Evidence map›Paper›PMID 24316680›Full record

ArticleEnvironmental health perspectives2014

Anogenital distance and penile length in infants with hypospadias or cryptorchidism: comparison with normative data.

Ajay Thankamony, Ngee Lek, Dan Carroll, Martyn Williams, David B Dunger, Carlo L Acerini, Ken K Ong, Ieuan A Hughes

Open access · diamondAbstract readComparative Study
In one paragraph

Article in Environmental health perspectives, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 2 pooled it
11.2field-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

59 citing papers in PubMed, 2 syntheses or guidelines pooled it, 142 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Reference values for Japanese fetal penile length.Journal of medical ultrasonics (2001) · 2026
    Article
  4. Anogenital distance in patients with Klinefelter syndrome.Clinical and experimental reproductive medicine · 2026
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  20. Patients with disorders of sex development.Annals of pediatric endocrinology & metabolism · 2021
    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

8 authors at 2 institutions in 1 country.

Ajay ThankamonyDepartment of Paediatrics, University of Cambridge, Addenbrooke's Hospital, Cambridge, United Kingdom.
Ngee Lek
Dan Carroll
Martyn Williams
David B Dunger
Carlo L Acerini
Ken K Ong
Ieuan A Hughes
University of Cambridge · GBCambridge University Hospitals NHS Foundation Trust · GB

Funding

Medical Research Council G0600717Medical Research Council MC_U106179472Medical Research Council MC_UU_12015/2
6 · The paper itself

Abstract

backgroundAnogenital distance (AGD) in animals is a sensitive biomarker of fetal endocrine disruption and the associated testicular dysgenesis syndrome (TDS). However, AGD in human infants with cryptorchidism and hypospadias, which are potential manifestations of TDS during childhood, is not clearly described.

objectiveOur aim was to compare AGD in boys with cryptorchidism or hypospadias against normative data.

methodsBoys with isolated cryptorchidism (n = 71, age 13.4 ± 5.8 months) or hypospadias (n = 81, age 11.4 ± 6.2 months) were recruited from a tertiary center for measurement of AGD and penile length; they were compared with 487 healthy full-term boys from a birth cohort by deriving age-specific standard deviation scores (SDS).

resultsBoys with cryptorchidism were older (p = 0.048) compared with boys with hypospadias. Boys with hypospadias had shorter mean AGD and penile length SDS than healthy boys (both p < 0.0001). Mean AGD and penile length SDS values in boys with cryptorchidism were longer than mean values in boys with hypospadias (both p < 0.01) and shorter than mean values in healthy boys (both p < 0.0001). Mean penile length SDS decreased as the severity of hypospadias increased (ptrend = 0.078).

conclusionsIn the study population, AGD and penile length were reduced in boys with hypospadias or cryptorchidism relative to normative data derived from a longitudinal birth cohort. The findings support the use of AGD as a quantitative biomarker to examine the prenatal effects of exposure to endocrine disruptors on the development of the male reproductive tract.

Indexed as

Body Weights and MeasuresCryptorchidismHumansHypospadiasInfantMalePenisPerineum

Identifiers

PMID24316680
PMCPMC3915266
OpenAlexW2154138663

What OpenQuestion holds

Textmetadata
LicenceCC0
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.