Evidence map›Paper›PMID 28980739›Full record

ReviewInternational journal of clinical practice2017

Serum testosterone levels in male hypogonadism: Why and when to check-A review.

Mark Livingston, Anura Kalansooriya, Andrew J Hartland, Sudarshan Ramachandran, Adrian Heald

Open access · hybridAbstract readReview
In one paragraph

Review in International journal of clinical practice, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
4.8field-weighted citation impact, top 4% 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

21 citing papers in PubMed, 65 citations in OpenAlex.

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  13. Hypogonadism and its treatment among prostate cancer survivors.International journal of impotence research · 2021
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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

5 authors at 3 institutions in 1 country.

Mark LivingstonDepartment of Blood Sciences, Walsall Manor Hospital, Walsall, UK.ORCID http://orcid.org/0000-0001-6878-0769
Anura KalansooriyaDepartment of Blood Sciences, Walsall Manor Hospital, Walsall, UK.
Andrew J HartlandDepartment of Blood Sciences, Walsall Manor Hospital, Walsall, UK.
Sudarshan RamachandranDepartment of Clinical Biochemistry, Heart of England NHS Foundation Trust, Sutton Coldfield, UK.
Adrian HealdDepartment of Endocrinology and Diabetes, Salford Royal Hospital, Salford, UK.ORCID http://orcid.org/0000-0002-9537-4050
Walsall Manor Hospital · GBHeart of England NHS Foundation Trust · GBManchester Academic Health Science Centre · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimAlthough "late onset hypogonadism", a condition that includes low testosterone and symptoms, is common in men over the age of 40 years, diagnosis is not clear cut amongst non-specialists. It is the aim of this review to provide an up to date picture of how this state should be diagnosed and managed.

methodsWe aim to describe how primary and secondary hypogonadism should be excluded before the diagnosis of late onset hypogonadism is reached. As laboratory testosterone measurements are essential the current pitfalls such as inappropriate sample collection and the use of population derived reference ranges are expanded. We review current evidence to determine associations between late onset hypogonadism and morbidity/mortality and benefits following testosterone replacement therapy.

resultsA review of the current evidence shows that late onset hypogonadism is associated with a worse metabolic state and increased mortality. Longitudinal studies have suggested that significant reductions in both symptoms and mortality are seen, especially in patients with type 2 diabetes. DISCUSSION: This review highlights the importance of diagnosing late onset hypogonadism due to its association with morbidity/mortality and benefits following testosterone replacement. Thus, after making recommendations to ensure correct diagnosis we speculate whether the time has come to move away from population derived testosterone levels towards evidence based action limits.

Indexed as

Age of OnsetDiabetes Mellitus, Type 2HumansHypogonadismMaleMiddle AgedTestosteroneTestosterone

Identifiers

PMID28980739
PMCPMC5698762
OpenAlexW2763565753

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.