Evidence map›Paper›PMID 30996677›Full record

ReviewReproductive medicine and biology2019

Klinefelter syndrome: From pediatrics to geriatrics.

Koji Shiraishi, Hideyasu Matsuyama

Open access · goldAbstract readReview
In one paragraph

Review in Reproductive medicine and biology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
5.5field-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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Clinical practice guidelines for the management of differences of sex development in Japan.Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric Endocrinology · 2026
    Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Etiology of Male Infertility: an Update.Reproductive sciences (Thousand Oaks, Calif.) · 2024
    Review
  9. Review
  10. Review
  11. Review
  12. In-vivo skeletal muscle mitochondrial function in Klinefelter syndrome.Journal of investigative medicine : the official publication of the American Federation for Clinical Research · 2022
    Article
  13. A Patient with Moderate Intellectual Disability and 49, XXXYY Karyotype.International journal of general medicine · 2022
    Article
  14. Frontiers in endocrinology · 2022
    Article
  15. Review
  16. Genetic counseling prior to assisted reproductive technology.Reproductive medicine and biology · 2021
    Review
  17. Article
  18. Review
  19. Genes that escape from X-chromosome inactivation: Potential contributors to Klinefelter syndrome.American journal of medical genetics. Part C, Seminars in medical genetics · 2020
    Review
  20. Klinefelter syndrome: From pediatrics to geriatrics.Reproductive medicine and biology · 2019
    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

2 authors at 1 institution in 1 country.

Koji ShiraishiDepartment of Urology Yamaguchi University School of Medicine Ube Japan.ORCID 0000-0002-3278-7747
Hideyasu MatsuyamaDepartment of Urology Yamaguchi University School of Medicine Ube Japan.
Yamaguchi University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKlinefelter syndrome (KS) is one of the major causes of nonobstructive azoospermia (NOA). Microdissection testicular sperm extraction (micro-TESE) is often performed to retrieve sperm. Infertility specialists have to care for KS patients on a lifelong basis.

methodsBased on a literature review and our own experience, male infertility treatment and KS pathophysiology were considered on a lifelong basis. MAIN

findingsPatients diagnosed early often have an increased number of aberrant X chromosomes. Cryptorchidism and hypospadias are often found, and surgical correction is required. Cryopreservation of testicular sperm during adolescence is an issue of debate because the sperm retrieval rate (SRR) in KS patients decreases with age. The SRR in adult KS patients is higher than that in other patients with NOA; however, low testosterone levels after micro-TESE will lower the general health and quality of life. KS men face a number of comorbidities, such as malignancies, metabolic syndrome, diabetes, cardiovascular disease, bone disease, and immune diseases, which ultimately results in increased mortality rates.

conclusionA deeper understanding of the pathophysiology of KS and the histories of KS patients before they seek infertility treatment, during which discussions with multidisciplinary teams are sometimes needed, will help to properly treat these patients.

Indexed as

comorbidityKlinefelter syndromemicrodissection testicular sperm extractionnonobstructive azoospermiapediatricstestosterone

Identifiers

PMID30996677
PMCPMC6452011
OpenAlexW2904005101

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.