Evidence map›Paper›PMID 36304035›Full record

ReviewFrontiers in reproductive health2021

The Evidence for Fertility Preservation in Pediatric Klinefelter Syndrome.

Celina J Pook, Alessandra Cocca, Anna Grandone, Mohamed Al-Hussini, Wayne Lam

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in reproductive health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Review
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

5 authors at 4 institutions in 4 countries.

Celina J PookDepartment of Urology, Guy's and St Thomas' National Health Service (NHS) Foundation Trust, London, United Kingdom.
Alessandra CoccaPaediatric Endocrine and Diabetes Department, Evelina London Children's Hospital, Guy's and St Thomas' National Health Service (NHS) Foundation Trust, London, United Kingdom.
Anna GrandoneDepartment of Woman, Child, General and Specialized Surgery, Università degli Studi della Campania Luigi Vanvitelli, Naples, Italy.
Mohamed Al-HussiniDepartment of Urology, Guy's and St Thomas' National Health Service (NHS) Foundation Trust, London, United Kingdom.
Wayne LamDivision of Urology, Department of Surgery, Queen Mary Hospital, The University of Hong Kong, Hong Kong, China.
Guy's and St Thomas' NHS Foundation Trust · GBNational Health Service · GBQueen Mary Hospital · CNUniversity of Campania "Luigi Vanvitelli" · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Klinefelter syndrome (KS) is a common cause of non-obstructive azoospermia (NOA). Advances in fertility preservation (FP) techniques, such as the use of microdissection testicular sperm extraction (micro-TESE), have improved sperm retrieval rates (SRR) up to 40-50% in this population. Age has been suggested to have an impact on FP, postulating that sperm production may deteriorate over time due to germ cell loss. As such, sperm retrieval for patients with KS at a younger age has been proposed to further improve SRR; however, whether such practice pragmatically improves SRR is yet to be determined, and controversy remains with concerns over trauma caused by FP procedures on further impairment of testicular function. There has also been a debate on the ethics of performing FP procedures in the pediatric population. Optimizing FP for patients with KS invariably requires a holistic multidisciplinary approach. This review aimed to evaluate the latest evidence in performing FP in pediatric patients with KS, and discuss the controversy surrounding such practice. Hormonal changes in patients with KS during childhood and the use of hormonal manipulation to optimize SSR in this population have also been reviewed.

Indexed as

fertility preservationKlinefelter syndromemicrodissection testicular sperm extractionpediatric fertility preservationtestosterone replacement therapy

Identifiers

PMID36304035
PMCPMC9580826
OpenAlexW3199251221

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.