Akademik Veri Yönetim Sistemi
CROATIAN MEDICAL JOURNAL, cilt.63, sa.6, ss.578-583, 2022 (SCI-Expanded)
Aim To investigate the association of bone mineral density (BMD) Z-scores with early-postoperative remission rate and clinical parameters in patients with Cushing's disease (CD). Methods We retrospectively evaluated the records of patients diagnosed with CD. After the exclusion of 230 patients, 87 CD patients were finally enrolled. BMD was determined by dual-energy x-ray absorptiometry (DXA) at the lumbar spine 1-4 (L1-4) and left femur. Early-postoperative remission was defined as a morning cortisol concentration on the first day after surgery of less than 5 mu g/dL. The diagnosis of BMD "below the expected range for age" was defined as a Z-score <=-2.00 standard deviations. Results DXA results were not significantly associated with early postoperative remission. They also did not significantly differ between eugonadal and menopausal groups. Preoperative morning cortisol significantly negatively but weakly correlated with Z-score of the total femur, while preoperative adrenocorticotropic hormone/cortisol ratio positively but weakly correlated with DXA results of L1-4. Conclusion The severity of bone loss was not significantly related to the failure of transsphenoidal surgery for Cushing's disease.