Mortality in craniopharyngiomas: data from the last two decades
Open accessAbstract
Craniopharyngiomas are rare epithelial tumours arising along the path of the craniopharyngeal duct. They are histologically benign but potentially clinically aggressive tumours due to their invasive behaviour and high recurrence rates. Patients with craniopharyngioma have a high burden of comorbidities which could affect their long-term survival. Studies published in the last 20 years and reporting on standardized mortality ratios (SMR) have demonstrated high mortality (SMRs ranging between 2.45 and 12.2), as also proposed in older reports. Cardiovascular, respiratory diseases and infections are main causes of death. Apart from older age at diagnosis, data on other predictors of mortality are not consistent requiring further elucidation.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Childhood survivors of craniopharyngioma have elevated cardiovascular disease risk factors that portend future excess rates of premature mortality.
“Childhood survivors of craniopharyngioma (64), the prototypic tumor causing hypothalamic syndrome, have elevated cardiovascular disease risk factors that portend future excess rates of premature mortality (65).”
From Approach to the patient with acquired hypothalamic syndrome (2026) · cites this paper as [65]
Cites
Association between premature mortality and hypopituitarism
Tomlinson, J., Holden, N., Hills, R., Wheatley, K., Clayton, R., Bates, A., Sheppard, M., & Stewart, P. (2001) · The Lancet · doi:10.1016/s0140-6736(00)04006-x · Cited by 1,006 · see citing works
Craniopharyngiomas in children and adults: systematic analysis of 121 cases with long-term follow-up
Karavitaki, N., Brufani, C., Warner, J. T., Adams, C. B. T., Richards, P., Ansorge, O., Shine, B., Turner, H. E., & Wass, J. A. H. (2005) · Clinical Endocrinology · doi:10.1111/j.1365-2265.2005.02231.x · Cited by 633 · see citing works
Self-citationMuller, H. L., Merchant, T. E., Warmuth‐Metz, M., Martı́nez-Barberá, J. P., & Puget, S. (2019) · Nature Reviews Disease Primers · doi:10.1038/s41572-019-0125-9 · Cited by 526 · see citing works
Karavitaki, N., Cudlip, S., Adams, C. B. T., & Wass, J. A. H. (2006) · Endocrine Reviews · doi:10.1210/er.2006-0002 · Cited by 514 · see citing works
Self-citationMortini, P., Losa, M., Pozzobon, G. C., Barzaghi, L. R., Riva, M., Acerno, S., Angius, D., Weber, G., Chiumello, G., & Giovanelli, M. A. (2011) · Journal of neurosurgery · doi:10.3171/2010.11.jns10670 · Cited by 271 · see citing works
Zacharia, B. E., Bruce, S. S., Goldstein, H. E., Malone, H. R., Neugut, A. I., & Bruce, J. N. (2012) · Neuro-Oncology · doi:10.1093/neuonc/nos142 · Cited by 230 · see citing works
Pereira, A. M., Schmid, E., Schutte, P. J., Voormolen, J. H. C., Biermasz, N. R., van Thiel, S. W., Corssmit, E. P. M., Smit, J. W. A., Roelfsema, F., & Romijn, J. A. (2004) · Clinical Endocrinology · doi:10.1111/j.1365-2265.2004.02196.x · Cited by 217 · see citing works
Olsson, D. S., Andersson, E., Bryngelsson, I., Nilsson, A. G., & Johannsson, G. (2014) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2014-3525 · Cited by 196 · see citing works
van Bunderen, C. C., van Nieuwpoort, I. C., Arwert, L. I., Heymans, M. W., Franken, A. A. M., Koppeschaar, H. P. F., van der Lely, A. J., & Drent, M. L. (2011) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2011-1215 · Cited by 132 · see citing works
Overall and cause-specific mortality in GH-deficient adults on GH replacement
Gaillard, R. C., Mattsson, A. F., Åkerblad, A., Bengtsson, B., Cara, J. F., Feldt‐Rasmussen, U., Kołtowska‐Häggström, M., Monson, J. P., Saller, B., Wilton, P., et al. (2012) · European Journal of Endocrinology · doi:10.1530/eje-11-1028 · Cited by 130 · see citing works
Bulow, B. (1998) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.83.11.3897 · Cited by 127 · see citing works
Morbidity and mortality in patients with craniopharyngioma after surgery
Crowley, R. K., Hamnvik, O. P., O’Sullivan, E. P., Behan, L. A., Smith, D., Agha, A., & Thompson, C. J. (2010) · Clinical Endocrinology · doi:10.1111/j.1365-2265.2010.03838.x · Cited by 108 · see citing works
Lo, A., Howard, A. F., Nichol, A., Sidhu, K., Abdulsatar, F., Hasan, H., & Goddard, K. (2014) · International Journal of Radiation Oncology*Biology*Physics · doi:10.1016/j.ijrobp.2014.01.019 · Cited by 95 · see citing works
Contemporary Biological Insights and Clinical Management of Craniopharyngioma
Apps, J. R., Muller, H. L., Hankinson, T. C., Yock, T. I., & Martı́nez-Barberá, J. P. (2022) · Endocrine Reviews · doi:10.1210/endrev/bnac035 · Cited by 85 · see citing works
Management of craniopharyngiomas
Karavitaki, N. (2014) · Journal of Endocrinological Investigation · doi:10.1007/s40618-013-0050-9 · Cited by 71 · see citing works
Self-citationWijnen, M., Olsson, D. S., van den Heuvel‐Eibrink, M. M., Hammarstrand, C., Janssen, J. A. M. J. L., van der Lely, A. J., Johannsson, G., & Neggers, S. J. C. M. M. (2017) · European Journal of Endocrinology · doi:10.1530/eje-17-0707 · Cited by 70 · see citing works
Clinical Situation, Therapy, and Follow-Up of Adult Craniopharyngioma
Mende, K. C., Kellner, T., Petersenn, S., Honegger, J. B., Zamora, R., Droste, M., Stalla, G. K., Deutschbein, T., Wang, Y., Moskopp, D., et al. (2019) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/clinem/dgz043 · Cited by 53 · see citing works
Recurrent craniopharyngiomas in children and adults: long-term recurrence rate and management
Štěňo, J., Bízik, I., Šteňo, A., & Matejčı́k, V. (2013) · Acta Neurochirurgica · doi:10.1007/s00701-013-1938-z · Cited by 45 · see citing works
The Role of Definitive Radiotherapy in Craniopharyngioma
Zhang, C., Verma, V., Lyden, E. R., Horowitz, D. P., Zacharia, B. E., Lin, C. H., & Connolly, E. P. (2017) · American Journal of Clinical Oncology · doi:10.1097/coc.0000000000000378 · Cited by 40 · see citing works
Outcome after pediatric craniopharyngioma: the role of age at diagnosis and hypothalamic damage
Beckhaus, J., Friedrich, C., Boekhoff, S., Calaminus, G., Bison, B., Eveslage, M., Timmermann, B., Flitsch, J., & Muller, H. L. (2023) · European Journal of Endocrinology · doi:10.1093/ejendo/lvad027 · Cited by 40 · see citing works
Long-term outcomes for adult craniopharyngioma following radiation therapy
Masson‐Côté, L., Masucci, L., Atenafu, E. G., Millar, B., Cusimano, M. D., Croul, S. E., Mason, W. P., Laperrière, N., & Sahgal, A. (2012) · Acta Oncologica · doi:10.3109/0284186x.2012.685525 · Cited by 35 · see citing works
Rao, Y. J., Hassanzadeh, C., Fischer-Valuck, B. W., Chicoine, M. R., Kim, A. H., Perkins, S. M., & Huang, J. (2016) · Journal of Neuro-Oncology · doi:10.1007/s11060-016-2342-3 · Cited by 35 · see citing works
Yuen, K. C. J., Mattsson, A. F., Burman, P., Erfurth, E.-M., Camacho‐Hübner, C., Fox, J. L., Verhelst, J. A., Geffner, M. E., & Abs, R. (2017) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2017-01542 · Cited by 33 · see citing works
Craniopharyngioma in the Elderly: A Multicenter and Nationwide Study in Spain
Iglesias, P., Aragón, I. N., Rodríguez, M. D. M., Venegas-Moreno, E. M., Ares, J., Biagetti, B., Berrocal, V. R., Guerrero‐Pérez, F., Vicente, A., Villar‐Taibo, R., et al. (2020) · Neuroendocrinology · doi:10.1159/000512161 · Cited by 21 · see citing works
Wu, B. C., Chen, J., Zhang, X., Feng, N., Xiang, Z., Wei, Y., Xie, J., & Zhang, W. (2022) · Medicine · doi:10.1097/md.0000000000032217 · Cited by 12 · see citing works
Prognostic Factors and Treatment Impact on Overall Survival in Adult Craniopharyngioma
Awad, M., Butterfield, J. T., Dhawan, S., Tyler, M. A., & Venteicher, A. S. (2023) · World Neurosurgery · doi:10.1016/j.wneu.2023.02.020 · Cited by 11 · see citing works
Epidemiology of craniopharyngiomas: a population-based study in Malta
Craus, S., & Gruppetta, M. (2021) · Endocrine Oncology · doi:10.1530/eo-21-0006 · Cited by 6 · see citing works
Agner, K. E., & Larkins, M. C. (2025) · Journal of Neuro-Oncology · doi:10.1007/s11060-025-04988-0 · Cited by 3 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Approach to the patient with acquired hypothalamic syndrome
Grishman, E. K., & McCormack, S. E. (2026) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/clinem/dgag197
Rădulescu, A. M. (2026) · The Medical-Surgical Journal · doi:10.22551/msj.2026.02.17
- Authors
- Ntali, G., Shafi, A. M., & Karavitaki, N.
- Affiliations
- University Hospitals Birmingham NHS Foundation Trust (GB)
- Corresponding author
- Karavitaki, Niki
- Venue
- Best Practice & Research Clinical Endocrinology & Metabolism
- Publisher
- Elsevier BV
- Published
- 2025-09
- Volume
- 39
- Issue
- 5
- Pages
- 102049
- ISSN
- 1521-690X (ISSN-L)
- OpenAlex
- W4414920212
- Cited by
- 1
- References
- 28
- Citations by year
- 2026: 1
- FWCI
- 0.69
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Best Practice & Research Clinical Endocrinology & Metabolism (publishedVersion, cc-by)
- PubMed (publishedVersion)
- University of Birmingham Research Portal (University of Birmingham) (publishedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Pituitary Gland Disorders and Treatments
- Health Sciences › Medicine › Epidemiology › Neuroendocrine Tumor Research Advances
- Health Sciences › Medicine › Surgery › Head and Neck Surgical Oncology
- Keywords
- craniopharyngioma, mortality, standardized mortality ratio, causes of death, cardiovascular disease, respiratory diseases, infection, comorbidities, age at diagnosis, mortality risk factors, long-term survival
- MeSH terms
- Craniopharyngioma, Humans, Pituitary Neoplasms
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review