Literature searches were performed by meeting participants to identify new data in English language papers published between January 2014 and October 2019, and indexed in PubMed. Search terms included “acromegaly” and terms associated with each topic, including “biochemical control”, “tumor volume”, “clinical symptoms”, “side effects”, “neurosurgery”, “radiother-apy”, “somatostatin analogue”, “somatostatin receptor ligand”, “pegvisomant”, “morbidity”, “mortality”, “quality of life”,and “guidelines”. After brief plenary overviews on the state of the art for each topic, participants were divided into breakout groups for further analysis of the assigned topics and subsequently reported their conclusions to the whole group.
Consensus recommendations were produced based on speaker presentations, subgroup discussions, and reports. After the meeting, the Scientific Committee graded the evidence supporting the recommendations, and then graded the
consensus recommendations on the basis of the quality of evidence (Table 2 ). Final graded consensus recommendations were approved by all meeting participants.
Consensus recommendations were produced based on speaker presentations, subgroup discussions, and reports. After the meeting, the Scientific Committee graded the evidence supporting the recommendations, and then graded the
consensus recommendations on the basis of the quality of evidence (