Evidence map›Paper›PMID 23686462›Full record

ArticleJournal of clinical pharmacology2013

Angiotensin receptor blockers and risk of prostate cancer among United States veterans.

Gowtham A Rao, Joshua R Mann, Matteo Bottai, Hiroji Uemura, James B Burch, Charles Lee Bennett, Kathlyn Sue Haddock, James R Hébert

Abstract read
In one paragraph

Article in Journal of clinical pharmacology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 6 pooled it
–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

11 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Renin-angiotensin system blockade for the risk of cancer and death.Journal of the renin-angiotensin-aldosterone system : JRAAS · 2016
    Pooled it
  5. Pooled it
  6. Pooled it
  7. Article
  8. Review
  9. Antihypertensive Therapy and Incidence of Cancer.Journal of clinical medicine · 2022
    Article
  10. Article
  11. 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

8 authors.

Gowtham A RaoUniversity of South Carolina, Columbia, South Carolina, USA; William J.B. Dorn Veterans Affairs Medical Center, Columbia, SC 29203, USA. gowtham.rao@va.gov
Joshua R Mann
Matteo Bottai
Hiroji Uemura
James B Burch
Charles Lee Bennett
Kathlyn Sue Haddock
James R Hébert

Funding

HEALTH PROMOTION AND DISEASE PREVENTION RESEARCH CENTERS: CENTER PROPOSAL CAT. 1U48DP001936 · DP · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI WILCOX, SARA · 2009 to 2013
$7.3M
Training ProgramU54CA153461 · NCI · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI HEBERT, JAMES R · 2010 to 2015
$4.8M
Expanding Mentoring Capacity in High-Risk PopulationsK05CA136975 · NCI · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI HEBERT, JAMES R · 2009 to 2013
$801k
NCCDPHP CDC HHS U48 DP001936NCCDPHP CDC HHS U48 DP001936,NCI NIH HHS K05 CA136975NCI NIH HHS U54 CA153461NCI NIH HHS U54CA153461
6 · The paper itself

Abstract

To address concerns regarding increased risk of prostate cancer (PrCA) among angiotensin receptor blocker (ARB) users, we used national retrospective data from the Department of Veterans Affairs (VA) through the Veterans Affairs Informatics and Computing Infrastructure. We identified a total of 543,824 unique Veterans who were classified into either ARB treated or not-treated in 1:15 ratio. The two groups were balanced using inverse probability of treatment weights. A double-robust cox-proportional hazards model was used to estimate the hazard ratio for PrCA incidence. To evaluate for a potential Gleason score stage migration, we conducted weighted Cochrane-Armitage test. Post weighting, the rates of PrCA in treated and not-treated groups were 506 (1.5%) and 8,269 (1.6%), respectively; representing a hazard ratio of (0.91, p-value .049). There was no significant difference in Gleason scores between the two groups. We found a small, but statistically significant, reduction in the incidence of clinically detected PrCA among patients assigned to receive ARB with no countervailing effect on degree of differentiation (as indicated by Gleason score). Findings from this study support Food and Drug Administration's recent conclusion that ARB use does not increase risk of incident PrCA.

Indexed as

AgedAngiotensin Receptor AntagonistsCohort StudiesHumansMaleMiddle AgedProstatic NeoplasmsRetrospective StudiesRiskUnited StatesVeteransAngiotensin Receptor Antagonists

Identifiers

PMID23686462
PMCPMC3768141

What OpenQuestion holds

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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.