Evidence map›Paper›PMID 23428068›Full record

ArticleEuropean urology2014

Androgen-deprivation therapy and risk for biliary disease in men with prostate cancer.

Philip J Saylor, Matthew R Smith, A James O'Malley, Nancy L Keating

Abstract read
In one paragraph

Article in European urology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 39% 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

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
  3. LXRs, SHP, and FXR in Prostate Cancer: Enemies orNuclear receptor signaling · 2018
    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

4 authors at 2 institutions in 1 country.

Philip J SaylorDivision of Hematology and Oncology, Massachusetts General Hospital, Boston, MA, USA. Electronic address: psaylor@partners.org.
Matthew R SmithDivision of Hematology and Oncology, Massachusetts General Hospital, Boston, MA, USA.
A James O'MalleyDepartment of Health Care Policy, Harvard Medical School, Boston, MA, USA.
Nancy L KeatingDepartment of Health Care Policy, Harvard Medical School, Boston, MA, USA; Division of General Internal Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA.
Harvard University · USMassachusetts General Hospital · US

Funding

Midcareer Investigator AwardK24CA121990 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI SMITH, MATTHEW RAYMOND · 2007 to 2016
$1.9M
Fractures, Heart Disease, and Stroke on Aromatase InhibitorsR01CA127652 · NCI · HARVARD MEDICAL SCHOOL · PI KEATING, NANCY L · 2008 to 2010
$1.0M
NCI NIH HHS 5K24CA121990-02NCI NIH HHS K24 CA121990NCI NIH HHS N01 PC035136NCI NIH HHS N01 PC035139NCI NIH HHS N01-PC-35136NCI NIH HHS N01-PC-35139NCI NIH HHS N02 PC015105NCI NIH HHS R01 CA127652PHS HHS #U55/CCR921930-02
6 · The paper itself

Abstract

backgroundAndrogen-deprivation therapy (ADT) by either a gonadotropin-releasing hormone (GnRH) agonist or bilateral orchiectomy improves disease-related outcomes of men with prostate cancer but has a variety of adverse metabolic effects including obesity, increased abdominal girth, increased triglycerides, and insulin resistance. Each is a risk factor for gallstone disease. Additionally, GnRH agonist treatment was recently shown in metabolomic analyses to increase plasma levels of some bile acids.

objectiveTo assess the relationship between ADT and the incidence of biliary disease in men with prostate cancer. DESIGN, SETTING, AND

participantsWe studied 183 842 men >65 yr of age living in Surveillance, Epidemiology, and End Results regions who were diagnosed with prostate cancer from 1992 to 2007 and followed through 2009. OUTCOME MEASUREMENTS AND STATISTICAL ANALYSIS: We calculated incidence rates for biliary disease during treatment with GnRH agonists, orchiectomy, or no therapy. We used Cox proportional hazard models to assess the association of ADT with biliary disease. RESULTS AND LIMITATIONS: Among 183 842 men with locoregional prostate cancer, 48.4% received GnRH agonist treatment and 2.2% underwent bilateral orchiectomy during follow-up. GnRH agonist treatment was associated with a significantly higher incidence of biliary disease compared with no treatment (15.7 vs 13.4 cases per 1000 person-years; p<0.001). In adjusted analyses, GnRH agonist use was associated with the risk of biliary disease (adjusted hazard ratio: 1.10; 95% confidence interval, 1.05-1.15; p<0.001). Orchiectomy was not significantly associated with biliary disease.

conclusionsGnRH agonist treatment may be associated with a greater risk of incident biliary disease.

Indexed as

AgedAged, 80 and overBile Duct DiseasesGonadotropin-Releasing HormoneHumansIncidenceMaleOrchiectomyProstatic NeoplasmsRisk FactorsGonadotropin-Releasing HormoneAndrogen deprivation therapyBiliary diseaseGnRH agonistOrchiectomyProstate cancer

Identifiers

PMID23428068
PMCPMC4535925
OpenAlexW1972623045

What OpenQuestion holds

Textmetadata
LicenceTDM
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.