Evidence map›Paper›PMID 34409772›Full record

ArticleAndrology2022

Testosterone in males with COVID-19: A 7-month cohort study.

Andrea Salonia, Marina Pontillo, Paolo Capogrosso, Silvia Gregori, Cristina Carenzi, Anna Maria Ferrara, Isaline Rowe, Luca Boeri, Alessandro Larcher, Giuseppe A Ramirez and 11 more

Open access · bronzeAbstract read
In one paragraph

Article in Andrology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 3 pooled it
10.0field-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

47 citing papers in PubMed, 3 syntheses or guidelines pooled it, 75 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Review
  7. Review
  8. Effect of SARS-CoV-2 infection on sperm telomere length.Journal of assisted reproduction and genetics · 2025
    Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Observational
  16. Use of testosterone replacement therapy to treat long-COVID-related hypogonadism.Endocrinology, diabetes & metabolism case reports · 2024
    Article
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors at 4 institutions in 1 country.

Andrea SaloniaDivision of Experimental Oncology/Unit of Urology, URI, IRCCS Ospedale San Raffaele, Milan, Italy.ORCID 0000-0002-0595-7165
Marina PontilloLaboratory Medicine Service, IRCCS Ospedale San Raffaele, Milan, Italy.
Paolo CapogrossoDivision of Experimental Oncology/Unit of Urology, URI, IRCCS Ospedale San Raffaele, Milan, Italy.ORCID 0000-0003-2347-9504
Silvia GregoriSan Raffaele Telethon Institute for Gene Therapy (SR-TIGET), IRCCS Ospedale San Raffaele, Milan, Italy.
Cristina CarenziDivision of Experimental Oncology/Unit of Urology, URI, IRCCS Ospedale San Raffaele, Milan, Italy.
Anna Maria FerraraDivision of Experimental Oncology/Unit of Urology, URI, IRCCS Ospedale San Raffaele, Milan, Italy.
Isaline RoweDivision of Experimental Oncology/Unit of Urology, URI, IRCCS Ospedale San Raffaele, Milan, Italy.
Luca BoeriDivision of Experimental Oncology/Unit of Urology, URI, IRCCS Ospedale San Raffaele, Milan, Italy.
Alessandro LarcherDivision of Experimental Oncology/Unit of Urology, URI, IRCCS Ospedale San Raffaele, Milan, Italy.
Giuseppe A RamirezUniversity Vita-Salute San Raffaele, Milan, Italy.
Cristina TresoldiMolecular Hematology Unit, IRCCS Ospedale San Raffaele, Milan, Italy.
Massimo LocatelliLaboratory Medicine Service, IRCCS Ospedale San Raffaele, Milan, Italy.
Giulio CavalliUniversity Vita-Salute San Raffaele, Milan, Italy.
Lorenzo DagnaUniversity Vita-Salute San Raffaele, Milan, Italy.
Antonella CastagnaUniversity Vita-Salute San Raffaele, Milan, Italy.
Alberto ZangrilloUniversity Vita-Salute San Raffaele, Milan, Italy.
Moreno TresoldiGeneral Medicine and Advanced Care Unit, IRCCS Ospedale San Raffaele, Milan, Italy.
Giovanni LandoniUniversity Vita-Salute San Raffaele, Milan, Italy.
Patrizia Rovere-QueriniUniversity Vita-Salute San Raffaele, Milan, Italy.
Fabio CiceriUniversity Vita-Salute San Raffaele, Milan, Italy.
Francesco MontorsiDivision of Experimental Oncology/Unit of Urology, URI, IRCCS Ospedale San Raffaele, Milan, Italy.
Vita-Salute San Raffaele University · ITIRCCS Ospedale San Raffaele · ITOspedale di Circolo e Fondazione Macchi · ITUniversity of Milan · IT

Funding

DiaSorin SpAGruppo Prada
6 · The paper itself

Abstract

backgroundCirculating testosterone levels have been found to be reduced in men with severe acute respiratory syndrome coronavirus 2 infection, COVID-19, with lower levels being associated with more severe clinical outcomes.

objectivesWe aimed to assess total testosterone levels and the prevalence of total testosterone still suggesting for hypogonadism at 7-month follow-up in a cohort of 121 men who recovered from laboratory-confirmed COVID-19. MATERIALS AND

methodsDemographic, clinical, and hormonal values were collected for all patients. Hypogonadism was defined as total testosterone ≤9.2 nmol/L. The Charlson Comorbidity Index was used to score health-significant comorbidities. Descriptive statistics and multivariable linear and logistic regression models tested the association between clinical and laboratory variables and total testosterone levels at follow-up assessment.

resultsCirculating total testosterone levels increased at 7-month follow-up compared to hospital admittance (p < 0.0001), while luteinizing hormone and 17β-estradiol levels significantly decreased (all p ≤ 0.02). Overall, total testosterone levels increased in 106 (87.6%) patients, but further decreased in 12 (9.9%) patients at follow-up, where a total testosterone level suggestive for hypogonadism was still observed in 66 (55%) patients. Baseline Charlson Comorbidity Index score (OR 0.36; p = 0.03 [0.14, 0.89]) was independently associated with total testosterone levels at 7-month follow-up, after adjusting for age, BMI, and IL-6 at hospital admittance.

conclusionsAlthough total testosterone levels increased over time after COVID-19, more than 50% of men who recovered from the disease still had circulating testosterone levels suggestive for a condition of hypogonadism at 7-month follow-up. In as many as 10% of cases, testosterone levels even further decreased. Of clinical relevance, the higher the burden of comorbid conditions at presentation, the lower the probability of testosterone levels recovery over time.

Indexed as

AgedCohort StudiesCOVID-19HumansHypogonadismMaleMiddle AgedPrevalenceSARS-CoV-2TestosteroneTestosteronecomorbiditiesCOVID-19follow-upmaleSARS-CoV-2testosterone

Identifiers

PMID34409772
PMCPMC8444879
OpenAlexW3194103892

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.