurological Surgery, Pituitary Center, Oregon Health & Science University, Portland, Oregon, USA., Formenti AM; Institute of Endocrine and Metabolic Sciences, San Raffaele Vita-Salute University, IRCCS San Raffaele Hospital, Ospedale San Raffaele, Via Olgettina, 58, 20132, Milan, Italy., Freda P; Department of Medicine, Columbia University, Vagelos College of Physicians and Surgeons, New York, NY, USA., Gadelha M; Neuroendocrinology Research Center/Endocrinology Section, Medical School and Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil., Geer E; Multidisciplinary Pituitary and Skull Base Tumor Center, Memorial Sloan-Kettering Cancer Center, New York, NY, USA., Gurnell M; Metabolic Research Laboratories, Wellcome Trust-MRC Institute of Metabolic Science, University of Cambridge and NIHR Cambridge Biomedical Research Centre, Addenbrooke's Hospital, Cambridge, UK., Heaney AP; Division of Endocrinology, Diabetes and Hypertension, Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA, USA., Ho KKY; The Garvan Institute of Medical Research, St. Vincent's Hospital, University of New South Wales, Sydney, Australia., Ioachimescu AG; Department of Neurosurgery and Medicine, Division of Endocrinology, Metabolism and Lipids, Department of Neurosurgery, Emory University School of Medicine, Atlanta, GA, USA., Lamberts S; Erasmus Medical Center, Rotterdam, The Netherlands., Laws E; Pituitary/Neuroendocrine Center, Brigham & Women's Hospital, Boston, MA, USA., Losa M; Department of Neurosurgery, San Raffaele University Health Institute Milan, Milan, Italy., Maffei P; Department of Medicine, Padua University Hospital, Padua, Italy., Mamelak A; Pituitary Center, Cedars-Sinai Medical Center, Los Angeles, CA, USA., Mercado M; Medical Research Unit in Endcrine Diseases, Hospital de Especialidades, Centro Médico Nacional, Siglo XXI, IMSS, Facultad de Medicina, Universidad Nacional Autónoma de México, Mexico City, Mexico., Molitch M; Division of Endocrinology, Metabolism & Molecular Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA., Mortini P; Department of Neurosurgery, San Raffaele University Health Institute Milan, Milan, Italy., Pereira AM; Division of Endocrinology and Center for Endocrine Tumors, Department of Medicine, Leiden University Medical Center, Leiden, The Netherlands., Petersenn S; ENDOC Center for Endocrine Tumors, Hamburg, Germany., Post K; Department of Neurosurgery, Medicine, Mount Sinai Health System, New York, NY, USA., Puig-Domingo M; Germans Trias i Pujol Research Institute, Universitat Autònoma de Barcelona, Badalona, Barcelona, Spain., Salvatori R; Division of Endocrinology, Diabetes, and Metabolism and Pituitary Center, Johns Hopkins School of Medicine, Baltimore, MD, USA., Samson SL; Departments of Medicine and Neurosurgery, Baylor St. Luke's Pituitary Center, Baylor College of Medicine, Houson, TX, USA., Shimon I; Endocrine Institute, Rabin Medical Center, Beilinson Hospital, Petah-Tikva, Israel., Strasburger C; Department of Medicine for Endocrinology, Diabetes and Nutritional Medicine, Charité Universitätsmedizin, Berlin, Germany., Swearingen B; Department of Neurosurgery, Massachusetts General Hospital, Boston, MA, USA., Trainer P; Department of Endocrinology, The Christie NHS Foundation Trust, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK., Vance ML; Department of Medicine, University of Virginia, Charlottesville, VA, USA., Wass J; Department of Endocrinology, Oxford Centre for Diabetes, Endocrinology and Metabolism, Churchill Hospital, Oxford, UK., Wierman ME; Pituitary, Adrenal and Neuroendocrine Tumor Program, Department of Medicine, University of Colorado Anschutz Medical Center, Aurora, CO, USA., Yuen KCJ; Barrow Pituitary Center and Neuroendocrinology Clinic, Barrow Neurological Institute, University of Arizona College of Medicine, Creighton School of Medicine, Phoenix, AZ, USA., Zatelli MC; Section of Endocrinology & Internal Medicine, Department of Medical Sciences, University of Ferrara, Ferrara, Italy., Melmed S; Pituitary Center, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Jazyk: angličtina
Zdroj: Reviews in endocrine & metabolic disorders [Rev Endocr Metab Disord] 2020 Dec; Vol. 21 (4), pp. 667-678. Date of Electronic Publication: 2020 Sep 10.
DOI: 10.1007/s11154-020-09588-z
Abstrakt: The 13th Acromegaly Consensus Conference was held in November 2019 in Fort Lauderdale, Florida, and comprised acromegaly experts including endocrinologists and neurosurgeons who considered optimal approaches for multidisciplinary acromegaly management. Focused discussions reviewed techniques, results, and side effects of surgery, radiotherapy, and medical therapy, and how advances in technology and novel techniques have changed the way these modalities are used alone or in combination. Effects of treatment on patient outcomes were considered, along with strategies for optimizing and personalizing therapeutic approaches. Expert consensus recommendations emphasize how best to implement available treatment options as part of a multidisciplinary approach at Pituitary Tumor Centers of Excellence.
Databáze: MEDLINE