Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

28 questions · 28 findings · 2 reviews

No studies found 9 · 32.1%GRADE not reported 1 · 3.6%Very low 10 · 35.7%Low 2 · 7.1%Moderate 6 · 21.4%High 0 · 0%

Surgery vs Pharmacological therapy

Health‐related quality of life Mean AcroQoL score (0‐100) · adults with growth‐hormone secreting pituitary adenomas

Surgery alone showed no clear difference in health‐related quality of life Mean AcroQoL score (0‐100) compared with pharmacological therapy alone (low certainty).

1 finding from 1 review

Surgery vs preoperative pharmacological therapy and surgery

Disease‐related complications Intubation difficulties requiring postponement of surgery · adults with growth‐hormone secreting pituitary adenomas

It is very uncertain whether surgery alone changes disease‐related complications Intubation difficulties requiring… compared with preoperative pharmacological therapy and surgery (very low certainty).

1 finding from 1 review