Adrenal disease

Impaired Cognitive Function in Patients With Autonomous Cortisol Secretion in Adrenal Incidentalomas

J Clin Endocrinol MetabPublished Prospective cohort study

Authors' conclusion

This study is the first to report that ACS is accompanied by impaired cognitive function. Consequently, cognitive function assessment should be incorporated into the clinical evaluation of patients with ACS.

Study context

Population
Patients with AI undergoing a battery of validated neuropsychological testspatients with AI
Participants
63 patients
Exposure
Autonomous cortisol secretion (ACS) vs NFA
  • ACSn = 27
  • NFAn = 36reference
Outcome
Neurocognitive function

Main finding

As reported in the abstract

  • ACS vs NFA: P < 0.05
  • ACS vs NFA: P < 0.05
  • ACS vs NFA: all P < 0.05

Observational data: associations, not effects.

Further findings

Correlation of serum cortisol after 1-mg DST with working memory and visuospatial/constructional domains

R, working memory
−0.307
R, visuospatial/constructional
−0.306
P
all P < 0.05
Gradual deterioration with increasing cortisol after 1-mg DST
all P values for trend < 0.05

Multivariate linear regression: cortisol after 1-mg DST as risk factor for impairment

B, working memory
−0.006
B, visuospatial/constructional
−0.043
P
all P < 0.05

Original publication

Impaired Cognitive Function in Patients With Autonomous Cortisol Secretion in Adrenal Incidentalomas. J Clin Endocrinol Metab. Published 20 October 2022. doi:10.1210/clinem/dgac603

Composed by AI from the published abstract and checked against it. How Briefs are made →

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