Evidence map›Paper›PMID 30217784›Full record

ArticleSteroids2018

Estimating testosterone concentrations in adolescent girls: Comparison of two direct immunoassays to liquid chromatography-tandem mass spectrometry.

Christopher R McCartney, Christine M Burt Solorzano, James T Patrie, John C Marshall, Daniel J Haisenleder

Abstract readComparative Study
In one paragraph

Article in Steroids, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.5field-weighted citation impact, top 31% 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

8 citing papers in PubMed, 9 citations in OpenAlex.

  1. [False positives in female testosterone testing and the diagnostic value of mass spectrometry].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Non-PCOS Hyperandrogenic Disorders in Adolescents.Seminars in reproductive medicine · 2022
    Article
  7. Article
  8. Article
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 1 institution in 1 country.

Christopher R McCartneyCenter for Research in Reproduction, University of Virginia School of Medicine, Charlottesville, VA, USA; Division of Endocrinology and Metabolism, Department of Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA. Electronic address: CM2HQ@virginia.edu.
Christine M Burt SolorzanoCenter for Research in Reproduction, University of Virginia School of Medicine, Charlottesville, VA, USA; Division of Endocrinology, Department of Pediatrics, University of Virginia School of Medicine, Charlottesville, VA, USA.
James T PatrieDepartment of Public Health Sciences, University of Virginia School of Medicine, Charlottesville, VA, USA.
John C MarshallCenter for Research in Reproduction, University of Virginia School of Medicine, Charlottesville, VA, USA; Division of Endocrinology and Metabolism, Department of Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA.
Daniel J HaisenlederCenter for Research in Reproduction, University of Virginia School of Medicine, Charlottesville, VA, USA; Division of Endocrinology and Metabolism, Department of Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA.
University of Virginia · US

Funding

Testosterone-GnRH Frequency and the Evolution of PCOS in AdolescenceP50HD028934 · NICHD · UNIVERSITY OF VIRGINIA · PI HAISENLEDER, DANIEL J. · 2014 to 2018
$8.6M
CRR LIGAND ASSAY AND ANALYSIS CORER24HD102061 · NICHD · UNIVERSITY OF VIRGINIA · PI HAISENLEDER, DANIEL J. · 2019 to 2023
$2.2M
Pubertal hyperandrogenemia, modification of day-night GnRH secretion, and PCOSR01HD058671 · NICHD · UNIVERSITY OF VIRGINIA · PI MCCARTNEY, CHRISTOPHER ROLLAND · 2008 to 2012
$1.2M
Excess androgen production in overweight pubertal girls--precursor to PCOSK23HD070854 · NICHD · UNIVERSITY OF VIRGINIA · PI BURT SOLORZANO, CHRISTINE MICHELE · 2012 to 2016
$649k
NICHD NIH HHS K23 HD070854NICHD NIH HHS P50 HD028934NICHD NIH HHS R01 HD058671NICHD NIH HHS R24 HD102061
6 · The paper itself

Abstract

contextThe appropriate role of direct total testosterone (T) immunoassays in reproductive research is controversial.

objectiveTo assess the concordance between two direct immunoassays and a liquid chromatography-tandem mass spectrometry (LC-MS/MS) assay for total T in adolescent girls with measured concentrations < 50 ng/dl.

designCross-sectional analysis.

settingAcademic medical center.

participantsAdolescent girls (age 8.4-18.1 years) participating in clinical research protocols.

interventionPaired blood samples were obtained for total T by LC-MS/MS (n = 66; Mayo Clinic Laboratory) and by direct immunoassay (Center for Research in Reproduction)-either radioimmunoassay (RIA; n = 31) or chemiluminescence immunoassay (CLIA; n = 35). At the time of assay, laboratories were unaware that results would be compared.

main outcome measureMeasurement agreement between immunoassay and LC-MS/MS.

resultsMeasured T concentrations (LC-MS/MS) were <7 to 44 ng/dl. The average difference between RIA and LC-MS/MS was 0.84 [-0.89, 2.56] ng/dl (mean [95% confidence interval]). RIA correlated very strongly with LC-MS/MS (r = 0.899; p < 0.0001); and both Deming regression and Bland-Altman analysis suggested no bias. The average difference between chemiluminescence and LC-MS/MS was 1.39 [-0.83, 3.60] ng/dl. CLIA correlated strongly with LC-MS/MS (r = 0.806; p < 0.0001). While Bland-Altman analysis suggested no systematic bias, Deming regression analysis suggested that, as measured values increased, values obtained by CLIA tended to be progressively, albeit only modestly, higher than those obtained by LC-MS/MS.

conclusionsThese data support the use of rigorously-performed and carefully-validated direct T immunoassays in high-quality endocrine research in peripubertal adolescent girls.

Indexed as

AdolescentChildChromatography, LiquidFemaleHumansImmunoassayTandem Mass SpectrometryTestosteroneTestosteroneChemiluminescenceImmunoassayLiquid chromatography-tandem mass spectrometryRadioimmunoassayTestosterone

Identifiers

PMID30217784
PMCPMC7017602
OpenAlexW2890337318

What OpenQuestion holds

Textmetadata
LicenceTDM
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.