{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T23:50:58Z","timestamp":1791417058834,"version":"4.3.3"},"reference-count":34,"publisher":"Elsevier BV","issue":"9","license":[{"start":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T00:00:00Z","timestamp":1630454400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T00:00:00Z","timestamp":1630454400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["aacejournalendocrinepractice.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Endocrine Practice"],"published-print":{"date-parts":[[2021,9]]},"DOI":"10.1016\/j.eprac.2021.07.003","type":"journal-article","created":{"date-parts":[[2021,7,13]],"date-time":"2021-07-13T02:34:03Z","timestamp":1626143643000},"page":"966-972","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":20,"title":["Fluid Restriction After Transsphenoidal Surgery for the Prevention of Delayed Hyponatremia: A Systematic Review and Meta-Analysis"],"prefix":"10.1016","volume":"27","author":[{"given":"Carlos","family":"Perez-Vega","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shashwat","family":"Tripathi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricardo A.","family":"Domingo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andres","family":"Ramos-Fresnedo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seung J.","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaisorn L.","family":"Chaichana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alfredo","family":"Quinones-Hinojosa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan L.","family":"Samson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"4","key":"10.1016\/j.eprac.2021.07.003_bib1","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1007\/s11102-008-0094-6","article-title":"Transsphenoidal surgery","volume":"11","author":"Joshi","year":"2008","journal-title":"Pituitary"},{"key":"10.1016\/j.eprac.2021.07.003_bib2","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1016\/j.wneu.2017.09.192","article-title":"Delayed complications after transsphenoidal surgery for pituitary adenomas","volume":"109","author":"Alzhrani","year":"2018","journal-title":"World Neurosurg"},{"issue":"1","key":"10.1016\/j.eprac.2021.07.003_bib3","first-page":"66","article-title":"Recognition and management of delayed hyponatremia following transsphenoidal pituitary surgery","volume":"106","author":"Zada","year":"2007","journal-title":"J\u00a0Neurosurg"},{"issue":"4","key":"10.1016\/j.eprac.2021.07.003_bib4","first-page":"1199","article-title":"Incidence, Etiology and outcomes of hyponatremia after transsphenoidal surgery: experience with 344 consecutive patients at a single tertiary center","volume":"3","author":"Barber","year":"2014","journal-title":"J\u00a0Clin Med"},{"issue":"6","key":"10.1016\/j.eprac.2021.07.003_bib5","first-page":"1478","article-title":"Factors predicting postoperative hyponatremia and efficacy of hyponatremia management strategies after more than 1000 pituitary operations","volume":"119","author":"Jahangiri","year":"2013","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.eprac.2021.07.003_bib6","doi-asserted-by":"crossref","first-page":"654","DOI":"10.1016\/j.wneu.2016.02.015","article-title":"Transient delayed hyponatremia after transsphenoidal surgery: attempting to enlighten the epidemiology and management of a still-obscure complication","volume":"90","author":"Zoli","year":"2016","journal-title":"World Neurosurg"},{"issue":"3","key":"10.1016\/j.eprac.2021.07.003_bib7","doi-asserted-by":"crossref","first-page":"309","DOI":"10.4158\/EP161616.OR","article-title":"Sodium and water imbalance after sellar, suprasellar, and parasellar surgery","volume":"23","author":"Kiran","year":"2017","journal-title":"Endocr Pract"},{"issue":"6","key":"10.1016\/j.eprac.2021.07.003_bib8","first-page":"1453","article-title":"Delayed postoperative hyponatremia after transsphenoidal surgery: prevalence and associated factors","volume":"119","author":"Hussain","year":"2013","journal-title":"J\u00a0Neurosurg"},{"issue":"4","key":"10.1016\/j.eprac.2021.07.003_bib9","first-page":"499","article-title":"Pathophysiology of hyponatremia after transsphenoidal pituitary surgery","volume":"87","author":"Olson","year":"1997","journal-title":"J\u00a0Neurosurg"},{"issue":"4","key":"10.1016\/j.eprac.2021.07.003_bib10","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1046\/j.1365-2265.1999.00666.x","article-title":"Prevalence, predictors and patterns of postoperative polyuria and hyponatraemia in the immediate course after transsphenoidal surgery for pituitary adenomas","volume":"50","author":"Hensen","year":"1999","journal-title":"Clin Endocrinol (Oxf)"},{"issue":"1","key":"10.1016\/j.eprac.2021.07.003_bib11","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1093\/neuros\/nyx151","article-title":"Implementation of a postoperative outpatient care pathway for delayed hyponatremia following transsphenoidal surgery","volume":"82","author":"Bohl","year":"2018","journal-title":"Neurosurgery"},{"issue":"8","key":"10.1016\/j.eprac.2021.07.003_bib12","doi-asserted-by":"crossref","first-page":"823","DOI":"10.1016\/j.amjmed.2016.03.007","article-title":"The economic burden of hyponatremia: systematic review and meta-analysis","volume":"129","author":"Corona","year":"2016","journal-title":"Am J Med"},{"issue":"3-4","key":"10.1016\/j.eprac.2021.07.003_bib13","doi-asserted-by":"crossref","first-page":"576","DOI":"10.1016\/j.wneu.2013.11.014","article-title":"Prospective trial of a short hospital stay protocol after endoscopic endonasal pituitary adenoma surgery","volume":"81","author":"Thomas","year":"2014","journal-title":"World Neurosurg"},{"issue":"4","key":"10.1016\/j.eprac.2021.07.003_bib14","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1093\/neuros\/nyz555","article-title":"An effective and practical fluid restriction protocol to decrease the risk of hyponatremia and readmissions after transsphenoidal surgery","volume":"87","author":"Winograd","year":"2020","journal-title":"Neurosurgery"},{"issue":"2","key":"10.1016\/j.eprac.2021.07.003_bib15","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1007\/s12020-018-1656-7","article-title":"Strategies to reduce readmissions for hyponatremia after pituitary surgery","volume":"62","author":"Deaver","year":"2018","journal-title":"Endocrine"},{"issue":"1","key":"10.1016\/j.eprac.2021.07.003_bib16","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1007\/s11102-017-0843-5","article-title":"A\u00a0practical method for prevention of readmission for symptomatic hyponatremia following transsphenoidal surgery","volume":"21","author":"Burke","year":"2018","journal-title":"Pituitary"},{"issue":"6","key":"10.1016\/j.eprac.2021.07.003_bib17","doi-asserted-by":"crossref","first-page":"711","DOI":"10.1530\/EJE-14-0530","article-title":"Early water intake restriction to prevent inappropriate antidiuretic hormone secretion following transsphenoidal surgery: low BMI predicts postoperative SIADH","volume":"171","author":"Matsuyama","year":"2014","journal-title":"Eur J Endocrinol"},{"issue":"1-2","key":"10.1016\/j.eprac.2021.07.003_bib18","first-page":"73","article-title":"A\u00a0novel method for managing water and electrolyte balance after transsphenoidal surgery: preliminary study of moderate water intake restriction","volume":"76","author":"Takeuchi","year":"2014","journal-title":"Nagoya J Med Sci"},{"issue":"7","key":"10.1016\/j.eprac.2021.07.003_bib19","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1000097","article-title":"Preferred Reporting Items for Systematic Reviews and Meta-analyses: the PRISMA statement","volume":"216","author":"Moher","year":"2009","journal-title":"PLoS Med"},{"key":"10.1016\/j.eprac.2021.07.003_bib20","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1186\/1471-2288-5-13","article-title":"Estimating the mean and variance from\u00a0the\u00a0median, range, and the size of a sample","volume":"5","author":"Hozo","year":"2005","journal-title":"BMC Med Res Methodol"},{"key":"10.1016\/j.eprac.2021.07.003_bib21","volume":"4","author":"Higgins","year":"2011"},{"key":"10.1016\/j.eprac.2021.07.003_bib22","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1186\/1471-2288-14-135","article-title":"Estimating the sample mean and standard deviation from the sample size, median, range and\/or interquartile range","volume":"14","author":"Wan","year":"2014","journal-title":"BMC Med Res Methodol"},{"issue":"7454","key":"10.1016\/j.eprac.2021.07.003_bib23","doi-asserted-by":"crossref","first-page":"1490","DOI":"10.1136\/bmj.328.7454.1490","article-title":"Grading quality of evidence and strength of recommendations","volume":"328","author":"Atkins","year":"2004","journal-title":"BMJ"},{"issue":"2","key":"10.1016\/j.eprac.2021.07.003_bib24","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1111\/j.0006-341X.2000.00455.x","article-title":"Trim and fill: a simple funnel-plot-based method of testing and adjusting for publication bias in meta-analysis","volume":"56","author":"Duval","year":"2000","journal-title":"Biometrics"},{"issue":"1","key":"10.1016\/j.eprac.2021.07.003_bib25","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1227\/NEU.0000000000001003","article-title":"Delayed hyponatremia is the most common cause of 30-day unplanned readmission after transsphenoidal surgery for pituitary tumors","volume":"78","author":"Bohl","year":"2016","journal-title":"Neurosurgery"},{"issue":"2","key":"10.1016\/j.eprac.2021.07.003_bib26","first-page":"363","article-title":"Delayed hyponatremia after transsphenoidal surgery for pituitary adenoma. Report of nine cases","volume":"83","author":"Kelly","year":"1995","journal-title":"J\u00a0Neurosurg"},{"issue":"5","key":"10.1016\/j.eprac.2021.07.003_bib27","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1507\/endocrj.K10E-352","article-title":"Post-operative hyponatremia in patients with pituitary adenoma: post-operative management with a uniform treatment protocol","volume":"58","author":"Kinoshita","year":"2011","journal-title":"Endocr J"},{"issue":"11","key":"10.1016\/j.eprac.2021.07.003_bib28","doi-asserted-by":"crossref","first-page":"489","DOI":"10.2176\/nmc.48.489","article-title":"Delayed hyponatremia following transsphenoidal surgery for pituitary adenoma","volume":"48","author":"Lee","year":"2008","journal-title":"Neurol Med Chir (Tokyo)"},{"issue":"5","key":"10.1016\/j.eprac.2021.07.003_bib29","first-page":"1395","article-title":"Hyponatremia after transsphenoidal surgery for pituitary tumors","volume":"79","author":"Sane","year":"1994","journal-title":"J\u00a0Clin Endocrinol Metab"},{"issue":"5","key":"10.1016\/j.eprac.2021.07.003_bib30","doi-asserted-by":"crossref","first-page":"E8","DOI":"10.3171\/2018.8.FOCUS18268","article-title":"A\u00a0machine learning approach to predict early outcomes after pituitary adenoma surgery","volume":"45","author":"Hollon","year":"2018","journal-title":"Neurosurg Focus"},{"key":"10.1016\/j.eprac.2021.07.003_bib31","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/j.clineuro.2019.05.007","article-title":"Prediction of post-operative delayed hyponatremia after endoscopic transsphenoidal surgery","volume":"182","author":"Patel","year":"2019","journal-title":"Clin Neurol Neurosurg"},{"issue":"2","key":"10.1016\/j.eprac.2021.07.003_bib32","doi-asserted-by":"crossref","first-page":"340","DOI":"10.4103\/0028-3886.280637","article-title":"Delayed hyponatremia following surgery for pituitary adenomas: an under-recognized complication","volume":"68","author":"Rajaratnam","year":"2020","journal-title":"Neurol India"},{"issue":"4","key":"10.1016\/j.eprac.2021.07.003_bib33","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1007\/s00701-019-03818-3","article-title":"Delayed postoperative hyponatremia after endoscopic transsphenoidal surgery for pituitary adenoma","volume":"161","author":"Tomita","year":"2019","journal-title":"Acta Neurochir (Wien)"},{"key":"10.1016\/j.eprac.2021.07.003_bib34","doi-asserted-by":"crossref","first-page":"e1457","DOI":"10.1016\/j.wneu.2018.11.085","article-title":"Predictive factors for delayed hyponatremia after endoscopic transsphenoidal surgery in patients with nonfunctioning pituitary tumors: a retrospective observational study","volume":"122","author":"Yoon","year":"2019","journal-title":"World Neurosurg"}],"container-title":["Endocrine Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1530891X21011216?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1530891X21011216?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T22:10:50Z","timestamp":1761516650000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1530891X21011216"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9]]},"references-count":34,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2021,9]]}},"alternative-id":["S1530891X21011216"],"URL":"https:\/\/doi.org\/10.1016\/j.eprac.2021.07.003","relation":{},"ISSN":["1530-891X"],"issn-type":[{"value":"1530-891X","type":"print"}],"subject":[],"published":{"date-parts":[[2021,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Fluid Restriction After Transsphenoidal Surgery for the Prevention of Delayed Hyponatremia: A Systematic Review and Meta-Analysis","name":"articletitle","label":"Article Title"},{"value":"Endocrine Practice","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.eprac.2021.07.003","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 AACE. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}