Evidence map›Paper›PMID 22678668›Full record

ReviewBirth defects research. Part A, Clinical and molecular teratology2012

Environmental and genetic contributors to hypospadias: a review of the epidemiologic evidence.

Suzan L Carmichael, Gary M Shaw, Edward J Lammer

Open access · greenAbstract readReview
In one paragraph

Review in Birth defects research. Part A, Clinical and molecular teratology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 1 pooled it
9.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 1 synthesis or guideline pooled it, 116 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Genetic variants (LhcgrBiology of sex differences · 2025
    Article
  5. Article
  6. Association ofGenetics research · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Frontiers in pediatrics · 2022
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Suzan L CarmichaelDepartment of Pediatrics, Division of Neonatology, Stanford University School of Medicine, California, USA. scarmichael@stanford.edu
Gary M Shaw
Edward J Lammer
Stanford University · US

Funding

California Center of the NBDPS - Finding Causes and Preventives of Birth DefectsU01DD000489 · DD · STANFORD UNIVERSITY · PI SHAW, GARY C. · 2009 to 2013
$4.3M
Genes, environmental exposures, and hypospadiasR01ES017060 · NIEHS · STANFORD UNIVERSITY · PI CARMICHAEL, SUZAN L · 2008 to 2012
$1.7M
NCBDD CDC HHS 6U01DD000489NCBDD CDC HHS U01 DD000489NIEHS NIH HHS R01 ES017060NIEHS NIH HHS R01ES017060
6 · The paper itself

Abstract

This review evaluates current knowledge related to trends in the prevalence of hypospadias, the association of hypospadias with endocrine-disrupting exposures, and the potential contribution of genetic susceptibility to its etiology. The review focuses on epidemiologic evidence. Increasing prevalence of hypospadias has been observed, but such increases tend to be localized to specific regions or time periods. Thus, generalized statements that hypospadias is increasing are unsupported. Owing to the limitations of study designs and inconsistent results, firm conclusions cannot be made regarding the association of endocrine-disrupting exposures with hypospadias. Studies with more rigorous study designs (e.g., larger and more detailed phenotypes) and exposure assessment that encompasses more breadth and depth (e.g., specific endocrine-related chemicals) will be critical to make better inferences about these important environmental exposures. Many candidate genes for hypospadias have been identified, but few of them have been examined to an extent that enables solid conclusions. Further study is needed that includes larger sample sizes, comparison groups that are more representative of the populations from which the cases were derived, phenotype-specific analyses, and more extensive exploration of variants. In conclusion, examining the associations of environmental and genetic factors with hypospadias remain important areas of inquiry, although our actual understanding of their contribution to hypospadias risk in humans is currently limited.

Indexed as

3-Oxo-5-alpha-Steroid 4-DehydrogenaseEndocrine DisruptorsEnvironmental ExposureEnvironmental PollutantsGene-Environment InteractionGenetic Predisposition to DiseaseHumansHypospadiasMaleMembrane ProteinsPhenotypePrevalenceRisk Factors3-Oxo-5-alpha-Steroid 4-DehydrogenaseEndocrine DisruptorsEnvironmental PollutantsMembrane ProteinsSRD5A1 protein, humanSRD5A2 protein, human

Identifiers

PMID22678668
PMCPMC3393839
OpenAlexW2045693132

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.