Adrenal disease

Benign Adrenal Adenomas Are Associated With Reduced Prevalence of Hospitalised Patients With COVID‐19

Clin Endocrinol (Oxf)Published Retrospective cohort study

Main finding · COVID-19 positivityResult — go to the resultAdjusted odds ratio 0.30 95% CI 0.12–0.74

Authors' conclusion

Prevalence of adrenal adenoma was associated with significantly reduced odds of being SARS-CoV2 positive in an inpatient cohort. Secretion of mild excess cortisol (MACS) may be protective against developing severe COVID-19.

Study context

Population
Patients undergoing computed tomography pulmonary angiogram (CTPA) at Sheffield Teaching Hospitals, 11 March 2020–10 November 2021; median age 65 (IQR 49–77), 55.0% female
Participants
4,307 CTPA scans
Exposure
Benign adrenal adenoma vs no benign adenoma
  • Benign adenoman = 76
Outcome
COVID-19 positivity (positive test within 2 weeks before CTPA)
Methodological detailssingle-centre
  • Single-centre

Main finding

COVID-19 positivity

Adjusted odds ratio

0.30

95% CI 0.12–0.74

P = 0.01

Benign adenomavs No benign adenoma
aOR 0.30 (95% CI 0.12–0.74); P = 0.01

As reported in the abstract

Observational data: associations, not effects.

Further findings

Prevalence of benign adenoma and COVID-19 positivity

Benign adenoma
76 (1.76%)
COVID-19 positive
897 (20.8%)

Original publication

Benign Adrenal Adenomas Are Associated With Reduced Prevalence of Hospitalised Patients With COVID‐19. Clin Endocrinol (Oxf). Published 6 November 2025. doi:10.1111/cen.70055

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