Evidence map›Paper›PMID 41613610›Full record

ArticleReproductive medicine and biology

Total Testosterone Measured by Liquid Chromatograph-Tandem Mass Spectrometry Refines Diagnosis of Biochemical Hyperandrogenism and Better Identifies Subgroup at Genuine Risk of Adverse Fertility Outcomes in Women With Polycystic Ovary Syndrome.

Jian Li, Qi Wu, Jing Cong, Hui Chang, Hong-Li Ma, Duo-Jia Zhang, Yu Wang, Rui-Zhe Zhang, Richard K T Kam, Chung Shun Ho and 9 more

Registry-linked trialAbstract read
In one paragraph

Article in Reproductive medicine and biology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01573858 (Effect of Acupuncture and Clomiphene Citrate on Live Birth in Anovulatory Women With Polycystic Ovary Syndrome), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT01573858 nacompletednot on this map

Effect of Acupuncture and Clomiphene Citrate on Live Birth in Anovulatory Women With Polycystic Ovary Syndrome: A Randomized Controlled Trial (PCOSAct)

TypeinterventionalSponsorHeilongjiang University of Chinese MedicineRan2012 to 2015Enrolled1,000ConditionsPregnancy, Polycystic Ovary Syndrome, InfertilityArmsAcupuncture treatment 1, Acupuncture treatment 2, CC, CC placebo
3 · Its place in the literature

Who cites it

3 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

19 authors.

Jian LiDepartment of Obstetrics and Gynecology, Affiliated Hospital Guizhou Medical University Guiyang China.ORCID https://orcid.org/0000-0002-1555-4327
Qi WuDepartment of Obstetrics and Gynaecology The Chinese University of Hong Kong Hong Kong China.
Jing CongDepartment of Obstetrics and Gynecology, First Affiliated Hospital Heilongjiang University of Chinese Medicine Harbin China.
Hui ChangDepartment of Obstetrics and Gynecology, First Affiliated Hospital Heilongjiang University of Chinese Medicine Harbin China.
Hong-Li MaDepartment of Obstetrics and Gynecology, First Affiliated Hospital Heilongjiang University of Chinese Medicine Harbin China.
Duo-Jia ZhangDepartment of Obstetrics and Gynecology, First Affiliated Hospital Heilongjiang University of Chinese Medicine Harbin China.
Yu WangDepartment of Obstetrics and Gynecology, First Affiliated Hospital Heilongjiang University of Chinese Medicine Harbin China.
Rui-Zhe ZhangCenter for Reproductive Medicine, Henan Key Laboratory of Reproduction and Genetics The First Affiliated Hospital of Zhengzhou University Zhengzhou China.
Richard K T KamDepartment of Chemical Pathology Prince of Wales Hospital Hong Kong China.
Chung Shun HoDepartment of Chemical Pathology Prince of Wales Hospital Hong Kong China.
Michael Ho Ming ChanDepartment of Chemical Pathology Prince of Wales Hospital Hong Kong China.
Ronald Ching Wan MaDepartment of Medicine and Therapeutics The Chinese University of Hong Kong Hong Kong China.
Ernest Hung Yu NgDepartment of Obstetrics and Gynaecology The University of Hong Kong Hong Kong China.
Ben Willem J MolDepartment of Obstetrics and Gynaecology, Monash Medical Centre Monash University Clayton Victoria Australia.
Elisabet Stener-VictorinDepartment of Physiology and Pharmacology Karolinska Institutet Stockholm Sweden.ORCID https://orcid.org/0000-0002-3424-1502
Richard S LegroDepartment of Obstetrics and Gynecology Pennsylvania State University Hershey Pennsylvania USA.
Chi Chiu WangDepartment of Obstetrics and Gynaecology The Chinese University of Hong Kong Hong Kong China.ORCID https://orcid.org/0000-0002-3928-7278
Xiao-Ke WuDepartment of Obstetrics and Gynecology, First Affiliated Hospital Heilongjiang University of Chinese Medicine Harbin China.ORCID https://orcid.org/0000-0003-1767-7344
PCOSAct Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To compare total testosterone (TT) measured by liquid chromatograph-tandem mass spectrometry (LC-MS/MS) with electro-chemiluminescent immunoassay (ECLIA) in the diagnosis and management of infertile women with polycystic ovary syndrome (PCOS). Methods: Baseline TT was measured by LC-MS/MS and ECLIA in 906 infertile women with PCOS. The associations of TT from both methods with clinical phenotypes and fertility outcomes were estimated; relative risk (RR) and 95% confidence intervals (CIs) were computed. Subgroup analysis was conducted according to the TT levels. Results: The average TT levels measured by ECLIA were higher than those measured by LC-MS/MS (mean percentage difference 23.8%, 95% limits of agreement -44.2% to 91.9%). When biochemical hyperandrogenism (HA) defined as TT ≥ 1.7 nmol/L by LC-MS/MS method, a higher proportion of patients were identified having biochemical HA using ECLIA (44.0% vs. 24.0%, Conclusion: Our findings indicated that LC-MS/MS refined the diagnosis of biochemical hyperandrogenism and better identified the subgroup at genuine risk of adverse fertility outcomes in infertile women with PCOS. Trial Registration: The NIH Clinical Trial Registry number: NCT01573858 and Chinese Clinical Trial. Registry number: ChiCTR-TRC-12002081.

Indexed as

biochemical hyperandrogenismliquid chromatograph‐tandem mass spectrometrypolycystic ovary syndrometotal testosterone

Identifiers

PMID41613610
PMCPMC12848768

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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.