Evidence map›Paper›PMID 26604070›Full record

ArticleFertility and sterility2016

Subfertility increases risk of testicular cancer: evidence from population-based semen samples.

Heidi A Hanson, Ross E Anderson, Kenneth I Aston, Douglas T Carrell, Ken R Smith, James M Hotaling

Abstract read
In one paragraph

Article in Fertility and sterility, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 5 pooled it
–field-weighted citation impact
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

54 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Article
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  13. Article
  14. Male Fertility as a Proxy for Health.Journal of clinical medicine · 2024
    Review
  15. Article
  16. Interplay between male gonadal function and overall male health.Journal of basic and clinical physiology and pharmacology · 2024
    Review
  17. Article
  18. Article
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  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Heidi A HansonDepartment of Family and Preventive Medicine, University of Utah, Salt Lake City, Utah; Population Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah. Electronic address: heidi.hanson@hci.utah.edu.
Ross E AndersonDivision of Urology, Department of Surgery, University of Utah, Salt Lake City, Utah.
Kenneth I AstonDivision of Urology, Department of Surgery, University of Utah, Salt Lake City, Utah; Center for Men's Health and Reconstructive Surgery, University of Utah, Salt Lake City, Utah; Department of Human Genetics, University of Utah School of Medicine, Salt Lake City, Utah.
Douglas T CarrellDivision of Urology, Department of Surgery, University of Utah, Salt Lake City, Utah; Center for Men's Health and Reconstructive Surgery, University of Utah, Salt Lake City, Utah; Department of Human Genetics, University of Utah School of Medicine, Salt Lake City, Utah.
Ken R SmithPopulation Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah; Department of Family and Consumer Studies and Population Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah.
James M HotalingCenter for Men's Health and Reconstructive Surgery, University of Utah, Salt Lake City, Utah.

Funding

UTAH REGIONAL CANCER CENTERP30CA042014 · NCI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI KATHARINE S ULLMAN · 1986 to 2026
$72.6M
The Utah Study of Fertility, Longevity and AgingR01AG022095 · NIA · UNIVERSITY OF UTAH · PI SMITH, KEN R · 2003 to 2015
$9.4M
Modeling Disability Trajectories In Rapidly Aging PopulationsR21AG036938 · NIA · UNIVERSITY OF UTAH · PI ZIMMER, ZACHARY · 2010 to 2011
$375k
NCI NIH HHS P30 CA042014NCI NIH HHS P30 CA42014NIA NIH HHS 1R21 AG036938-01NIA NIH HHS 2R01 AG022095NIA NIH HHS R01 AG022095NIA NIH HHS R21 AG036938
6 · The paper itself

Abstract

objectiveTo further understand the association between semen quality and cancer risk by means of well defined semen parameters.

designRetrospective cohort study.

settingNot applicable. PATIENT(S): A total of 20,433 men who underwent semen analysis (SA) and a sample of 20,433 fertile control subjects matched by age and birth year. INTERVENTION(S): None. MAIN OUTCOME MEASURE(S): Risk of all cancers as well as site-specific results for prostate cancer, testicular cancer, and melanoma. RESULT(S): Compared with fertile men, men with SA had an increased risk of testicular cancer (hazard rate [HR] 3.3). When the characterization of infertility was refined using individual semen parameters, we found that oligozoospermic men had an increased risk of cancer compared with fertile control subjects. This association was particularly strong for testicular cancer, with increased risk in men with oligozoospermia based on concentration (HR 11.9) and on sperm count (HR 10.3). Men in the in the lowest quartile of motility (HR 4.1), viability (HR 6.6), morphology (HR 4.2), or total motile count (HR 6.9) had higher risk of testicular cancer compared with fertile men. Men with sperm concentration and count in the 90th percentiles of the distribution (≥178 and ≥579 × 10(6)/mL, respectively), as well as total motile count, had an increased risk of melanoma (HRs 2.1, 2.7, and 2.0, respectively). We found no differences in cancer risk between azoospermic and fertile men. CONCLUSION(S): Men with SA had an increased risk of testicular cancer which varied by semen quality. Unlike earlier work, we did not find an association between azoospermia and increased cancer risk.

Indexed as

FertilitySemen AnalysisAdolescentAdultAgedHumansInfertility, MaleMaleMiddle AgedPredictive Value of TestsRetrospective StudiesRisk AssessmentRisk FactorsSperm CountSperm MotilityTesticular NeoplasmscancerinfertilitySemen qualitytesticular cancer

Identifiers

PMID26604070
PMCPMC4744156

What OpenQuestion holds

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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.