Evidence map›Paper›PMID 34552788›Full record

ReviewArab journal of urology2021

A systematic review on the latest developments in testosterone therapy: Innovations, advances, and paradigm shifts.

Raed M Al-Zoubi, Aksam A Yassin, Mustafa Alwani, Ahmad Al-Qudimat, Omar M Aboumarzouk, Ahmad Zarour, Abdulla Al Ansari

Open access · diamondAbstract readReview
In one paragraph

Review in Arab journal of urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

1 citing paper in PubMed, 16 citations in OpenAlex.

  1. 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

7 authors at 3 institutions in 3 countries.

Raed M Al-ZoubiSurgical Research Section, Department of Surgery, Hamad Medical Corporation, Doha, Qatar.ORCID https://orcid.org/0000-0002-0548-429X
Aksam A YassinSurgical Research Section, Department of Surgery, Hamad Medical Corporation, Doha, Qatar.ORCID https://orcid.org/0000-0001-5457-3443
Mustafa AlwaniSurgical Research Section, Department of Surgery, Hamad Medical Corporation, Doha, Qatar.
Ahmad Al-QudimatSurgical Research Section, Department of Surgery, Hamad Medical Corporation, Doha, Qatar.ORCID https://orcid.org/0000-0003-1161-7244
Omar M AboumarzoukSurgical Research Section, Department of Surgery, Hamad Medical Corporation, Doha, Qatar.ORCID https://orcid.org/0000-0002-7961-7614
Ahmad ZarourSurgical Research Section, Department of Surgery, Hamad Medical Corporation, Doha, Qatar.ORCID https://orcid.org/0000-0002-7399-5497
Abdulla Al AnsariSurgical Research Section, Department of Surgery, Hamad Medical Corporation, Doha, Qatar.ORCID https://orcid.org/0000-0002-6242-5667
Hamad Medical Corporation · QAJordan University of Science and Technology · JODresden International University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo review the latest innovations and advances in testosterone treatments including their advantages and disadvantages and to address important issues in testosterone therapy (TTh).

methodsThis review was conducted according to the Preferred Reporting Items for Systemic Reviews and Meta-analyses guidelines. The PubMed, MEDLINE, Scopus and Cochrane databases were searched using specifically related key words. The identified studies were screened for inclusion criteria that included studies discussing one of the four objectives of the systematic review: 1) cut-off references, 2) prevention/remission of type II diabetes mellitus (T2DM), 3) duration of treatment, and 4) prostate, lower urinary tract symptoms, prostate health, or cancer. The search was limited to the past 15 years. Any studies were not written in English were excluded.

resultsThe initial literature search retrieved 393 studies. After screening four studies were removed due to duplication, 360 studies were further excluded after reviewing the title, abstract or the whole manuscript due to different exclusion criteria or being not focussed on the objective. Finally, 29 studies were included in the review. One study discussed the cut-off value, four studies discussed the effect of testosterone replacement therapy (TRT) on the control of T2DM, four studies on duration of TRT, and 20 studies discussed the effects of TRT on the prostate.

conclusionsNumerous studies have demonstrated the benefits of TTh in overtly hypogonadal men. There are several possible administration routes for testosterone treatment. Each approach has advantages and disadvantages, and the choice of the method of TRT will often be determined by patient preference or co-medication (no intramuscular injections in patients under coumarin or similar anticoagulants). Although new developments are promising, it seems that among the available treatments, only transdermal gel delivery and long-acting injectable testosterone undecanoate provide pharmacokinetic behaviour that gives a steady state level within a physiological range.

Indexed as

ageing malediabetesHypogonadismobesityprostate healthsexual healthtestosterone therapy

Identifiers

PMID34552788
PMCPMC8451690
OpenAlexW3199659007

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.