Evidence map›Paper›PMID 29522088›Full record

ArticleEndocrine reviews2018

Lessons From the Testosterone Trials.

Peter J Snyder, Shalender Bhasin, Glenn R Cunningham, Alvin M Matsumoto, Alisa J Stephens-Shields, Jane A Cauley, Thomas M Gill, Elizabeth Barrett-Connor, Ronald S Swerdloff, Christina Wang and 19 more

Open access · bronzeAbstract read
In one paragraph

Article in Endocrine reviews, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 108 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
108citing papers in PubMed, 5 pooled it
15.3field-weighted citation impact, top 1% 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

108 citing papers in PubMed, 5 syntheses or guidelines pooled it, 260 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Electroacupuncture combined with nutritional intervention for gastrointestinal cancer-related sarcopenia: a randomized controlled trial using ultrasonographic indices.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Trial
  7. Trial
  8. Trial
  9. Trial
  10. Article
  11. Review
  12. The impact of testosterone replacement therapy on clinical outcomes after anterior cervical discectomy and fusion: a propensity-matched cohort study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Testosterone and Bone Health in Men.Current osteoporosis reports · 2026
    Review
  18. Article
  19. Review
  20. Article

48 more citing papers are in PubMed but not listed here.

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

29 authors at 20 institutions in 1 country.

Peter J SnyderDivision of Endocrinology, Diabetes, and Metabolism, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Shalender BhasinResearch Program in Men's Health: Aging and Metabolism, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Glenn R CunninghamDivision of Diabetes, Endocrinology and Metabolism, Baylor College of Medicine and Baylor St. Luke's Medical Center, Houston, Texas.
Alvin M MatsumotoGeriatric Research, Education, and Clinical Center, Department of Veterans Affairs Puget Sound Health Care System, and Division of Gerontology and Geriatric Medicine, Department of Medicine, University of Washington School of Medicine, Seattle, Washington.
Alisa J Stephens-ShieldsDepartment of Biostatistics, Epidemiology and Bioinformatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Jane A CauleyDepartment of Epidemiology, University of Pittsburgh, Graduate School of Public Health, Pittsburgh, Pennsylvania.
Thomas M GillDivision of Geriatric Medicine, Yale School of Medicine, New Haven, Connecticut.
Elizabeth Barrett-ConnorDivision of Epidemiology, Department of Family Medicine and Public Health, University of California, San Diego, School of Medicine, La Jolla, California.
Ronald S SwerdloffDivision of Endocrinology, Harbor-University of California at Los Angeles Medical Center and Los Angeles Biomedical Research Institute, Torrance, California.
Christina WangDivision of Endocrinology, Harbor-University of California at Los Angeles Medical Center and Los Angeles Biomedical Research Institute, Torrance, California.
Kristine E EnsrudDivision of Epidemiology and Community Health, Department of Medicine, University of Minnesota, Minneapolis, Minnesota.
Cora E LewisDivision of Preventive Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
John T FarrarDepartment of Biostatistics, Epidemiology and Bioinformatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
David CellaDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Raymond C RosenNew England Research Institutes, Inc., Watertown, Massachusetts.
Marco PahorDepartment of Aging and Geriatric Research, University of Florida, Gainesville, Florida.
Jill P CrandallDivisions of Endocrinology and Geriatrics, Albert Einstein College of Medicine, Bronx, New York.
Mark E MolitchDivision of Endocrinology, Metabolism and Molecular Medicine, Northwestern University, Feinberg School of Medicine, Chicago, Illinois.
Susan M ResnickLaboratory of Behavioral Neuroscience, National Institute on Aging, National Institutes of Health, Baltimore, Maryland.
Matthew BudoffDivision of Cardiology, Harbor-University of California at Los Angeles Medical Center and Los Angeles Biomedical Research Institute, Torrance, California.
Emile R MohlerDivision of Cardiovascular Disease, Section of Vascular Medicine, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Nanette K WengerDivision of Cardiology, Emory University School of Medicine, Emory Heart and Vascular Center, and Emory Women's Heart Center, Atlanta, Georgia.
Harvey Jay CohenCenter for the Study of Aging, Duke University Medical Center, Durham, North Carolina.
Stanley SchrierDepartment of Medicine, Stanford University, Stanford, California.
Tony M KeavenyO.N. Diagnostics, LLC, Berkeley, California.
David KopperdahlO.N. Diagnostics, LLC, Berkeley, California.
David LeeO.N. Diagnostics, LLC, Berkeley, California.
Denise CifelliDepartment of Biostatistics, Epidemiology and Bioinformatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Susan S EllenbergDepartment of Biostatistics, Epidemiology and Bioinformatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
University of Pennsylvania · USO.N. Diagnostics (United States) · USNorthwestern University · USAlbert Einstein College of Medicine · USBrigham and Women's Hospital · USDuke Medical Center · USEmory University · USLos Angeles Biomedical Research Institute · USLos Angeles Medical Center · USNational Institutes of Health · USNew England Research Institutes · USStanford University · USSt. Luke's Hospital · USUniversity of Alabama at Birmingham · USUniversity of California, Los Angeles · USUniversity of California, San Diego · USUniversity of Florida · USUniversity of Minnesota · USUniversity of Pittsburgh · USUniversity of Washington · US

Funding

Yale Study Support Suite (YES3): Dashboard and Web Portal Software Supporting Research Workflow through integrated, customizable REDCap External ModulesP30AG021342 · NIA · YALE UNIVERSITY · PI Albert C Shaw · 2002 to 2026
$37.9M
Testosterone TrialU01AG030644 · NIA · UNIVERSITY OF PENNSYLVANIA · PI SNYDER, PETER J. · 2009 to 2015
$32.4M
Yale University Clinical and Translational Science Award ProgramUL1TR000142 · NCATS · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2012 to 2015
$31.8M
CTSA Administrative Supplement for Informatics Core: A novel AI/ML system to predict respiratory failure and ARDS in Covid-19 patientsUL1TR002556 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI KELLER, MARLA J, KIM, MIMI Y · 2018 to 2022
$26.7M
TUFTS--FIELDINGP30AG031679 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI SHALENDER BHASIN · 2008 to 2026
$23.9M
University of Florida Older Americans Independence Center (OAIC)P30AG028740 · NIA · UNIVERSITY OF FLORIDA · PI Peihua Qiu · 2007 to 2026
$22.8M
University of Alabama at Birmingham's Diabetes Research CenterP30DK079626 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Kirk Michael Habegger · 2013 to 2026
$19.5M
PACTTE-Partnership for Anemia: Clinical and Translational Trials in the ElderlyU01AG034661 · NIA · DUKE UNIVERSITY · PI COHEN, HARVEY JAY · 2009 to 2018
$14.7M
UAB Diabetes Research and Training CenterP60DK079626 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GARVEY, W TIMOTHY · 2008 to 2012
$8.4M
The Bone Trial of the Testosterone TrialR01AG037679 · NIA · UNIVERSITY OF PENNSYLVANIA · PI SNYDER, PETER J. · 2011 to 2015
$2.9M
ACADEMIC LEADERSHIP AWARD IN DISABILITY AND DISABLING DISORDERSK07AG043587 · NIA · YALE UNIVERSITY · PI GILL, THOMAS MICHAEL · 2013 to 2017
$645k
NCATS NIH HHS UL1 TR000142NIA NIH HHS K07 AG043587NIA NIH HHS P30 AG021342NIA NIH HHS P30 AG031679NIA NIH HHS R01 AG037679NIA NIH HHS U01 AG030644NIA NIH HHS U01 AG034661NIDDK NIH HHS P30 DK079626NIDDK NIH HHS P60 DK079626
6 · The paper itself

Abstract

The Testosterone Trials (TTrials) were a coordinated set of seven placebo-controlled, double-blind trials in 788 men with a mean age of 72 years to determine the efficacy of increasing the testosterone levels of older men with low testosterone. Testosterone treatment increased the median testosterone level from unequivocally low at baseline to midnormal for young men after 3 months and maintained that level until month 12. In the Sexual Function Trial, testosterone increased sexual activity, sexual desire, and erectile function. In the Physical Function Trial, testosterone did not increase the distance walked in 6 minutes in men whose walk speed was slow; however, in all TTrial participants, testosterone did increase the distance walked. In the Vitality Trial, testosterone did not increase energy but slightly improved mood and depressive symptoms. In the Cognitive Function Trial, testosterone did not improve cognitive function. In the Anemia Trial, testosterone increased hemoglobin in both men who had anemia of a known cause and in men with unexplained anemia. In the Bone Trial, testosterone increased volumetric bone mineral density and the estimated strength of the spine and hip. In the Cardiovascular Trial, testosterone increased the coronary artery noncalcified plaque volume as assessed using computed tomographic angiography. Although testosterone was not associated with more cardiovascular or prostate adverse events than placebo, a trial of a much larger number of men for a much longer period would be necessary to determine whether testosterone increases cardiovascular or prostate risk.

Indexed as

AgingControlled Clinical Trials as TopicHormone Replacement TherapyOutcome Assessment, Health CareAgedAndrogensHumansMaleTestosteroneAndrogensTestosterone

Identifiers

PMID29522088
PMCPMC6287281
OpenAlexW2790763147

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.