Pituitary & hypothalamus

IGF‐1 as screening tool for acromegaly and adult‐onset growth hormone deficiency in the Netherlands

Clin Endocrinol (Oxf)Published Extended quality assessment study

Authors' conclusion

Highly variable diagnostic and treatment outcomes in acromegaly and AGHD in the Netherlands can be attributed to increased variability of IGF-1 upon conversion to SD scores and low adherence to clinical guidelines.

Study context

Population
Patients suspected of or in follow-up for acromegaly or adult-onset GHD; laboratory specialists and endocrinologists in the same centres, the Netherlandsfive patient cases
Outcome
Interlaboratory variation of IGF-1
Methodological detailsfive real patient cases with accompanying blood samples, laboratory and medical questionnaires
  • Five real patient cases with accompanying blood samples
  • Laboratory and medical questionnaires

Main finding

As reported in the abstract

Interlaboratory CV of IGF-1 concentrations (limited variation despite different use of harmonization sample and factor)

13.8 ± 2.8

Interlaboratory CV after conversion to SD scores (increased, due to different reference value sets)

15.7 ± 40.7

Original publication

IGF‐1 as screening tool for acromegaly and adult‐onset growth hormone deficiency in the Netherlands. Clin Endocrinol (Oxf). Published 4 December 2023. doi:10.1111/cen.15000

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