Evidence map›Paper›PMID 41551464›Full record

SynthesisPeerJ2026

Serum total testosterone and the prognosis of patients with advanced liver disease: a systemic review and meta-analysis.

Xiao-Yu Zhang, Heng-Han Xu, Jian-Hui Ma, Yang Liu, Han Li, Hao-Qian Tan, Jun-Ying Liu

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in PeerJ, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Xiao-Yu ZhangZhoukou Central Hospital Affiliated to Xinxiang Medical University, Zhoukou, China.
Heng-Han XuZhoukou Central Hospital Affiliated to Xinxiang Medical University, Zhoukou, China.
Jian-Hui MaZhoukou Central Hospital Affiliated to Xinxiang Medical University, Zhoukou, China.
Yang LiuZhoukou Central Hospital, Zhoukou, China.
Han LiZhoukou Central Hospital, Zhoukou, China.
Hao-Qian TanZhoukou Central Hospital, Zhoukou, China.
Jun-Ying LiuZhoukou Central Hospital, Zhoukou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Advanced liver disease (ALD) is associated with significant morbidity and mortality worldwide. Emerging evidence suggests that sex hormonal imbalances, particularly low serum total testosterone (TT) levels, may influence the prognosis of patients with ALD. This meta-analysis aimed to evaluate the association between serum TT levels and the prognosis of patients with ALD. Methods: Comprehensive searches of PubMed, Embase, and Web of Science were performed from the inception of the searched databases up to November 13, 2025, to identify observational studies assessing the association between serum TT levels and the risk of all-cause mortality or liver transplant (LT) among patients with ALD. Pooled risk ratios (RRs) with 95% confidence intervals (CIs) were calculated using a random-effects model to account for the potential influence of heterogeneity. This systematic review was registered in PROSPERO (CRD42024578870). Results: Eight cohort studies encompassing 1,989 patients were included in the analysis. Findings demonstrated that low serum TT levels were significantly associated with an increased risk of all-cause mortality or LT during follow-up (RR: 1.87, 95% CI [1.57-2.23], Conclusion: Lower serum TT levels are significantly associated with a higher risk of all-cause death or LT in patients with ALD, indicating their potential utility as prognostic biomarkers.

Indexed as

Liver DiseasesTestosteroneFemaleHumansLiver TransplantationMalePrognosisTestosteroneAdvanced liver diseaseAndrogenMeta-analysisMortalityTestosterone

Identifiers

PMID41551464
PMCPMC12810399

What Socratic holds

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LicenceCC BY
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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.