Evidence map›Paper›PMID 35989248›Full record

ArticleHematology, transfusion and cell therapy

Prevalence of hypogonadism in transfusion-dependent β-thalassemia patients of Bangladesh: investigating the role of serum ferritin level as a diagnostic tool.

Romana Chowdhury, Mohammad Azmain Iktidar, Mushfiq Newaz Ahmed, Mohammad Mehedi Hasan, Md Mazharul Hoque Tapan, Sheikh Saiful Islam Shaheen, Atiar Rahman, Ayesha Khatun

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Article in Hematology, transfusion and cell therapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Romana ChowdhurySirajul Islam Medical College, Dhaka, Bangladesh.
Mohammad Azmain IktidarNorth South University, Dhaka, Bangladesh; Public Health Professional Development Society (PPDS), Dhaka, Bangladesh; Director General Health Services (DGHS), Bangladesh. Electronic address: sazmain@gmail.com.
Mushfiq Newaz AhmedNational Institute of Diseases of the Chest and Hospital (NIDCH), Dhaka, Bangladesh.
Mohammad Mehedi HasanBangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
Md Mazharul Hoque TapanDirector General Health Services (DGHS), Bangladesh.
Sheikh Saiful Islam ShaheenBangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
Atiar RahmanBangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
Ayesha KhatunBangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHypogonadism is one of the most frequent complications in transfusion-dependent thalassemia patients and early recognition and treatment is the core element in restoring impaired gonadal function. Despite the high burden of disease, relevant studies are scarcely addressing the gonadal function of such patients in Bangladesh. The pattern of gonadal function in transfusion-dependent thalassemia patients must be characterized before planning a generalized management plan. Moreover, since iron overload is a key reason behind hypogonadism in thalassemia patients, investigating the role of serum ferritin level as a diagnostic tool for hypongadism was also an aim of this study.

methodsThis cross-sectional study was conducted at the Department of Transfusion Medicine of the Bangabandhu Sheikh Mujib Medical University. According to the inclusion and exclusion criteria, a total of 94 patients were enrolled in this study. A detailed history and thorough clinical examination were carried out in each patient and recorded using a pretested structured questionnaire. In addition, the laboratory assessment of serum ferritin, luteinizing hormone (LH), follicle stimulating hormone (FSH), testosterone and estradiol in serum were also performed. The data were analyzed using the STATA (v.16).

resultsThe mean age of the patients with transfusion-dependent thalassemia was 18.81 ± 4.65 (SD), with 53.3% of the patients being male. The overall prevalence of hypogonadism was 35.11%, 18.1% being normogonadotropic, 11.7% being hypogonadotropic and 5.3% being hypergonadotropic. The serum ferritin level was significantly higher (p < 0.001) in patients with hypogonadism (Eugonadal: 2,174.79 (± 749.12) ng/ml; Hypogonadal: 3,572.59 (± 1,199.49) ng/ml). The area under the receiver operating characteristic (ROC) curve of serum ferritin was high (0.83) and the p-value was highly significant (< 0.001).

conclusionTherefore, the serum ferritin level and gonadal hormone analysis of transfusion-dependent thalassemia patients can be considered a screening tool for assessing gonadal function and early detection and prevention of hypogonadism.

Indexed as

Beta-thalassemia majorGonadal functionHypergonadotropic hypogonadismHypogonadotropic hypogonadismNormogonadotropic hypogonadism

Identifiers

PMID35989248
PMCPMC10499579

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