Evidence map›Paper›PMID 38718777›Full record

ArticleHormone research in paediatrics2025

Availability, Usage, and Preferences of Estradiol and Progestogen Preparations for Puberty Induction from a Multicentral Perspective.

Aneta M Gawlik-Starzyk, Małgorzata Więcek, Debbie Matthews, Berit Öhman Kriström, Janielle A E M van der Velden, Theo C J Sas, Malgorzata Wasniewska, Siska Verlinde, Caroline Brain, Arlene Smyth and 2 more

Abstract readMulticenter Study
In one paragraph

Article in Hormone research in paediatrics, 2025. 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
–field-weighted citation impact
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.

  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

12 authors.

Aneta M Gawlik-StarzykDepartment of Pediatrics and Pediatric Endocrinology, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland.
Małgorzata WięcekDepartment of Pediatrics and Pediatric Endocrinology, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland, mallgorzatawegiel@gmail.com.
Debbie MatthewsNewcastle Upon Tyne NHS Foundation Trust, Newcastle Upon Tyne, UK.
Berit Öhman KriströmInstitution of Clinical Science, Pediatrics, Umeå University, Umeå, Sweden.
Janielle A E M van der VeldenDepartment of Pediatrics, Amalia Children's Hospital, Radboud University Medical Center, Nijmegen, The Netherlands.
Theo C J SasDepartment of Pediatric Endocrinology, Sophia Children's Hospital, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Malgorzata WasniewskaDepartment of Human Pathology of Adulthood and Childhood, Unit of Pediatrics, University of Messina, Messina, Italy.
Siska VerlindeBelgian Study Group of Paediatric Endocrinology and Diabetes, Brussels, Belgium.
Caroline BrainDepartment of Endocrinology, Great Ormond Street Hospital NHS Foundation Trust, London, UK.
Arlene SmythExecutive Officer Turner Syndrome Support Society, Clydebank Business Park, Glasgow, UK.
Malcolm David Cairns DonaldsonGlasgow University School of Medicine, Glasgow, UK.
European Society for Paediatric Endocrinology Turner Syndrome Working Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNatural oestrogen administration as oral or transdermal 17β-estradiol is recommended for pubertal induction in girls with hypogonadism. However, suitable low-dose formulations are not consistently available globally. This questionnaire study aimed to identify the current availability of oestrogen and progesterone preparations worldwide.

methodsEndorsed by the ESPE Turner Syndrome Working Group, the questionnaire targeted paediatric endocrinologists. Questions focused on accessibility of oral/transdermal 17β-estradiol and progestogen preparations. Responses were collected through a SurveyMonkey survey disseminated via ESPE channels, direct outreach, and conferences from June 2020 to December 2022.

resultsParticipation included 229 healthcare professionals from 45 countries. Oral and transdermal 17β-estradiol in adult dosage was highly accessible (86.5% and 84.3%), with transdermal administration the preferred form (62.8%). Most commonly available estradiol preparations included 50 μg patches (32 countries) and 1 or 2 mg tablets (65.8% and 71.1% countries). However, 0.5 mg 17β-estradiol tablets were available in only 20% of respondents from 8 countries. Patches delivering 14 or 25 μg/day of 17β-estradiol were available in 3 and 20 countries, respectively. Oral progestogen had widespread availability (96.0%) and preference (87.0%), while transdermal usage was limited to 15.2% of respondents.

conclusionThis study highlights global challenges in accessing suitable hormone preparations for female pubertal induction. In most countries, the lowest dose of the estradiol is 50 µg for patches and 2 mg for tablets. Appropriate low-dose 17β-estradiol tablets are much less available than low-dose patches. Our survey underscores the importance of adapting guidelines to local availability, and the need for improved accessibility to address these global disparities.

Indexed as

EstradiolProgestinsPubertyAdministration, CutaneousAdministration, OralAdolescentAdultChildFemaleHumansSurveys and QuestionnairesEstradiolProgestinsAvailabilityHormone replacement therapyHypogonadismOestrogensProgesteronePuberty inductionTurner syndrome

Identifiers

PMID38718777
PMCPMC12133115

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.