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A Consensus Statement on acromegaly therapeutic outcomes.

Shlomo Melmed1, Marcello D Bronstein2, Philippe Chanson3,4

  • 1Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA. melmed@csmc.edu.

Nature Reviews. Endocrinology
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Updated guidelines for acromegaly management reflect new pharmacological agents and treatment sequencing. Experts provide consensus recommendations to optimize patient care and outcomes for this rare hormonal disorder.

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Area of Science:

  • Endocrinology
  • Internal Medicine

Background:

  • Acromegaly management guidelines were last updated in 2014.
  • New pharmacological agents and treatment strategies have emerged since the previous consensus.
  • There is a need to update therapeutic outcome recommendations for acromegaly patients.

Purpose of the Study:

  • To update consensus recommendations for therapeutic outcomes in acromegaly.
  • To incorporate new pharmacological agents and treatment sequencing into clinical practice.
  • To provide guidance on optimizing acromegaly management.

Main Methods:

  • Convened 37 experts in acromegaly management for the 11th Acromegaly Consensus Conference in April 2017.
  • Reviewed current literature on drug approvals, clinical practice standards, and expert opinion.
  • Assessed the impact of somatostatin receptor ligands, growth hormone receptor antagonists, and dopamine agonists on various outcomes.

Main Results:

  • Considered current treatment outcome goals, focusing on biochemical, clinical, tumor mass, and surgical results.
  • Evaluated the role of current and emerging pharmacologic agents in acromegaly treatment.
  • Discussed factors influencing pharmacological choices and their place in treatment guidelines.

Conclusions:

  • Presents consensus recommendations for optimizing acromegaly management in clinical practice.
  • Highlights the integration of new therapeutic options into established guidelines.
  • Aims to improve patient outcomes through updated, evidence-based recommendations.