Consensus on the definition of diagnostic, therapeutic and follow-up criteria for acromegaly in Colombian patients
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Keywords

Acromegaly
Clinical Diagnosis
Pituitary Adenoma
Pituitary Function Tests
Diagnostic Imaging
Therapeutics
Follow Up Care

How to Cite

Tovar Cortés, H., Rojas García, W., Gómez Giraldo, C. M. ., Abreu Lomba, A., Pinzon Tovar, A. ., Syro Moreno, L. V., Castellanos Bueno, R., Roman Gonzalez, A., Castellanos Pinedo, A. A., & Valenzuela Rincon, A. (2022). Consensus on the definition of diagnostic, therapeutic and follow-up criteria for acromegaly in Colombian patients. Revista Colombiana De Endocrinología, Diabetes &Amp; Metabolismo, 9(4). https://doi.org/10.53853/encr.9.4.780

Abstract

Background: Acromegaly is a rare disease in the general population and usually has an insidious clinical evolution, which poses a challenge to diagnose the patient based on clinical suspicion and subsequent confirmation with diagnostic aids. The highest percentage of patients have acromegaly secondary to growth hormone-secreting pituitary tumors and, consequently, effective treatment should be aimed at achieving biochemical control and reducing tumor mass. Finally, patient follow-up is key to achieving control of the disease and detecting associated comorbidities.

Objective: To define criteria for the diagnosis, treatment and follow-up of acromegaly in Colombian patients.

Materials and methods: A modified Delphi-type consensus was carried out, with the opinion of 10 experts in the management of patients with acromegaly (endocrinologists and neurosurgeons) and a developer group. From the analysis and discussion of the results, the recommendations were presented in the different sections.

Results: Recommendations were obtained about the follow-up of the Colombian patient with acromegaly and about the approach to the patient from the local health system, clinical suspicion, biochemical and imaging diagnosis, treatment by surgical intervention, pharmacological treatment and radiotherapy.

Conclusions: In Colombia, it is important to strengthen medical knowledge in the correct diagnosis, management and follow-up of patients with acromegaly to make an early detection of the disease and reduce the progression of associated comorbidities.

https://doi.org/10.53853/encr.9.4.780
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