Effectiveness of somatostatin analog therapy on the control of patients with acromegaly not cured with surgical treatment in a high complexity center
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Keywords

Acromegaly, insulin-like growth factor I, growth hormone.

How to Cite

Ceballos-Delgado, Y. ., Reynaldo, Buitrago Gómez, N., Delgado, A., Rivera, A., Osorio, V., & Abreu-Lomba, A. (2021). Effectiveness of somatostatin analog therapy on the control of patients with acromegaly not cured with surgical treatment in a high complexity center. Revista Endocrino, 8(1). https://doi.org/10.53853/encr.8.1.661

Abstract

Objective: To evaluate the effectiveness of somatostatin, lanreotide, octreotide, and pasireotide analogs in the control of GH, IGF-1, and tumor size in a cohort of patients with acromegaly. Materials and methods: an observational, retrospective, analytical, single-center study of patients with acromegaly in a highly complex center in the city of Cali - Colombia. To evaluate the effectiveness, bivariate analysis was used, contingency tables, chi-square, one-way ANOVA were made in a general linear model of one and two-way repeated measures, ? ? 0.05. Results: 29 patients were included, 52% were men. The mean age was 54.8 years (range: 28-79 years). The average levels of GH and IGF-1 were 13.7ng / dl and 776 ng / ml, respectively. The average tumor size was 17.2 mm. Decreased levels of GH and IGF-1 were found in all patients, regardless of the medication received. A decrease in tumor size was observed in the 12-month follow-up of 41.6%. Regarding the adequate control criteria, 27.6% of patients reached it after one year of treatment, of which 62.5% were women and 37.5% were receiving pasireotide, the rest received lanreotide. Conclusions: Somatostatin analogs were effective in reducing the levels of GH, IGF-1, and the size of the pituitary adenoma.

https://doi.org/10.53853/encr.8.1.661
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