Pituitary & hypothalamus

The prevalence and associated risk factors of detectable renal morphological abnormalities in acromegaly

PituitaryPublished Retrospective case-control study

Authors' conclusion

The results of this study showed that acromegaly disease significantly increased the prevalence of SRCs and kidney length compared to the age-sex matched healthy population, while the prevalence of KSD was similar. Advanced age and male gender were seen to be independent risk factors for SRC formation in patients with acromegaly.

Study context

Population
Patients with acromegaly and age-sex matched healthy individuals, single centre
Participants
125 vs 114
Comparison
Acromegaly vs age-sex matched healthy individuals
  • Acromegalyn = 125
  • Controln = 114reference
Outcome
Prevalence of simple renal cysts (SRCs) and kidney stone disease (KSD)
Methodological detailssingle-centre, age-sex matched controls
  • Single-centre
  • Age-sex matched controls

Main finding

As reported in the abstract

SRC prevalence

P < 0.001

Acromegaly increased the risk of SRC formation
12.8-fold

Observational data: associations, not effects.

Further findings

KSD prevalence · similar

P = 0.08

Longitudinal and transverse kidney lengths · significantly higher with acromegaly
P < 0.05

Acromegaly with vs without renal cysts

Patients with cysts (n = 36) vs without (n = 89): older, more often male, longer pre-diagnosis symptom duration, more hypertension and DM at diagnosis
Multivariate logistic regression: only advanced age and male gender associated with simple renal cysts (SRCs)

Original publication

The prevalence and associated risk factors of detectable renal morphological abnormalities in acromegaly. Pituitary. Published 8 December 2023. doi:10.1007/s11102-023-01370-z

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