Pituitary & hypothalamus

Distribution, severity, and management of joint pain in patients with acromegaly

Eur J EndocrinolPublished Cross-sectional study

Authors' conclusion

This study therefore highlights the burden of arthropathy in patients with acromegaly, estimates the need for therapeutic interventions, and the impact on health services.

Study context

Population
Patients with acromegaly in 6 UK endocrine centres; 210 female, median age 60 (IQR 50–69) years, median 13 (IQR 6–22) years since diagnosis210 female
Participants
411 patients
Outcome
Joint pain
Methodological detailsmulticentre, questionnaire study, 6 UK endocrine centres, Demographics and laboratory data extracted from medical records
  • Multicentre
  • Questionnaire study
  • 6 UK endocrine centres
  • Demographics and laboratory data extracted from medical records

Main finding

As reported in the abstract

Joint pain reported
82.5%
Moderate joint pain
43.3%
Severe joint pain
13.1%
Knees affected
54.7%
Lower back affected
47.7%
Hips affected
38.9%
Shoulders affected
38.6%

Observational data: associations, not effects.

Further findings

Management of acromegaly-associated arthropathy (AcAA)

Taking ≥1 analgesic
247 (60.1%)
Taking ≥2 classes of analgesics
137 (33.3%)
≥1 joint injection (median 2, 1-20)
109 (26.5%)
≥1 joint prosthesis (median 2, 1-6), at median age 59 (32-82) years
70 (17.0%)
Other forms of joint surgery
17.0%

Patients aged ≤50 years

Moderate pain
36.4%
Severe pain
10.3%
Less pain, fewer joint injections and less joint surgery, but similar prevalence of analgesic use

Original publication

Distribution, severity, and management of joint pain in patients with acromegaly. Eur J Endocrinol. Published 5 March 2026. doi:10.1093/ejendo/lvag045

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