Research Article

Reevaluation of Acromegalic Patients in Long-Term Remission according to Newly Proposed Consensus Criteria for Control of Disease

Table 2

Comparison of hormonal data between patients with postglucose GH nadir over (group A) and below 0.4 mcg/L (group B) during longitudinal follow-up. Mean ± SD values are shown.
(a)

ParametersGroup AGroup B
(GH-n ≥ 0.4)(GH-n < 0.4)

1129
Sex (F/M)8/317/12ns
RT (y/n)3/87/22ns
Yrs. since disease remission19.8 ± 9.715.1 ± 7.5ns

(b)

PreoperativePhase 1Phase 2Phase 3PreoperativePhase 1Phase 2Phase 3

Basal GH
(μg/L)
25.9 ± 23.31.3 ± 0.91.3 ± 1.01.8 ± 1.618.2 ± 19.61.0 ± 0.90.9 ± 1.50.6 ± 0.7

Mean basal GH >2.5 μg/L
(y/n)
2/91/103/83/262/271/28

Postglucose nadir GH
(μg/L)
9.5 ± 6.50.76 ± 0.480.48 ± 0.280.51 ± 0.1113.7 ± 13.50.30 ± 0.280.17 ± 0.150.11 ± 0.08

Time of postglucose GH nadir (min)62.7 ± 36.663.8 ± 31.0

IGF-I
(SDS)
12.0 ± 6.80.4 ± 1.7−0.7 ± 0.9−0.4 ± 1.09.1 ± 4.70.6 ± 2.0−2.8 ± 14.80.2 ± 1.7

F/M: female/male; RT: radiotherapy; y/n: yes/no; yrs.: years; GHD: GH deficiency.
Phase 1: at the time of remission.
Phase 2: at the time of the last available assessment with the GH assay standardized to IS 80/505.
Phase 3: after a long-term follow-up with ultrasensitive GH assay standardized to IS 98/574.
versus corresponding phase group B.
versus phase 1 same group.