Journal of Endocrinological Investigation最新文献

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Brusatol attenuated proliferation and invasion induced by KRAS in differentiated thyroid cancer through inhibiting Nrf2 布芦沙托通过抑制 Nrf2 减轻 KRAS 诱导的分化型甲状腺癌增殖和侵袭
IF 5.4 2区 医学
Journal of Endocrinological Investigation Pub Date : 2023-12-07 DOI: 10.1007/s40618-023-02248-4
Z. Gong, L. Xue, A. C. Vlantis, C. A. van Hasselt, J. Y. K. Chan, J. Fang, R. Wang, Y. Yang, D. Li, X. Zeng, M. C. F. Tong, G. G. Chen
{"title":"Brusatol attenuated proliferation and invasion induced by KRAS in differentiated thyroid cancer through inhibiting Nrf2","authors":"Z. Gong, L. Xue, A. C. Vlantis, C. A. van Hasselt, J. Y. K. Chan, J. Fang, R. Wang, Y. Yang, D. Li, X. Zeng, M. C. F. Tong, G. G. Chen","doi":"10.1007/s40618-023-02248-4","DOIUrl":"https://doi.org/10.1007/s40618-023-02248-4","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>Poorly differentiated thyroid cancer (PDTC) and anaplastic thyroid cancer (ATC) can be developed from differentiated thyroid cancer, and this dedifferentiated transformation leads to poor prognosis and high mortality. The role of Nrf2 in the dedifferentiation of differentiated thyroid cancer (DTC) induced by KRAS remains unclear.</p><h3 data-test=\"abstract-sub-heading\">Methods and materials</h3><p>In this study, two DTC cell lines, BCPAP and WRO, were used to evaluate the function of Nrf2 in the dedifferentiation caused by wild-type KRAS (KRAS-WT) and G12V point mutation KRAS (KRAS-G12V).</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>The overexpression of KRAS-WT and KRAS-G12V increased the proliferative and invasive ability of BCPAP and WRO cells. Aggressive morphology was observed in KRAS-WT and KRAS-G12V overexpressed WRO cells. These results suggested that overexpression of KRAS-WT or KRAS-G12V may induce dedifferentiation in DTC cells. The expression of Nrf2 was increased by KRAS-WT and KRAS-G12V in DTC cells. In addition, compared with normal thyroid tissues, the expression of Nrf2 protein was considerably higher in thyroid cancer tissues on immunohistochemistry (IHC) staining, and the increased expression of Nrf2 indicated a poor prognosis of thyroid cancer. These results indicated that Nrf2 is the KRAS downstream molecule in thyroid cancer. Functional studies showed that the Nrf2 inhibitor Brusatol counteracted the proliferative and invasive abilities induced by KRAS-WT and KRAS-G12V in BCPAP and WRO cells. In addition, the xenograft assay further confirmed that Brusatol inhibits tumor growth induced by KRAS-WT and KRAS-G12V.</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>Collectively, this study suggests that Nrf2 could be a promising therapeutic target in KRAS-mediated dedifferentiation of thyroid cancer.</p>","PeriodicalId":15651,"journal":{"name":"Journal of Endocrinological Investigation","volume":"25 1","pages":""},"PeriodicalIF":5.4,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138554064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acknowledgment to Referees 向推荐人致谢
IF 5.4 2区 医学
Journal of Endocrinological Investigation Pub Date : 2023-01-11 DOI: 10.1007/BF03349285
{"title":"Acknowledgment to Referees","authors":"","doi":"10.1007/BF03349285","DOIUrl":"https://doi.org/10.1007/BF03349285","url":null,"abstract":"","PeriodicalId":15651,"journal":{"name":"Journal of Endocrinological Investigation","volume":"2 1","pages":"103-104"},"PeriodicalIF":5.4,"publicationDate":"2023-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF03349285","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48587665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adult- and late-onset male hypogonadism: the clinical practice guidelines of the Italian Society of Andrology and Sexual Medicine (SIAMS) and the Italian Society of Endocrinology (SIE). 成人和迟发性男性性腺功能减退:意大利男科和性医学学会(SIAMS)和意大利内分泌学会(SIE)的临床实践指南。
IF 5.4 2区 医学
Journal of Endocrinological Investigation Pub Date : 2022-12-01 Epub Date: 2022-08-26 DOI: 10.1007/s40618-022-01859-7
A M Isidori, A Aversa, A Calogero, A Ferlin, S Francavilla, F Lanfranco, R Pivonello, V Rochira, G Corona, M Maggi
{"title":"Adult- and late-onset male hypogonadism: the clinical practice guidelines of the Italian Society of Andrology and Sexual Medicine (SIAMS) and the Italian Society of Endocrinology (SIE).","authors":"A M Isidori,&nbsp;A Aversa,&nbsp;A Calogero,&nbsp;A Ferlin,&nbsp;S Francavilla,&nbsp;F Lanfranco,&nbsp;R Pivonello,&nbsp;V Rochira,&nbsp;G Corona,&nbsp;M Maggi","doi":"10.1007/s40618-022-01859-7","DOIUrl":"https://doi.org/10.1007/s40618-022-01859-7","url":null,"abstract":"<p><strong>Purpose: </strong>To provide the evidence-based recommendations on the role of testosterone (T) on age-related symptoms and signs remains.</p><p><strong>Methods: </strong>The Italian Society of Andrology and Sexual Medicine (SIAMS) and the and the Italian Society of Endocrinology (SIE) commissioned an expert task force to provide an updated guideline on adult-onset male hypogonadism. Derived recommendations were based on Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system.</p><p><strong>Results: </strong>Clinical diagnosis of adult-onset hypogonadism should be based on a combination of clinical and biochemical parameters. Testosterone replacement therapy (TRT) should be offered to all symptomatic subjects with hypogonadism after the exclusion of possible contraindications. T gels and the long-acting injectable T are currently available preparations showing the best efficacy/safety profile. TRT can improve all aspects of sexual function, although its effect is limited in more complicated patients. Body composition (reducing fat mass and increasing lean mass) is improved after TRT, either in subjects with or without metabolic syndrome or type 2 diabetes. Conversely, the role of TRT in improving glycometabolic control is more conflicting. TRT can result in increasing bone mineral density, particularly at lumbar site, but no information on fracture risk is available. Limited data support the use of TRT for improving other outcomes, including mood frailty and mobility.</p><p><strong>Conclusions: </strong>TRT can improve sexual function and body composition particularly in less complicated adult and in aging subjects with hypogonadism. When hypogonadism is adequately diagnosed, T appropriately prescribed and subjects correctly followed up, no short-term increased risk of adverse events is observed. Longer and larger studies are advisable to better clarify TRT long-term efficacy/safety profile.</p>","PeriodicalId":15651,"journal":{"name":"Journal of Endocrinological Investigation","volume":"45 12","pages":"2385-2403"},"PeriodicalIF":5.4,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9415259/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33438955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 28
Vitamin D status and parathyroid hormone assessment in girls with central precocious puberty. 中枢性性早熟女孩的维生素D水平和甲状旁腺激素评估。
IF 5.4 2区 医学
Journal of Endocrinological Investigation Pub Date : 2022-11-01 Epub Date: 2022-06-24 DOI: 10.1007/s40618-022-01838-y
T Durá-Travé, F Gallinas-Victoriano
{"title":"Vitamin D status and parathyroid hormone assessment in girls with central precocious puberty.","authors":"T Durá-Travé,&nbsp;F Gallinas-Victoriano","doi":"10.1007/s40618-022-01838-y","DOIUrl":"https://doi.org/10.1007/s40618-022-01838-y","url":null,"abstract":"<p><strong>Purpose: </strong>The objective of this study was to analyze vitamin D status and PTH concentrations in 6- to 8-year-old girls with central precocious puberty.</p><p><strong>Methods: </strong>A cross-sectional clinical and blood testing study (calcium, phosphorus, 25(OH)D and PTH) was carried out in 78 girls with central precocious puberty (CPP group), aged 6.1-7.9 years. A control group was recruited (137 prepubertal girls, aged 6.1-8.2 years). The criteria of the US Endocrine Society were used for the definition of hypovitaminosis D.</p><p><strong>Results: </strong>There were no significant differences in vitamin D status between both groups. There were no significant differences in 25(OH)D concentrations between CPP (25.4 ± 8.6 ng/mL) and control groups (28.2 ± 7.4 ng/mL). In contrast, PHT concentrations in CPP group (44.8 ± 16.3 pg/mL) were higher (p < 0.05) with respect to control group (31.0 ± 11.9 ng/mL). In CPP group, there was a positive correlation (p < 0.05) between PTH concentrations and growth rate, bone age, and basal estradiol, basal FSH, basal LH and LH peak concentrations.</p><p><strong>Conclusion: </strong>Vitamin D status in 6- to 8-year-old girls with CPP is similar to that in prepubertal girls. PTH concentrations were significantly higher in girls with CPP, and this could be considered as a physiological characteristic of puberty and, in this case, of pubertal precocity.</p>","PeriodicalId":15651,"journal":{"name":"Journal of Endocrinological Investigation","volume":"45 11","pages":"2069-2075"},"PeriodicalIF":5.4,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9525390/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40396682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Leptin, ghrelin, nesfatin-1, and orexin-A plasma levels in girls with premature thelarche. 早孕女孩血浆中瘦素、生长素、巢脂素-1和食欲素- a的水平。
IF 5.4 2区 医学
Journal of Endocrinological Investigation Pub Date : 2022-11-01 Epub Date: 2022-06-28 DOI: 10.1007/s40618-022-01841-3
N Almasi, H Y Zengin, N Koç, S A Uçakturk, D İskender Mazman, N Heidarzadeh Rad, M Fisunoglu
{"title":"Leptin, ghrelin, nesfatin-1, and orexin-A plasma levels in girls with premature thelarche.","authors":"N Almasi,&nbsp;H Y Zengin,&nbsp;N Koç,&nbsp;S A Uçakturk,&nbsp;D İskender Mazman,&nbsp;N Heidarzadeh Rad,&nbsp;M Fisunoglu","doi":"10.1007/s40618-022-01841-3","DOIUrl":"https://doi.org/10.1007/s40618-022-01841-3","url":null,"abstract":"<p><strong>Purpose: </strong>Reducing the mean age of puberty onset in recent years has crucial public health, clinical, and social implications. This study aimed to evaluate the serum levels of appetite-related peptides (leptin, ghrelin, nesfatin-1, and orexin-A) and anthropometric data in girls with premature thelarche (PT).</p><p><strong>Methods: </strong>We enrolled 44 girls aged 4-8 years diagnosed with PT and 33 age-matched healthy girls as controls. The demographic data of the girls were obtained using a questionnaire. Anthropometric data were measured and fasting blood samples were collected.</p><p><strong>Results: </strong>Body weight, height, body mass index (BMI), body fat mass, and basal metabolic rate (BMR) were higher in the PT group than in the control group (p < 0.05). Serum leptin (p < 0.001), nesfatin-1 (p = 0.001), and orxein-A (p < 0.001) levels were significantly higher in the PT group than in healthy controls. However, there were no significant differences in the serum ghrelin levels between the groups (p > 0.05). The results of multivariate logistic regression revealed that serum leptin level (OR (95% CI): 42.0 (10.91, 173.06), p < 0.001), orexin-A (OR (95% CI): 1.14 (1.04, 1.24), p = 0.006), and BMI for age z-score (OR (95% CI): 6.97 (1.47, 33.4), p = 0.014) elevated the risk of incidence of PT at 4-8 girls.</p><p><strong>Conclusion: </strong>These results suggest that in addition to serum leptin levels, serum orexin-A and nesaftin-1 can take part in the initiation of PT. Few studies have investigated the relationship between nesfatin-1 and orexin-A levels and age at onset of puberty; hence, it should be a subject for future studies.</p>","PeriodicalId":15651,"journal":{"name":"Journal of Endocrinological Investigation","volume":"45 11","pages":"2097-2103"},"PeriodicalIF":5.4,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40407755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Goiter in a fresco by i Fiammenghini, 1615 (Abbey of Santa Maria di Rovegnano, Chiaravalle, Italy). 1615年fiamenghini的一幅壁画中的甲状腺(意大利Chiaravalle的Santa Maria di Rovegnano修道院)。
IF 5.4 2区 医学
Journal of Endocrinological Investigation Pub Date : 2022-10-01 Epub Date: 2022-02-16 DOI: 10.1007/s40618-022-01763-0
G Dionigi, R Dionigi
{"title":"Goiter in a fresco by i Fiammenghini, 1615 (Abbey of Santa Maria di Rovegnano, Chiaravalle, Italy).","authors":"G Dionigi,&nbsp;R Dionigi","doi":"10.1007/s40618-022-01763-0","DOIUrl":"https://doi.org/10.1007/s40618-022-01763-0","url":null,"abstract":"<p><p>In a large fresco, which narrates brutal episodes of torture against Cirtercian monks, in the right corner of the background an ugly aggressor with a huge goiter, symbol of evil and sin, attacks a monk with a sword.</p>","PeriodicalId":15651,"journal":{"name":"Journal of Endocrinological Investigation","volume":"45 10","pages":"2023-2024"},"PeriodicalIF":5.4,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39928761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Surprising Irish Giant of St. James's Street by Thomas Rowlandson. The acromegalic giant Patrick Cotter (1760-1806). 托马斯·罗兰森的《圣詹姆斯街令人惊讶的爱尔兰巨人》。肢端肥大症巨人帕特里克·科特(1760-1806)。
IF 5.4 2区 医学
Journal of Endocrinological Investigation Pub Date : 2022-10-01 Epub Date: 2022-01-25 DOI: 10.1007/s40618-021-01726-x
W W de Herder
{"title":"The Surprising Irish Giant of St. James's Street by Thomas Rowlandson. The acromegalic giant Patrick Cotter (1760-1806).","authors":"W W de Herder","doi":"10.1007/s40618-021-01726-x","DOIUrl":"https://doi.org/10.1007/s40618-021-01726-x","url":null,"abstract":"","PeriodicalId":15651,"journal":{"name":"Journal of Endocrinological Investigation","volume":"45 10","pages":"2021-2022"},"PeriodicalIF":5.4,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39718934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
The impact of male factors and their correct and early diagnosis in the infertile couple's pathway: 2021 perspectives. 男性因素及其正确早期诊断对不孕夫妇途径的影响:2021年展望
IF 3.9 2区 医学
Journal of Endocrinological Investigation Pub Date : 2022-10-01 Epub Date: 2022-03-29 DOI: 10.1007/s40618-022-01778-7
F Pallotti, A Barbonetti, G Rastrelli, D Santi, G Corona, F Lombardo
{"title":"The impact of male factors and their correct and early diagnosis in the infertile couple's pathway: 2021 perspectives.","authors":"F Pallotti, A Barbonetti, G Rastrelli, D Santi, G Corona, F Lombardo","doi":"10.1007/s40618-022-01778-7","DOIUrl":"10.1007/s40618-022-01778-7","url":null,"abstract":"<p><strong>Purpose: </strong>The current clinical practice in reproductive medicine should pose the couple at the centre of the diagnostic-therapeutic management of infertility and requires intense collaboration between the andrologist, the gynaecologist and the embryologist. The andrologist, in particular, to adequately support the infertile couple, must undertake important biological, psychological, economical and ethical task. Thus, this paper aims to provide a comprehensive overview of the multifaceted role of the andrologist in the study of male factor infertility.</p><p><strong>Methods: </strong>A comprehensive Medline, Embase and Cochrane search was performed including publications between 1969 and 2021.</p><p><strong>Results: </strong>Available evidence indicates that a careful medical history and physical examination, followed by semen analysis, always represent the basic starting points of the diagnostic work up in male partner of an infertile couple. Regarding treatment, gonadotropins are an effective treatment in case of hypogonadotropic hypogonadism and FSH may be used in men with idiopathic infertility, while evidence supporting other hormonal and nonhormonal treatments is either limited or conflicting. In the future, pharmacogenomics of FSHR and FSHB as well as innovative compounds may be considered to develop new therapeutic strategies in the management of infertility.</p><p><strong>Conclusion: </strong>To provide a high-level of care, the andrologist must face several critical diagnostical and therapeutical steps. Even though ART may be the final and decisive stage of this decisional network, neglecting to treat the male partner may ultimately increase the risks of negative outcome, as well as costs and psychological burden for the couple itself.</p>","PeriodicalId":15651,"journal":{"name":"Journal of Endocrinological Investigation","volume":"45 1","pages":"1807-1822"},"PeriodicalIF":3.9,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8961097/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49317654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The targeted high-risk case-finding approach versus universal screening for thyroid dysfunction during pregnancy: thyroid-stimulating hormone (TSH) and/or thyroid peroxidase antibody (TPOAb) test? 妊娠期甲状腺功能障碍的靶向高危病例发现方法与通用筛查:促甲状腺激素(TSH)和/或甲状腺过氧化物酶抗体(TPOAb)测试?
IF 3.9 2区 医学
Journal of Endocrinological Investigation Pub Date : 2022-09-01 Epub Date: 2022-04-02 DOI: 10.1007/s40618-021-01738-7
M Amiri, S Nazarpour, F Ramezani Tehrani, A Sheidaei, F Azizi
{"title":"The targeted high-risk case-finding approach versus universal screening for thyroid dysfunction during pregnancy: thyroid-stimulating hormone (TSH) and/or thyroid peroxidase antibody (TPOAb) test?","authors":"M Amiri, S Nazarpour, F Ramezani Tehrani, A Sheidaei, F Azizi","doi":"10.1007/s40618-021-01738-7","DOIUrl":"10.1007/s40618-021-01738-7","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the effects of different thyroid screening scenarios, using the universal and targeted high-risk case-finding approaches with different diagnostic tests on the prevalence of subclinical hypothyroidism (SCH), thyroid autoimmunity, and pregnancy outcomes after adjustments for the intervention.</p><p><strong>Methods: </strong>During a secondary analysis of data collected in Tehran Thyroid and Pregnancy Study, a total of 2277 women from the total population, including 1303 high-risk individuals for thyroid dysfunction. The Cochran-Mantel-Haenszel method, adjusted for the intervention, was also used to evaluate the relationships between different screening scenarios [i.e., universal approach using thyroid-stimulating hormone (TSH) and/or thyroid peroxidase antibody (TPOAb) tests and targeted high-risk case-finding approach using TSH and/or TPOAb tests] and pregnancy outcomes (i.e., preterm delivery and NICU admission). The universal approach using both TSH and TPOAb measurements was considered as the reference scenario. We analyzed outcomes of different screening methods in individuals treated with LT4, compared to those individuals who were not treated.</p><p><strong>Results: </strong>Compared to the universal screening approach with both TSH and TPOAb measurements, the targeted high-risk case-finding approach overlooked approximately 42%, 62%, and 74% of women with elevated TSH (> 4 µlU/mL) when using both TSH and TPOAb tests, TSH alone, and TPO alone, respectively. After adjusting for the missed cases, 2.86% of women with preterm delivery and 2.76% of women with NICU admission were missed when they were screened using the targeted high-risk case-finding approach by measuring both TSH and TPOAb. The percentage of missed cases increased when applying the targeted approach with the TSH test alone, without measuring TPOAb. Overall, 4.16% and 4.02% of women with preterm delivery and NICU admission were overlooked in this scenario, respectively. After adjustments for the intervention, the probability of NICU admission in neonates of mothers, who were screened using the targeted high-risk case-finding approach with TPOAb measurement, was 2.31 folds higher than those screened by the reference scenario.</p><p><strong>Conclusion: </strong>This study suggests that although the targeted high-risk case-finding approach including both TSH and TPOAb tests, may overlook some women with SCH, it is a reasonable option since it is not associated with a higher risk of adverse pregnancy outcomes.</p>","PeriodicalId":15651,"journal":{"name":"Journal of Endocrinological Investigation","volume":"45 1","pages":"1641-1651"},"PeriodicalIF":3.9,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48635428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A telemedicine-based approach with real-time transmission of blood glucose data improves metabolic control in insulin-treated diabetes: the DIAMONDS randomized clinical trial. 实时传输血糖数据的远程医疗方法改善胰岛素治疗糖尿病的代谢控制:DIAMONDS随机临床试验
IF 3.9 2区 医学
Journal of Endocrinological Investigation Pub Date : 2022-09-01 Epub Date: 2022-04-27 DOI: 10.1007/s40618-022-01802-w
S Di Molfetta, P Patruno, S Cormio, A Cignarelli, R Paleari, A Mosca, O Lamacchia, S De Cosmo, M Massa, A Natalicchio, S Perrini, L Laviola, F Giorgino
{"title":"A telemedicine-based approach with real-time transmission of blood glucose data improves metabolic control in insulin-treated diabetes: the DIAMONDS randomized clinical trial.","authors":"S Di Molfetta, P Patruno, S Cormio, A Cignarelli, R Paleari, A Mosca, O Lamacchia, S De Cosmo, M Massa, A Natalicchio, S Perrini, L Laviola, F Giorgino","doi":"10.1007/s40618-022-01802-w","DOIUrl":"10.1007/s40618-022-01802-w","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate if a web-based telemedicine system (the Glucoonline<sup>®</sup> system) is effective to improve glucose control in insulin-treated patients with type 1 and type 2 diabetes, as compared to standard of care.</p><p><strong>Methods: </strong>This was a prospective, randomized, controlled trial, carried out at three tertiary referral centers for diabetes in Italy. Adults with insulin-treated type 1 and type 2 diabetes, inadequate glycemic control, and no severe diabetes-related complications and/or comorbidities were eligible for this study. Patients were randomized to either perform telemedicine-assisted (Group A) or standard (Group B) self-monitoring blood glucose (SMBG) for 6 months. In Group A, patients received prompt feedback about their blood glucose levels and therapy suggestions from the study staff via phone/SMS, when appropriate. In Group B, patients had no remote assistance from the study staff between planned visits.</p><p><strong>Results: </strong>123 patients were included in the final analysis. After 6 months, patients achieved a significant reduction in HbA1c in Group A (-0.38%, p < 0.05) but not in Group B (+ 0.08%, p = 0.53). A significant difference in the percentage of patients with HbA1c < 7% between Group A and Group B was found after 3 months (28.6% vs 11.1%, p = 0.02). Also, fewer patients (p < 0.05) with HbA1c > 8.5% were found in Group A vs Group B, respectively, after both 3 months (14.3% vs 35.2%) and 6 months (21.8% vs 42.9%).</p><p><strong>Conclusions: </strong>The use of the Glucoonline™ system resulted in improved metabolic control. Telemedicine services have potential to support diabetes self-management and provide the patients with remote, prompt assistance using affordable technological equipment. Trial registration This study was registered at clinicaltrials.gov (NCT01804803) on March 5, 2013.</p>","PeriodicalId":15651,"journal":{"name":"Journal of Endocrinological Investigation","volume":"45 1","pages":"1663-1671"},"PeriodicalIF":3.9,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9044385/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45380395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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