Personalized approach to growth hormone replacement in adults
Arch. endocrinol. metab. (Online)
; 63(6): 592-600, Nov.-Dec. 2019. tab
Article
em En
| LILACS
| ID: biblio-1055015
Biblioteca responsável:
BR1.1
ABSTRACT
ABSTRACT Growth hormone (GH) deficiency (GHD) in adults is well-characterized and includes abnormal body composition, reduced bone mass, an adverse cardiovascular risk profile, and impaired quality of life. In the early 1990s, it was also shown that patients with hypopituitarism without GH replacement therapy (GHRT) had excess mortality. Today, GHRT has been shown to decrease or reverse the negative effects of GHD. In addition, recent papers have shown that mortality and morbidity are approaching normal in hypopituitary patients with GHD who receive modern endocrine therapy including GHRT. Since the first dose-finding studies, it has been clear that efficacy and side effects differ substantially between patients. Many factors have been suggested as affecting responsiveness, such as sex, age, age at GHD onset, adherence, and GH receptor polymorphisms, with sex and sex steroid replacement having the greatest impact. Therefore, the individual tailoring of GH dose is of great importance to achieve sufficient efficacy without side effects. One group that stands out is women receiving oral estrogen replacement, who needs the highest dose. Serum insulin-like growth factor-1 (IGF-1) is still the most used biochemical biomarker for GH dose titration, although the best serum IGF-1 target is still debated. Patients with GHD due to acromegaly, Cushing's disease, or craniopharyngioma experience similar effects from GHRT as others. Arch Endocrinol Metab. 2019;63(6)592-600
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Temas:
Aperfeicoar_gestao_SUS
Base de dados:
LILACS
Assunto principal:
Hormônio do Crescimento Humano
/
Terapia de Reposição Hormonal
/
Adesão à Medicação
/
Medicina de Precisão
Tipo de estudo:
Prognostic_studies
Aspecto:
Patient_preference
Limite:
Adult
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Female
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Humans
/
Male
Idioma:
En
Revista:
Arch. endocrinol. metab. (Online)
Ano de publicação:
2019
Tipo de documento:
Article