Evidence map›Paper›PMID 35831621›Full record

ArticleSchmerz (Berlin, Germany)2022

[Adverse effects of opioids, antidepressants and anticonvulsants on sex hormones : Often unnoticed but clinically relevant].

Stefan Wirz, Michael Schenk, Kristin Kieselbach

Abstract read
PubMed Publisher
In one paragraph

Article in Schmerz (Berlin, Germany), 2022. 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
0.1field-weighted citation impact, top 50% 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, 1 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

3 authors at 3 institutions in 1 country.

Stefan WirzAbteilung für Anästhesie, Interdisziplinäre Intensivmedizin, Schmerzmedizin/Palliativmedizin - Zentrum für Schmerzmedizin, Weaningzentrum, Cura Krankenhaus - eine Betriebsstätte der GFO Kliniken Bonn, Schülgenstr. 15, 53604, Bad Honnef, Deutschland. stefan.wirz@gfo-kliniken-bonn.de.
Michael SchenkZentrum für Integrative Schmerzmedizin, Franziskus-Krankenhaus Berlin, Budapester Str. 15, 10787, Berlin, Deutschland.
Kristin KieselbachInterdisziplinäres Schmerzzentrum ISZ, Universitätsklinikum Freiburg, Breisacher Str. 117, 79106, Freiburg, Deutschland.
Franziskus-Krankenhaus Berlin · DESt. Marien-Hospital Bonn · DEUniversity Medical Center Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Androgen insufficiency under treatment with opioids, antidepressants and anticonvulsants in chronic pain diseases is a side effect with a high prevalence. It can lead to clinical metabolic alterations, adynamia, stress intolerance, anemia or osteoporosis and has a significant impact on the quality of life. Opioids, antidepressants and anticonvulsants affect the hypothalamic-pituitary-gonadal axis of sex hormones. A urologist, andrologist or endocrinologist should be involved in the treatment at an early stage. The recommendation of a differential therapeutic selection of certain substances is only indicative and does not meet evidential criteria. The indications for androgen substitution must be individualized and in consideration of the risk-benefit profile. Awareness of this side effect of an otherwise lege artis medicinal pain therapy must be sharpened and compulsory included in the differential diagnostic considerations.

Indexed as

Analgesics, OpioidChronic PainAndrogensAnticonvulsantsAntidepressive AgentsChronic DiseaseGonadal Steroid HormonesHumansQuality of LifeAnalgesics, OpioidAndrogensAnticonvulsantsAntidepressive AgentsGonadal Steroid HormonesAndrogen deficiency, opioid-inducedCancer pain, chronicHypogonadism, opioid-inducedNon-cancer pain, chronicTestosterone replacement therapy

Identifiers

PMID35831621
OpenAlexW4285088140

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.