Evidence map›Paper›PMID 35353710›Full record

GuidelineEuropean journal of endocrinology2022

Pubertal induction and transition to adult sex hormone replacement in patients with congenital pituitary or gonadal reproductive hormone deficiency: an Endo-ERN clinical practice guideline.

A Nordenström, S F Ahmed, E van den Akker, J Blair, M Bonomi, C Brachet, L H A Broersen, H L Claahsen-van der Grinten, A B Dessens, A Gawlik and 8 more

Open access · hybridAbstract readPractice Guideline
In one paragraph

Guideline in European journal of endocrinology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 5 pooled it
6.9field-weighted citation impact, top 2% 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

59 citing papers in PubMed, 5 syntheses or guidelines pooled it, 85 citations in OpenAlex.

  1. Guideline
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  5. Pooled it
  6. Approach to the patient with acquired hypothalamic syndrome.The Journal of clinical endocrinology and metabolism · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Review
  13. Review
  14. Article
  15. Clinical practice guidelines for the management of differences of sex development in Japan.Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric Endocrinology · 2026
    Review
  16. Review
  17. [Advances in ovarian tissue cryopreservation and transplanta-tion for fertility preservation in prepubertal patients].Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2025
    Review
  18. Review
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  20. Article
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

18 authors at 17 institutions in 9 countries.

A NordenströmPediatric Endocrinology, Department of Women's and Children's Health Karolinska Institutet, and Department of Pediatric Endocrinology and Inborn Errors of Metabolism, Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm, Sweden.ORCID 0000-0003-0405-3401
S F AhmedDevelopmental Endocrinology Research Group, School of Medicine, Dentistry & Nursing, University of Glasgow, Royal Hospital for Children, Glasgow, UK.ORCID 0000-0003-0689-5549
E van den AkkerDivision of Pediatric Endocrinology and Obesity Center CGG, Department of Pediatrics, Erasmus MC Sophia Children's Hospital, Erasmus University Medical Center, Rotterdam, The Netherlands.
J BlairDepartment of Endocrinology, Alder Hey Children's Hospital, Liverpool, UK.
M BonomiDepartment of Medical Biotechnology and Translational Medicine, University of Milan, Milan, Italy.ORCID 0000-0001-5454-6074
C BrachetPediatric Endocrinology Unit, Hôpital Universitaire des Enfants HUDERF, Université Libre de Bruxelles, Bruxelles, Belgium.ORCID 0000-0001-7955-2534
L H A BroersenDivision of Endocrinology, Department of Medicine, Leiden University Medical Center, Leiden, The Netherlands.
H L Claahsen-van der GrintenDepartment of Pediatric Endocrinology, Amalia Childrens Hospital, Radboud University Medical Centre, Nijmegen, The Netherlands.ORCID 0000-0003-0181-0403
A B DessensDepartment of Child and Adolescent Psychiatry and Psychology, Sophia Children's Hospital Erasmus Medical Center, Rotterdam, Netherlands.
A GawlikDepartment of Pediatrics and Pediatric Endocrinology, Faculty of Medical Sciences, Medical University of Silesia, Katowice, Poland.
C H GravholtDepartment of Endocrinology and Internal Medicine, Aarhus University Hospital, Aarhus, Denmark.
A JuulDepartment of Growth and Reproduction, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.
C KrauszDepartment of Biochemical, Experimental and Clinical Sciences 'Mario Serio', University of Florence, Florence, Italy.
T RaivioNew Children's Hospital, Pediatric Research Center, Helsinki University Hospital, and Research Program Unit, Faculty of Medicine, Stem Cells and Metabolism Research Program, University of Helsinki, Helsinki, Finland.
A SmythTurner Syndrome Support Society in the UK, ePAG ENDO-ERN, UK.
P TouraineDepartment of Endocrinology and Reproductive Medicine, Pitié Salpêtriere Hospital, Paris, France.ORCID 0000-0002-8462-7753
D VitaliSOD ITALIA APS - Italian Patient Organization for Septo Optic Dysplasia and Other Neuroendocrine Disorders - ePAG ENDO-ERN, Rome, Italy.
O M DekkersDepartment of Clinical Epidemiology, LUMC Leiden, Leiden, The Netherlands.ORCID 0000-0002-1333-7580
Aarhus University Hospital · DKErasmus MC · NLErasmus MC - Sophia Children’s Hospital · NLKarolinska University Hospital · SELeiden University · NLLeiden University Medical Center · NLMedical University of Silesia · PLRadboud University Nijmegen · NLRoyal Hospital for Children · GBSorbonne Université · FRUniversité Libre de Bruxelles · BEUniversity of Copenhagen · DKUniversity of Florence · ITUniversity of Helsinki · FIUniversity of Liverpool · GBUniversity of Milan · ITWilliams Syndrome Foundation · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An Endo-European Reference Network guideline initiative was launched including 16 clinicians experienced in endocrinology, pediatric and adult and 2 patient representatives. The guideline was endorsed by the European Society for Pediatric Endocrinology, the European Society for Endocrinology and the European Academy of Andrology. The aim was to create practice guidelines for clinical assessment and puberty induction in individuals with congenital pituitary or gonadal hormone deficiency. A systematic literature search was conducted, and the evidence was graded according to the Grading of Recommendations, Assessment, Development and Evaluation system. If the evidence was insufficient or lacking, then the conclusions were based on expert opinion. The guideline includes recommendations for puberty induction with oestrogen or testosterone. Publications on the induction of puberty with follicle-stimulation hormone and human chorionic gonadotrophin in hypogonadotropic hypogonadism are reviewed. Specific issues in individuals with Klinefelter syndrome or androgen insensitivity syndrome are considered. The expert panel recommends that pubertal induction or sex hormone replacement to sustain puberty should be cared for by a multidisciplinary team. Children with a known condition should be followed from the age of 8 years for girls and 9 years for boys. Puberty induction should be individualised but considered at 11 years in girls and 12 years in boys. Psychological aspects of puberty and fertility issues are especially important to address in individuals with sex development disorders or congenital pituitary deficiencies. The transition of these young adults highlights the importance of a multidisciplinary approach, to discuss both medical issues and social and psychological issues that arise in the context of these chronic conditions.

Indexed as

HypogonadismPituitary DiseasesPuberty, DelayedChildFemaleGonadal Steroid HormonesHormone Replacement TherapyHumansMalePubertyTestosteroneYoung AdultGonadal Steroid HormonesTestosterone

Identifiers

PMID35353710
PMCPMC9066594
OpenAlexW4220652842

What Socratic 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 Socratic graph.