Pituitary & hypothalamus

GH and Childhood-onset Craniopharyngioma: When to Initiate GH Replacement Therapy?

J Clin Endocrinol MetabPublished Retrospective cohort study

An erratum to this article was published (J Clin Endocrinol Metab, 20 Feb 2024 ↗)

Authors' conclusion

No association was found between GHRT time delay after childhood-onset craniopharyngioma treatment and an increased risk of recurrence or tumor progression, suggesting GH replacement therapy can be initiated 6 months after last treatment for craniopharyngiomas.

Study context

Population
Childhood-onset craniopharyngioma patients with GH deficiency treated with recombinant human GH (rhGH), single centre
Participants
27 / 44 / 29
Exposure
rhGH initiation ≥12 months vs <12 months (and 6–12 months) after craniopharyngioma treatment
  • >12-monthn = 27reference
  • <12-monthn = 44
  • 6-12 monthn = 29
Outcome
Risk of tumor new event (progression of residual tumor or recurrence after complete resection) after primary treatment
Methodological detailsobservational, monocenter
  • Observational
  • Monocenter

Main finding

As reported in the abstract

Event-free survival · 2 and 5 years
GroupValue5-year EFS
>12-month81.5% (CI 61.1–91.9)69.4% (95% CI, 47.9-83.4)
<12-month72.2% (CI 56.3–83.1)69.8% (95% CI, 53.8-81.2)
6-12 month72.4% (CI 52.4–85.1)72.4%

Value

>12-month81.5% (CI 61.1–91.9)
<12-month72.2% (CI 56.3–83.1)
6-12 month72.4% (CI 52.4–85.1)

5-year EFS

>12-month69.4% (95% CI, 47.9-83.4)
<12-month69.8% (95% CI, 53.8-81.2)
6-12 month72.4%
  • Between <12-month and >12-month: P = 0.98 and P = .91 — EFS not different between groups

Observational data: associations, not effects.

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

GH and Childhood-onset Craniopharyngioma: When to Initiate GH Replacement Therapy? J Clin Endocrinol Metab. Published 16 February 2023. doi:10.1210/clinem/dgad079

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