Evidence map›Paper›PMID 24719121›Full record

Trial reportYonsei medical journal2014

Unrecognized kinetics of serum testosterone: impact on short-term androgen deprivation therapy for prostate cancer.

Kyo Chul Koo, Dong Hoon Lee, Kyu Hyun Kim, Seung Hwan Lee, Chang Hee Hong, Sung Joon Hong, Byung Ha Chung

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Yonsei medical journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 25% 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, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

7 authors at 1 institution in 1 country.

Kyo Chul KooDepartment of Urology and Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea. ; Sex Offender Treatment and Rehabilitation Center, National Forensic Hospital, Gongju, Korea.
Dong Hoon LeeDepartment of Urology and Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea.
Kyu Hyun KimDepartment of Urology and Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea.
Seung Hwan LeeDepartment of Urology and Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea.
Chang Hee HongDepartment of Urology and Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea.
Sung Joon HongDepartment of Urology and Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea.
Byung Ha ChungDepartment of Urology and Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea.
Yonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the kinetics of serum testosterone (T) recovery following short-term androgen deprivation therapy (ADT), as the understanding thereof is essential for the proper management of prostate cancer (PCa), especially intermittent ADT. MATERIALS AND

methodsThis prospective analysis included male sex offenders who voluntarily received leuprolide acetate in order to alleviate sexual aberrance. Thirty-three and 25 patients who received 3 and 6 months of ADT were assigned to Group A and Group B, respectively. Serum T levels were obtained every week during the on-cycle period, then monthly during the off-cycle period for at least 12 months.

resultsThe kinetics of serum T during the on-cycle period were similar in both groups. After flare reaction at week 2, a nadir of 0.45±0.29 ng/mL was achieved. In Group A, an abrupt rebound-upsurge was observed during the first 2 month off-cycle period, which surpassed the baseline level and reached a plateau level of 8.74±2.11 ng/mL during the flare (p<0.001). This upsurge was followed by a gradual decline back to baseline over the following 10 months. In Group B, a gradual increase was observed, and a baseline level of 7.26±1.73 ng/mL was reached at 5 months. Thereafter, an ongoing upsurge that surpassed baseline levels was observed until 12 months (8.81±1.92 ng/mL; p=0.002).

conclusionThe kinetics of serum T recovery during the off-cycle period varied according to the duration of ADT. Serum T should be monitored beyond normalization, as an excessive rebound may improve quality-of-life, but hamper the treatment efficacy of PCa.

Indexed as

AdultAndrogen AntagonistsFollicle Stimulating HormoneHumansLuteinizing HormoneMaleMiddle AgedProspective StudiesProstatic NeoplasmsTestosteroneTreatment OutcomeYoung AdultAndrogen AntagonistsFollicle Stimulating HormoneLuteinizing HormoneTestosteroneAndrogenskineticstestosterone

Identifiers

PMID24719121
PMCPMC3990065
OpenAlexW2091733322

What OpenQuestion holds

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LicenceCC BY-NC
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.