Evidence map›Paper›PMID 28188242›Full record

ReviewEuropean journal of endocrinology2017

Steroid hormone analysis in diagnosis and treatment of DSD: position paper of EU COST Action BM 1303 'DSDnet'.

A Kulle, N Krone, P M Holterhus, G Schuler, R F Greaves, A Juul, Y B de Rijke, M F Hartmann, A Saba, O Hiort and 2 more

Abstract readReviewConsensus Statement
In one paragraph

Review in European journal of endocrinology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Review
  4. Differences of sex development.Nature reviews. Disease primers · 2025
    Review
  5. Article
  6. Review
  7. Contexts of care for people with differences of sex development: Diversity is still missing in the laboratory routine.Medizinische Genetik : Mitteilungsblatt des Berufsverbandes Medizinische Genetik e.V · 2023
    Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Patients with disorders of sex development.Annals of pediatric endocrinology & metabolism · 2021
    Article
  20. Approach to the Virilizing Girl at Puberty.The Journal of clinical endocrinology and metabolism · 2021
    Review
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

12 authors.

A KulleDivision of Pediatric Endocrinology and DiabetesDepartment of Pediatrics, Christian-Albrechts-University, Kiel, Germany.
N KroneAcademic Unit of Child HealthDepartment of Oncology and Metabolism, University of Sheffield, Sheffield, UK.
P M HolterhusDivision of Pediatric Endocrinology and DiabetesDepartment of Pediatrics, Christian-Albrechts-University, Kiel, Germany.
G SchulerVeterinary Clinic for ObstetricsGynecology and Andrology of Large and Small Animals, Justus-Liebig-University, Giessen, Germany.
R F GreavesSchool of Health and Biomedical SciencesRMIT University, Victoria, Australia.
A JuulDepartment of Growth and ReproductionRigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Y B de RijkeDepartment of Clinical ChemistryErasmus Medical Center, Rotterdam, Netherlands.
M F HartmannSteroid Research & Mass Spectrometry UnitLaboratory for Translational Hormone Analytics, Division of Pediatric Endocrinology and Diabetology, Center of Child and Adolescent Medicine, Justus-Liebig-University, Giessen, Germany.
A SabaDepartment of SurgicalMedical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy.
O HiortPediatric Endocrinology and DiabetologyChildren's Hospital, University of Luebeck, Luebeck, Germany.
S A WudySteroid Research & Mass Spectrometry UnitLaboratory for Translational Hormone Analytics, Division of Pediatric Endocrinology and Diabetology, Center of Child and Adolescent Medicine, Justus-Liebig-University, Giessen, Germany.
EU COST Action

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Disorders or differences in sex development (DSD) comprise a heterogeneous group of conditions with an atypical sex development. For optimal diagnosis, highly specialised laboratory analyses are required across European countries. Working group 3 of EU COST (European Cooperation in Science and Technology) Action BM 1303 'DSDnet' 'Harmonisation of Laboratory Assessment' has developed recommendations on laboratory assessment for DSD regarding the use of technologies and analytes to be investigated. This position paper on steroid hormone analysis in diagnosis and treatment of DSD was compiled by a group of specialists in DSD and/or hormonal analysis, either from participating European countries or international partner countries. The topics discussed comprised analytical methods (immunoassay/mass spectrometry-based methods), matrices (urine/serum/saliva) and harmonisation of laboratory tests. The following positions were agreed upon: support of the appropriate use of immunoassay- and mass spectrometry-based methods for diagnosis and monitoring of DSD. Serum/plasma and urine are established matrices for analysis. Laboratories performing analyses for DSD need to operate within a quality framework and actively engage in harmonisation processes so that results and their interpretation are the same irrespective of the laboratory they are performed in. Participation in activities of peer comparison such as sample exchange or when available subscribing to a relevant external quality assurance program should be achieved. The ultimate aim of the guidelines is the implementation of clinical standards for diagnosis and appropriate treatment of DSD to achieve the best outcome for patients, no matter where patients are investigated or managed.

Indexed as

46, XX Disorders of Sex Development46, XX Testicular Disorders of Sex DevelopmentDisorders of Sex DevelopmentEuropeFemaleHormonesHumansMaleSteroidsHormonesSteroids

Identifiers

PMID28188242
PMCPMC5425933

What OpenQuestion holds

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Registered trials

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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.