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. 2019 Aug 5;8(9):1262–1272. doi: 10.1530/EC-19-0297

Table 4.

Analysis of cortisol and ACTH nadir levels, last determination of ACTH and the respective time values, according to the impact of surgery upon the clinical course of Cushing’s disease.

Variables Persistence Recurrence Early remission Remission at 3 months
Mean (s.d.) No Yes SSa No Yes SSa No Yes SSa No Yes SSa
Cortisol nadir (nmol/L) 76.1 (109.0) 606.7 (286.4) P < 0.001 59.6 (101.0) 113.4 (119.2) P = 0.080 165.5 (149.8) 29.2 (11.6) P < 0.001 190.1 (149.0) 72.3 (106.8) P = 0.134
Time to cortisol nadir (h) 54.4 (32.1) 76.1 (50.4) P = 0.117 46.35 (28.31) 72.28 (33.44) P = 0.04 81.70 (35.61) 40.03 (17.83) P < 0.001 115.00 (77.78) 52.23 (28.59) P = 0.005
ACTH nadir (pmol/L) 2.9 (2.4) 18.6 (17.8) P < 0.001 2.1 (1.6) 4.8 (2.8) P < 0.001 4.5 (2.5) 2.1 (1.9) P < 0.001 6.5 (4.4) 2.8 (2.2) P = 0.031
Time to ACTH nadir (h) 52.6 (35.5) 61.0 (44.4) P = 0.555 42.13 (27.19) 75.33 (41.18) P = 0.001 78.05 (44.36) 38.86 (19.14) P < 0.001 89.00 (100.41) 51.29 (32.68) P = 0.141
Last ACTH measurement (pmol/L) 2.9 (2.4) 18.6 (17.8) P < 0.001 2.1 (1.6) 4.8 (2.8) P < 0.001 4.5 (2.5) 2.1 (1.9) P < 0.001 6.5 (4.4) 2.8 (2.2) P = 0.029
Time of last ACTH measurement (h) 134 (52) 164 (63) P = 0.190 130.97 (57.50) 139.56 (37.24) P = 0.566 148.85 (45.39) 125.49 (53.72) P = 0.105 123.00 (66.47) 134.07 (51.90) P = 0.769

aSS, statistical significance (Student t-test). Bold indicates statistical significance.