Evidence-based endocrinology: illustrating its principles in the management of patients with pituitary incidentalomas.
Incidentally discovered pituitary lesions are commonly encountered in the current era of ever-increasing imaging. Individualizing a particular approach implies a thorough analysis of existing evidence and balancing it against different patient expectations. We will illustrate the application of principles of Evidence-Based Medicine to a case of a pituitary incidentaloma by formulating questions that are important to patient care and finding related evidence. Our objective is to reflect the opportunities and the challenges that an evidence-based clinical approach offers to clinicians and patients.
Division of Endocrinology, Mayo College of Medicine, Rochester, MN 55905, USA.
I
I
Bancos
N
N
Natt
M H
MH
Murad
V M
VM
Montori
D000236:Adenoma / Q000175:diagnosis / Q000628:therapy; D019317:Evidence-Based Medicine; D006801:Humans; D033162:Incidental Findings; D010911:Pituitary Neoplasms / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D017410:Practice Guidelines as Topic; D015995:Prevalence; D016032:Randomized Controlled Trials as Topic