title: Update on prognostic factors in acromegaly: Is a risk score possible?
abstract: Certain clinical conditions and markers have recently been demonstrated to modify the natural history of acromegaly in affected patients. Thus, some clinical, histological, radiological and molecular factors are associated with more aggressive pituitary tumors that have higher biochemical activity, higher tumor volumes and decreased tumoral and biochemical responses to current therapies. However, these factors do not seem to have an equal influence on the prognosis of patients with acromegaly. We present a review of the factors that influence the clinical course of patients with acromegaly and propose a risk value for each factor that will allow prognostic scoring for affected patients by considering a combination of these factors.
authors.affiliation: Endocrinology Division, Servicio Gallego de Salud (SERGAS), Complejo Hospitalario Universitario de Santiago de Compostela, 15706, Santiago de Compostela, La Coruña, Spain.
authors.forename: E
authors.initials: E
authors.lastname: Fernandez-Rodriguez
authors.forename: F F
authors.initials: FF
authors.lastname: Casanueva
authors.forename: I
authors.initials: I
authors.lastname: Bernabeu
mesh_terms: D000172:Acromegaly / Q000175:diagnosis* / Q000401:mortality / Q000628:therapy; D003661:Decision Support Techniques; D006801:Humans; D011237:Predictive Value of Tests; D011379:Prognosis; D018570:Risk Assessment; D012307:Risk Factors