Evidence map›Paper›PMID 28727831›Full record

SynthesisPloS one2017

Follicle Stimulating Hormone is an accurate predictor of azoospermia in childhood cancer survivors.

Thomas W Kelsey, Lauren McConville, Angela B Edgar, Alex I Ungurianu, Rod T Mitchell, Richard A Anderson, W Hamish B Wallace

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
3.2field-weighted citation impact, top 8% 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

23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 36 citations in OpenAlex.

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  17. Fertility-related worry among emerging adult cancer survivors.Journal of assisted reproduction and genetics · 2022
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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

7 authors at 4 institutions in 1 country.

Thomas W KelseySchool of Computer Science, University of St. Andrews, St. Andrews, United Kingdom.ORCID http://orcid.org/0000-0002-8091-1458
Lauren McConvilleSchool of Medicine, University of Edinburgh, Edinburgh, United Kingdom.
Angela B EdgarDepartment of Haematology/Oncology, Royal Hospital for Sick Children, Edinburgh, United Kingdom.
Alex I UngurianuSchool of Computer Science, University of St. Andrews, St. Andrews, United Kingdom.
Rod T MitchellMRC Centre for Reproductive Health, University of Edinburgh, Edinburgh, United Kingdom.
Richard A AndersonMRC Centre for Reproductive Health, University of Edinburgh, Edinburgh, United Kingdom.
W Hamish B WallaceDepartment of Haematology/Oncology, Royal Hospital for Sick Children, Edinburgh, United Kingdom.
MRC Centre for Reproductive Health · GBRoyal Hospital for Children · GBUniversity of St Andrews · GBUniversity of Edinburgh · GB

Funding

Medical Research Council G1100357Wellcome Trust 098522
6 · The paper itself

Abstract

The accuracy of Follicle Stimulating Hormone as a predictor of azoospermia in adult survivors of childhood cancer is unclear, with conflicting results in the published literature. A systematic review and post hoc analysis of combined data (n = 367) were performed on all published studies containing extractable data on both serum Follicle Stimulating Hormone concentration and semen concentration in survivors of childhood cancer. PubMed and Medline databases were searched up to March 2017 by two blind investigators. Articles were included if they contained both serum FSH concentration and semen concentration, used World Health Organisation certified methods for semen analysis, and the study participants were all childhood cancer survivors. There was no evidence for either publication bias or heterogeneity for the five studies. For the combined data (n = 367) the optimal Follicle Stimulating Hormone threshold was 10.4 IU/L with specificity 81% (95% CI 76%-86%) and sensitivity 83% (95% CI 76%-89%). The AUC was 0.89 (95%CI 0.86-0.93). A range of threshold FSH values for the diagnosis of azoospermia with their associated sensitivities and specificities were calculated. This study provides strong supporting evidence for the use of serum Follicle Stimulating Hormone as a surrogate biomarker for azoospermia in adult males who have been treated for childhood cancer.

Indexed as

NeoplasmsAdultAdult Survivors of Child Adverse EventsAzoospermiaBiomarkersChildFollicle Stimulating HormoneHumansMalePrognosisSemenBiomarkersFollicle Stimulating Hormone

Identifiers

PMID28727831
PMCPMC5519149
OpenAlexW2738136684

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.