Pituitary & hypothalamus

The effect of growth hormone replacement therapy on craniopharyngioma recurrence: a systematic review and meta-analysis

PituitaryPublished Systematic review and meta-analysis

Pooled result · RecurrenceResult — go to the resultOdds ratio 0.56 95% CI 0.41–0.77

Authors' conclusion

The meta-analysis shows that GHRT does not increase the risk of recurrence in CP, even when initiated within 12 months postoperatively. GHRT should be considered an essential treatment for CP patients with GHD.

Study context

Population
Pediatric and adult patients with craniopharyngioma12 studies
Comparison
Growth hormone replacement therapy (GHRT) vs no GHRT
Outcome
CP recurrence
Methodological detailsPRISMA 2020
  • PRISMA 2020

Pooled result

Recurrence

Odds ratio

0.56

95% CI 0.41–0.77

GHRTvs non-GHRT
OR 0.56 (95% CI 0.41–0.77)

As reported in the abstract

Further pooled results

OutcomeOR (95% CI)
Recurrence, GHRT initiated within 12 months after CP treatment0.32 (0.16–0.62)

Recurrence, subgroup follow-up >5 years

GHRT had a more significant effect with follow-up >5 years

Sensitivity analyses and publication bias

Results were robust

Original publication

The effect of growth hormone replacement therapy on craniopharyngioma recurrence: a systematic review and meta-analysis. Pituitary. Published 5 October 2025. doi:10.1007/s11102-025-01581-6

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