Evidence map›Paper›PMID 39422838›Full record

ArticleEndocrine2025

Women's response regarding timing of genital surgery in congenital adrenal hyperplasia.

Henrik Falhammar, Gundela Holmdahl, Helena Filipsson Nyström, Anna Nordenström, Kerstin Hagenfeldt, Agneta Nordenskjöld

Abstract read
In one paragraph

Article in Endocrine, 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. Article
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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

6 authors.

Henrik FalhammarDepartment of Endocrinology, Karolinska University Hospital, 171 77, Stockholm, Sweden. henrik.falhammar@ki.se.ORCID 0000-0002-5622-6987
Gundela HolmdahlDepartment of Women's and Children's Health, Center of Molecular Medicine, Karolinska Institutet, 17176, Stockholm, Sweden.ORCID 0000-0001-9249-1473
Helena Filipsson NyströmInstitute of Medicine, Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden.ORCID 0000-0002-4670-3401
Anna NordenströmDepartment of Women's and Children's Health, Center of Molecular Medicine, Karolinska Institutet, 17176, Stockholm, Sweden.ORCID 0000-0003-0405-3401
Kerstin HagenfeldtDepartment of Women's and Children's Health, Center of Molecular Medicine, Karolinska Institutet, 17176, Stockholm, Sweden.
Agneta NordenskjöldDepartment of Women's and Children's Health, Center of Molecular Medicine, Karolinska Institutet, 17176, Stockholm, Sweden.ORCID 0000-0001-6638-4631

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo study what adult women with congenital adrenal hyperplasia (CAH) thought about the timing of genital surgery.

methodsAs part of a larger follow-up study performed between the years 2002-2005 there were questionnaires concerning genital surgery, type of surgery, their thoughts about timing of genital surgery and experience of information about surgery. Early surgery was defined as ≤4 years of age and late ≥10 years. The medical and surgical files were reviewed.

results62 women with CAH due to 21-hydroxylase deficiency, mean age 28 years (18-63) were included. The age at first genital surgery was 3 years (0-28 years) in the 52 patients (84%) who had had genital surgery, with 60% had early surgery (≤4 years) and 29% late (≥10 years). Almost half of the cohort had a positive experience of the information about surgery, a third had no opinion and a fifth had a negative experience. Of the women 39% thought that early surgery was good, while 19% thought it should be done during or after puberty and 42% had no opinion. Of those preferring early surgery 70% had early surgery themselves. Vaginal surgery was less common among those favoring early surgery. Age, phenotype, genotype, decade of surgery and experience of the information about surgery did not differ significantly between the three groups.

conclusionEqual numbers of women had no opinion regarding age at surgery or preferred early surgery while 19% thought it would be preferred to have surgery during or after puberty.

Indexed as

Adrenal Hyperplasia, CongenitalGynecologic Surgical ProceduresAdolescentAdultAge FactorsChildChild, PreschoolFemaleFollow-Up StudiesHumansInfantMiddle AgedSurveys and QuestionnairesTime FactorsYoung Adult21-hydroxylase deficiency46,XXCAHEarlyFeminizing genitoplastyLate

Identifiers

PMID39422838
PMCPMC11811264

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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.