Evidence map›Paper›PMID 29143290›Full record

Trial reportObesity surgery2018

Increased Free Testosterone Levels in Men with Uncontrolled Type 2 Diabetes Five Years After Randomization to Bariatric Surgery.

Nathan H Pham, James Bena, Deepak L Bhatt, Laurence Kennedy, Philip R Schauer, Sangeeta R Kashyap

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Obesity surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 14% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Sex-differential testosterone response to long-term weight loss.International journal of obesity (2005) · 2024
    Observational
  5. Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. 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

6 authors at 4 institutions in 1 country.

Nathan H PhamCleveland Clinic Lerner College of Medicine of Case Western Reserve, Cleveland, OH, USA.
James BenaCleveland Clinic Lerner College of Medicine of Case Western Reserve, Endocrinology and Metabolism Institute, 9500 Euclid Ave, Cleveland, OH, 44195, USA.
Deepak L BhattBrigham and Women's Hospital, Boston, MA, USA.
Laurence KennedyCleveland Clinic Lerner College of Medicine of Case Western Reserve, Cleveland, OH, USA.
Philip R SchauerCleveland Clinic, Bariatric and Metabolic Institute, Cleveland, OH, USA.
Sangeeta R KashyapCleveland Clinic Lerner College of Medicine of Case Western Reserve, Cleveland, OH, USA. kashyas@ccf.org.
Case Western Reserve University · USCleveland Clinic Lerner College of Medicine · USCleveland Clinic · USHarvard University · US

Funding

Effect of Bariatric Surgery on Mechanisms of Type 2 Diabetes: The B2D TrialR01DK089547 · NIDDK · CLEVELAND CLINIC LERNER COM-CWRU · PI KASHYAP, SANGEETA R, KIRWAN, JOHN P. · 2010 to 2013
$1.9M
NIDDK NIH HHS R01 DK089547NIH HHS R01-DK089547
6 · The paper itself

Abstract

Hypogonadism frequently occurs in male patients with type 2 diabetes (T2DM) and is linked to insulin resistance and inflammation. Testosterone levels rise acutely in obese patients following bariatric surgery, though long-term changes have not been investigated in a randomized controlled trial. This study evaluated obese men with T2DM randomized to either bariatric surgery or medical therapy. Testosterone, gonadotropins, body composition, insulin sensitivity, and inflammatory markers were evaluated in 32 patients at baseline and at 5 years. Surgical patients had 47.4% increase in free testosterone compared to medical therapy patients who had 2.2% decrease (P = 0.013). Increase in free testosterone correlated with reduction in body weight, high-sensitivity C-reactive protein (hsCRP), and leptin levels. Prolonged improvements in testosterone levels after bariatric surgery in T2DM are found to be related to reduction in body weight and adipogenic inflammation.

Indexed as

Bariatric SurgeryAdultBlood GlucoseBody CompositionC-Reactive ProteinDiabetes Mellitus, Type 2Follow-Up StudiesHumansHypogonadismInsulin ResistanceLeptinMaleMiddle AgedObesityTestosteroneBlood GlucoseC-Reactive ProteinLeptinTestosteroneBariatric surgeryHypogonadismObesityTestosteroneType 2 diabetes

Identifiers

PMID29143290
OpenAlexW2769225420

What OpenQuestion holds

Textmetadata
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.