Evidence map›Paper›PMID 33819517›Full record

SynthesisUrology2021

The Association between Mortality and Male Infertility: Systematic Review and Meta-analysis.

Francesco Del Giudice, Alex M Kasman, Tony Chen, Ettore De Berardinis, Gian Maria Busetto, Alessandro Sciarra, Matteo Ferro, Giuseppe Lucarelli, Federico Belladelli, Andrea Salonia and 1 more

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
5.6field-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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Drivers of systemic male-female allele frequency divergence in humans.bioRxiv : the preprint server for biology · 2026
    Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Male Fertility as a Proxy for Health.Journal of clinical medicine · 2024
    Review
  15. Review
  16. Interplay between male gonadal function and overall male health.Journal of basic and clinical physiology and pharmacology · 2024
    Review
  17. Article
  18. Review
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 7 institutions in 2 countries.

Francesco Del GiudiceDepartment of Maternal-Infant and Urological Sciences, "Sapienza" University of Rome, Policlinico Umberto I Hospital, Rome, Italy; Department of Urology, Stanford University School of Medicine, Stanford, CA.
Alex M KasmanDepartment of Urology, Stanford University School of Medicine, Stanford, CA.
Tony ChenDepartment of Urology, Stanford University School of Medicine, Stanford, CA.
Ettore De BerardinisDepartment of Maternal-Infant and Urological Sciences, "Sapienza" University of Rome, Policlinico Umberto I Hospital, Rome, Italy.
Gian Maria BusettoDepartment of Maternal-Infant and Urological Sciences, "Sapienza" University of Rome, Policlinico Umberto I Hospital, Rome, Italy.
Alessandro SciarraDepartment of Maternal-Infant and Urological Sciences, "Sapienza" University of Rome, Policlinico Umberto I Hospital, Rome, Italy.
Matteo FerroDepartment of Urology, European Institute of Oncology (IEO), Milan, Italy.
Giuseppe LucarelliDepartment of Urology, University of Bari, Bari, Italy.
Federico BelladelliDivision of Experimental Oncology/Unit of Urology, Urological Research Institute, IRCCS San Raffaele Hospital, Milan, Italy; University Vita-Salute San Raffaele, Milan, Italy.
Andrea SaloniaDivision of Experimental Oncology/Unit of Urology, Urological Research Institute, IRCCS San Raffaele Hospital, Milan, Italy; University Vita-Salute San Raffaele, Milan, Italy.
Michael L EisenbergDepartment of Urology, Stanford University School of Medicine, Stanford, CA; Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, CA. Electronic address: eisenberg@stanford.edu.
Stanford University · USPoliclinico Umberto I · ITSapienza University of Rome · ITEuropean Institute of Oncology · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITUniversity of Bari Aldo Moro · ITVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo summarize the current body of evidence on the relationship between impaired male fertility and the risk of early death through a systematic review and meta-analysis of population-based retrospective cohort studies.

methodsPubMed, Web of Science, Embase, Cochrane Library, and Scopus databases were searched from inception to August 2020 according to the Meta-analysis Of Observational Studies in Epidemiology (MOOSE) guidelines. Pooled Risk Ratio (RR), Risk Difference (Δr), Hazard Ratio (HR) and Standardized Mortality Ratio (SMR) differences among male factor infertility cohorts were compared to fertile/normospermic control populations or to national mortality data.

resultsSix studies from 2006 to 2020 met inclusion criteria. Three studies examined male infertility and mortality (n

conclusionCompared to fertile men, infertile men had a higher risk of death. Moreover, the risk of death increased with increasing severity of semen quality impairment. However, compared to men from the general population, infertile men have a lower risk of death suggesting that social determinants of health are also important.

Indexed as

MortalityCase-Control StudiesHumansInfertility, MaleMaleRisk AssessmentRisk FactorsSemen AnalysisSeverity of Illness IndexSocial Determinants of HealthMale factor infertilityMale healthMale overall survivalRisk ratioSpermatogenesis, Hazard ratio

Identifiers

PMID33819517
OpenAlexW3146983501

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.