Evidence map›Paper›PMID 25798210›Full record

ArticleJournal of men's health2014

Thiazolidinedione and Metformin Use and the Risk of Benign Prostate Hyperplasia in Veterans with Diabetes Mellitus.

Harvey J Murff, Christianne L Roumie, Robert A Greevy, Carlos G Grijalva, Adrianna H Hung, Xulei Liu, Marie R Griffin

Open access · greenAbstract read
In one paragraph

Article in Journal of men's health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.4field-weighted citation impact, top 38% 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

7 citing papers in PubMed, 9 citations in OpenAlex.

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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 2 institutions in 1 country.

Harvey J MurffVeterans Health Administration-Tennessee Valley Healthcare System Geriatric Research Education Clinical Center (GRECC), HSR&D Center, Nashville, TN ; Department of Medicine, Vanderbilt University, Nashville, TN.
Christianne L RoumieVeterans Health Administration-Tennessee Valley Healthcare System Geriatric Research Education Clinical Center (GRECC), HSR&D Center, Nashville, TN ; Department of Medicine, Vanderbilt University, Nashville, TN.
Robert A GreevyVeterans Health Administration-Tennessee Valley Healthcare System Geriatric Research Education Clinical Center (GRECC), HSR&D Center, Nashville, TN ; Department of Biostatistics, Vanderbilt University, Nashville TN.
Carlos G GrijalvaVeterans Health Administration-Tennessee Valley Healthcare System Geriatric Research Education Clinical Center (GRECC), HSR&D Center, Nashville, TN ; Department of Preventive Medicine, Vanderbilt University, Nashville, TN.
Adrianna H HungVeterans Health Administration-Tennessee Valley Healthcare System Geriatric Research Education Clinical Center (GRECC), HSR&D Center, Nashville, TN ; Department of Medicine, Vanderbilt University, Nashville, TN.
Xulei LiuVeterans Health Administration-Tennessee Valley Healthcare System Geriatric Research Education Clinical Center (GRECC), HSR&D Center, Nashville, TN ; Department of Biostatistics, Vanderbilt University, Nashville TN.
Marie R GriffinVeterans Health Administration-Tennessee Valley Healthcare System Geriatric Research Education Clinical Center (GRECC), HSR&D Center, Nashville, TN ; Department of Medicine, Vanderbilt University, Nashville, TN ; Department of Preventive Medicine, Vanderbilt University, Nashville, TN.
VA Tennessee Valley Healthcare System · USVanderbilt University · US

Funding

PPAR-gamma and BPH/LUTSP20DK090874 · NIDDK · VANDERBILT UNIVERSITY · PI HAYWARD, SIMON W · 2010 to 2011
$868k
Optimal first line therapies for patients with Cardiovascular-Kidney-Metabolic (CKM) Syndrome.I01CX000570 · VA · VETERANS HEALTH ADMINISTRATION · PI ROUMIE, CHRISTIANNE L. · 2013 to 2025
–
CSRD VA I01 CX000570NIDDK NIH HHS P20 DK090874
6 · The paper itself

Abstract

backgroundChronic inflammation is important in the development of benign prostatic hyperplasia (BPH) and certain oral antidiabetic medications have anti-inflammatory properties. The purpose of this study was to determine if use of thiazolidinediones or metformin was associated with a reduced risk of requiring medical or surgical treatment for BPH compared to sulfonylureas among diabetic men.

methodsWe constructed a retrospective cohort of 192,457 male veterans newly prescribed either rosiglitazone, pioglitazone, metformin, or a sulfonylurea. We used Cox proportional hazard regression to assess the association between thiazolidinedione or metformin use and the risk of requiring medical or surgical treatment for BPH compared to sulfonylurea use. New BPH treatment was defined by either a new prescription for a α-1 blocker or 5α-reductase inhibitors or a surgical procedure indicated for severe BPH.

resultsIn 259,995 person-years of follow up we identified 14,690 new treatments for BPH. After adjusting for covariates including age, HbA1c, and body mass index, we found no association between rosiglitazone (adjusted hazard ratio [aHR] 1.02, 95% CI 0.86, 1.20), pioglitazone (aHR 0.79, 95% CI 0.45, 1.38), or metformin use (aHR 0.99, 95% CI 0.94, 1.03) and risk of new medical or surgical treatment for BPH compared to sulfonylureas. Analyses ignoring prescriptions for non-selective α-1 blockers (terazosin, doxazosin, prazosin) from our BPH case definition (n = 11,079), yielded similar results.

conclusionsIn this large cohort, we observed no association between the use of thiazolidinediones or metformin and new medical or surgical treatment for BPH compared to sulfonylureas.

Indexed as

Benign prostatic hyperplasiaDiabetes mellitusMetforminThiazolidinediones

Identifiers

PMID25798210
PMCPMC4364420
OpenAlexW255900631

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.