{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T09:10:57Z","timestamp":1793524257538,"version":"4.5.0"},"reference-count":38,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jocn-journal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Neuroscience"],"published-print":{"date-parts":[[2026,7]]},"DOI":"10.1016\/j.jocn.2026.111990","type":"journal-article","created":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T01:15:40Z","timestamp":1774055740000},"page":"111990","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["Long-term trajectories of cognitive function, fatigue, and quality of life in patients after pituitary adenoma surgery: A retrospective study"],"prefix":"10.1016","volume":"149","author":[{"given":"Xiang","family":"Yue","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong","family":"He","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peng","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"4","key":"10.1016\/j.jocn.2026.111990_b0005","doi-asserted-by":"crossref","first-page":"R55","DOI":"10.1093\/ejendo\/lvae120","article-title":"Diagnosis and management of pituitary adenomas in children and adolescents","volume":"191","author":"Maiter","year":"2024","journal-title":"Eur J Endocrinol"},{"issue":"2","key":"10.1016\/j.jocn.2026.111990_b0010","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1007\/s11102-018-0869-3","article-title":"Epidemiology, clinical presentation and diagnosis of non-functioning pituitary adenomas","volume":"21","author":"Ntali","year":"2018","journal-title":"Pituitary"},{"issue":"16","key":"10.1016\/j.jocn.2026.111990_b0015","doi-asserted-by":"crossref","first-page":"1386","DOI":"10.1001\/jama.2023.5444","article-title":"Diagnosis and management of pituitary adenomas: a review","volume":"329","author":"Tritos","year":"2023","journal-title":"J Am Med Assoc"},{"issue":"4","key":"10.1016\/j.jocn.2026.111990_b0020","doi-asserted-by":"crossref","first-page":"1065","DOI":"10.1007\/s10143-019-01134-z","article-title":"Pituitary adenomas and neuropsychological status: a systematic literature review","volume":"43","author":"Pertichetti","year":"2020","journal-title":"Neurosurg Rev"},{"issue":"5","key":"10.1016\/j.jocn.2026.111990_b0025","doi-asserted-by":"crossref","first-page":"5729","DOI":"10.21037\/apm-21-782","article-title":"The effects of cognitive bias modification for attention and interpretation on the postoperative psychological resilience and quality of life of patients with pituitary adenoma: a randomized trial","volume":"10","author":"Zhang","year":"2021","journal-title":"Ann Palliat Med"},{"issue":"5","key":"10.1016\/j.jocn.2026.111990_b0030","doi-asserted-by":"crossref","first-page":"775","DOI":"10.1111\/j.1365-2265.2008.03288.x","article-title":"Disease-specific impairments in quality of life during long-term follow-up of patients with different pituitary adenomas","volume":"69","author":"van der Klaauw","year":"2008","journal-title":"Clin Endocrinol"},{"key":"10.1016\/j.jocn.2026.111990_b0035","doi-asserted-by":"crossref","unstructured":"Krabbe D, Abzhandadze T, Skoglund T, et al. Cognitive function and fatigue before and after transsphenoidal surgery in patients with pituitary adenoma: a prospective study.Pituitary. 2025;28(3):54. Published 2025 May 6. doi:10.1007\/s11102-025-01527-y.","DOI":"10.1007\/s11102-025-01527-y"},{"issue":"3","key":"10.1016\/j.jocn.2026.111990_b0040","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1111\/cen.12550","article-title":"Normal long-term health-related quality of life can be achieved in patients with functional pituitary adenomas having surgery as primary treatment","volume":"82","author":"Ritvonen","year":"2015","journal-title":"Clin Endocrinol"},{"key":"10.1016\/j.jocn.2026.111990_b0045","doi-asserted-by":"crossref","DOI":"10.3389\/fendo.2025.1534635","article-title":"The impact of pituitary adenomas on cognitive performance: a systematic review","volume":"16","author":"Young","year":"2025","journal-title":"Front Endocrinol (Lausanne)"},{"issue":"1","key":"10.1016\/j.jocn.2026.111990_b0050","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1007\/s12022-022-09708-2","article-title":"Overview of the 2022 WHO Classification of Neuroendocrine Neoplasms","volume":"33","author":"Rindi","year":"2022","journal-title":"Endocr Pathol"},{"key":"10.1016\/j.jocn.2026.111990_b0055","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed, text rev. American Psychiatric Association Publishing; 2022.","DOI":"10.1176\/appi.books.9780890425787"},{"issue":"18","key":"10.1016\/j.jocn.2026.111990_b0060","first-page":"e895","article-title":"2022 AHA\/ACC\/HFSA guideline for the management of heart failure: a report of the american college of cardiology\/American heart association joint committee on clinical practice guidelines","volume":"145","author":"Heidenreich","year":"2022","journal-title":"Circulation"},{"issue":"5","key":"10.1016\/j.jocn.2026.111990_b0065","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1016\/0021-9681(87)90171-8","article-title":"A new method of classifying prognostic comorbidity in longitudinal studies: development and validation","volume":"40","author":"Charlson","year":"1987","journal-title":"J Chronic Dis"},{"issue":"4","key":"10.1016\/j.jocn.2026.111990_b0070","first-page":"610","article-title":"Pituitary adenomas with invasion of the cavernous sinus space: a magnetic resonance imaging classification compared with surgical findings","volume":"33","author":"Knosp","year":"1993","journal-title":"Neurosurgery"},{"issue":"12","key":"10.1016\/j.jocn.2026.111990_b0075","doi-asserted-by":"crossref","first-page":"847","DOI":"10.1016\/S2213-8587(21)00235-7","article-title":"Consensus on diagnosis and management of Cushing's disease: a guideline update","volume":"9","author":"Fleseriu","year":"2021","journal-title":"Lancet Diabetes Endocrinol"},{"issue":"6","key":"10.1016\/j.jocn.2026.111990_b0080","first-page":"797","article-title":"A Pituitary Society updated consensus statement: management of acromegaly","volume":"24","author":"Fleseriu","year":"2021","journal-title":"Pituitary"},{"issue":"2","key":"10.1016\/j.jocn.2026.111990_b0085","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1210\/jc.2010-1692","article-title":"Diagnosis and treatment of hyperprolactinemia: an Endocrine Society clinical practice guideline","volume":"96","author":"Melmed","year":"2011","journal-title":"J Clin Endocrinol Metab"},{"issue":"4","key":"10.1016\/j.jocn.2026.111990_b0090","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1111\/j.1532-5415.2005.53221.x","article-title":"The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment","volume":"53","author":"Nasreddine","year":"2005","journal-title":"J Am Geriatr Soc"},{"issue":"10","key":"10.1016\/j.jocn.2026.111990_b0095","doi-asserted-by":"crossref","first-page":"1121","DOI":"10.1001\/archneur.1989.00520460115022","article-title":"The fatigue severity scale. Application to patients with multiple sclerosis and systemic lupus erythematosus","volume":"46","author":"Krupp","year":"1989","journal-title":"Arch Neurol"},{"issue":"6","key":"10.1016\/j.jocn.2026.111990_b0100","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1097\/00005650-199206000-00002","article-title":"The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection","volume":"30","author":"Ware","year":"1992","journal-title":"Med Care"},{"issue":"4","key":"10.1016\/j.jocn.2026.111990_b0105","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1136\/jech.57.4.259","article-title":"Chinese SF-36 Health Survey: translation, culture adaptation, validation, and normalisation","volume":"57","author":"Li","year":"2003","journal-title":"J Epidemiol Community Health"},{"issue":"2","key":"10.1016\/j.jocn.2026.111990_b0110","doi-asserted-by":"crossref","first-page":"1","DOI":"10.18637\/jss.v078.i02","article-title":"Estimation of extended mixed models using latent classes and latent processes: the R package lcmm","volume":"78","author":"Proust-Lima","year":"2017","journal-title":"J Stat Softw"},{"key":"10.1016\/j.jocn.2026.111990_b0115","doi-asserted-by":"crossref","unstructured":"Chen Y, Feng T, Fan D, et al. Validation and modification of the PANOMEN 3 classification for predicting long-term recurrence\/progression and quality of life in patients with pituitary adenomas: a multicentre retrospective cohort study.Pituitary. 2025;29(1):10. Published 2025 Dec 9. doi:10.1007\/s11102-025-01613-1.","DOI":"10.1007\/s11102-025-01613-1"},{"key":"10.1016\/j.jocn.2026.111990_b0120","doi-asserted-by":"crossref","unstructured":"Shen X, Jin M, Wang Y, et al. Fatigue trajectory and its associated factors in patients after pituitary adenoma surgery: a longitudinal study.Support Care Cancer. 2025;33(8):702. Published 2025 Jul 19. doi:10.1007\/s00520-025-09745-7.","DOI":"10.1007\/s00520-025-09745-7"},{"key":"10.1016\/j.jocn.2026.111990_b0125","doi-asserted-by":"crossref","unstructured":"Pei J, Hu M, Lu Q, et al. Identifying the subgroups of depression trajectories among the middle-aged and older Chinese individuals with chronic diseases: an 8-year follow-up study based on CHARLS.Front Public Health. 2024;12:1428384. Published 2024 Sep 11. doi:10.3389\/fpubh.2024.1428384.","DOI":"10.3389\/fpubh.2024.1428384"},{"issue":"4","key":"10.1016\/j.jocn.2026.111990_b0130","doi-asserted-by":"crossref","first-page":"1667","DOI":"10.3233\/JAD-210305","article-title":"Classification, prediction, and concordance of cognitive and functional progression in patients with mild cognitive impairment in the united states: a latent class analysis","volume":"82","author":"Mouchet","year":"2021","journal-title":"J Alzheimers Dis"},{"issue":"21","key":"10.1016\/j.jocn.2026.111990_b0135","doi-asserted-by":"crossref","first-page":"6371","DOI":"10.3390\/jcm13216371","article-title":"Long-term quality of life among patients undergoing endoscopic pituitary gland surgery","volume":"13","author":"Neiderman","year":"2024","journal-title":"J Clin Med"},{"issue":"5","key":"10.1016\/j.jocn.2026.111990_b0140","first-page":"764","article-title":"A patient-reported outcome measure for patients with pituitary adenoma undergoing transsphenoidal surgery","volume":"25","author":"Karvandi","year":"2022","journal-title":"Pituitary"},{"key":"10.1016\/j.jocn.2026.111990_b0145","doi-asserted-by":"crossref","DOI":"10.3389\/fnins.2021.604103","article-title":"Effects of long-term endogenous corticosteroid exposure on brain volume and glial cells in the AdKO mouse","volume":"15","author":"Amaya","year":"2021","journal-title":"Front Neurosci"},{"key":"10.1016\/j.jocn.2026.111990_b0150","doi-asserted-by":"crossref","unstructured":"Milano W, Ambrosio P, Carizzone F, et al. Depression and Obesity: Analysis of Common Biomarkers.Diseases. 2020;8(2):23. Published 2020 Jun 14. doi:10.3390\/diseases8020023.","DOI":"10.3390\/diseases8020023"},{"key":"10.1016\/j.jocn.2026.111990_b0155","doi-asserted-by":"crossref","unstructured":"Findling JW, Raff H. Recognition of Nonneoplastic Hypercortisolism in the Evaluation of Patients With Cushing Syndrome.J Endocr Soc. 2023;7(8):bvad087. Published 2023 Jun 23. doi:10.1210\/jendso\/bvad087.","DOI":"10.1210\/jendso\/bvad087"},{"issue":"11","key":"10.1016\/j.jocn.2026.111990_b0160","doi-asserted-by":"crossref","first-page":"1447","DOI":"10.1093\/neuonc\/noz118","article-title":"Symptom clusters in newly diagnosed glioma patients: which symptom clusters are independently associated with functioning and global health status?","volume":"21","author":"Coomans","year":"2019","journal-title":"Neuro Oncol"},{"issue":"2","key":"10.1016\/j.jocn.2026.111990_b0165","doi-asserted-by":"crossref","first-page":"718","DOI":"10.1007\/s12020-024-04051-4","article-title":"Symptom clusters of patients with advanced thyroid cancer: a cross-sectional study","volume":"87","author":"Cai","year":"2025","journal-title":"Endocrine"},{"key":"10.1016\/j.jocn.2026.111990_b0170","doi-asserted-by":"crossref","DOI":"10.1016\/j.ejon.2025.102801","article-title":"Exploration of symptom cluster patterns and their trajectory in esophageal cancer surgery patients","volume":"74","author":"Zhu","year":"2025","journal-title":"Eur J Oncol Nurs"},{"issue":"2","key":"10.1016\/j.jocn.2026.111990_b0175","doi-asserted-by":"crossref","first-page":"78","DOI":"10.33546\/bnj.1359","article-title":"A Proposed theory of symptom cluster management","volume":"7","author":"Tabudlo","year":"2021","journal-title":"Belitung Nurs J"},{"issue":"4","key":"10.1016\/j.jocn.2026.111990_b0180","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1210\/endrev\/bnaf008","article-title":"The oxytocin system and implications for oxytocin deficiency in hypothalamic-pituitary disease","volume":"46","author":"Aulinas","year":"2025","journal-title":"Endocr Rev"},{"issue":"5","key":"10.1016\/j.jocn.2026.111990_b0185","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1007\/s11102-020-01046-y","article-title":"Motivation for and adherence to growth hormone replacement therapy in adults with hypopituitarism: the patients' perspective","volume":"23","author":"Kreitschmann-Andermahr","year":"2020","journal-title":"Pituitary"},{"issue":"6","key":"10.1016\/j.jocn.2026.111990_b0190","doi-asserted-by":"crossref","first-page":"753","DOI":"10.1530\/EJE-14-1069","article-title":"Patient reported outcome in posttraumatic pituitary deficiency: results from the danish National Study on posttraumatic hypopituitarism","volume":"172","author":"Klose","year":"2015","journal-title":"Eur J Endocrinol"}],"container-title":["Journal of Clinical Neuroscience"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0967586826001414?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0967586826001414?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T11:49:31Z","timestamp":1776685771000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0967586826001414"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":38,"alternative-id":["S0967586826001414"],"URL":"https:\/\/doi.org\/10.1016\/j.jocn.2026.111990","relation":{},"ISSN":["0967-5868"],"issn-type":[{"value":"0967-5868","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Long-term trajectories of cognitive function, fatigue, and quality of life in patients after pituitary adenoma surgery: A retrospective study","name":"articletitle","label":"Article Title"},{"value":"Journal of Clinical Neuroscience","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jocn.2026.111990","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Ltd. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"111990"}}