ArticleJournal of general internal medicine2017
Who Gets Testosterone? Patient Characteristics Associated with Testosterone Prescribing in the Veteran Affairs System: a Cross-Sectional Study.
Article in Journal of general internal medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
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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.
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Who cites it
17 citing papers in PubMed, 44 citations in OpenAlex.
- Prostate Safety Events During Testosterone Replacement Therapy in Men With Hypogonadism: A Randomized Clinical Trial.JAMA network open · 2023Trial
- Efficacy of Testosterone Replacement Therapy in Correcting Anemia in Men With Hypogonadism: A Randomized Clinical Trial.JAMA network open · 2023Trial
- Trial
- Bigger than sport: the enhanced games and the commodification of telehealth, testosterone, and dependency.Harm reduction journal · 2025Article
- Streamlined Testosterone Order Template to Improve the Diagnosis and Evaluation of Hypogonadism in Veterans.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2025Article
- Patient Characteristics Associated with Receiving Gender-Affirming Hormone Therapy in the Veterans Health Administration.Transgender health · 2024Article
- Clinicians in the Veterans Health Administration initiate gender-affirming hormone therapy in concordance with clinical guideline recommendations.Frontiers in endocrinology · 2024Article
- Article
- Development and Validation of Quality Measures for Testosterone Prescribing.Journal of the Endocrine Society · 2023Article
- Trends in testosterone prescription amongst medical specialties: a 5-year CMS data analysis.International journal of impotence research · 2023Article
- The Illusory Case for Treatment of an Invented Disease.Frontiers in endocrinology · 2021Review
- Association of Testosterone Therapy With Risk of Venous Thromboembolism Among Men With and Without Hypogonadism.JAMA internal medicine · 2020Article
- Health Outcomes Among Long-term Opioid Users With Testosterone Prescription in the Veterans Health Administration.JAMA network open · 2019Observational
- Understanding the Context of High- and Low-Testosterone Prescribing Facilities in the Veterans Health Administration (VHA): a Qualitative Study.Journal of general internal medicine · 2019Article
- Who Gets Testosterone?Journal of general internal medicine · 2017Article
- Who Gets Testosterone? Patient Characteristics Associated with Testosterone Prescribing in the Veteran Affairs System: A Cross-Sectional Study.Journal of general internal medicine · 2017Article
- Provider and Site-Level Determinants of Testosterone Prescribing in the Veterans Healthcare System.The Journal of clinical endocrinology and metabolism · 2017Article
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Authors and funding
11 authors at 8 institutions in 1 country.
Funding
Abstract
backgroundThere has been concern about the growing off-label use of testosterone. Understanding the context within which testosterone is prescribed may contribute to interventions to improve prescribing.
objectiveTo evaluate patient characteristics associated with receipt of testosterone.
designCross-sectional.
settingA national cohort of male patients, who had received at least one outpatient prescription within the Veterans Affairs (VA) system during Fiscal Year 2008- Fiscal Year 2012.
participantsThe study sample consisted of 682,915 non-HIV male patients, of whom 132,764 had received testosterone and a random 10% sample, 550,151, had not. MAIN MEASURES: Conditions and medications associated with testosterone prescription. KEY
resultsOnly 6.3% of men who received testosterone from the VA during the study period had a disorder of the testis, pituitary or hypothalamus associated with male hypogonadism. Among patients without a diagnosed disorder of hypogonadism, the use of opioids and obesity were the strongest predictors of testosterone prescription. Patients receiving >100 mg/equivalents of oral morphine daily (adjusted odds ratio = 5.75, p < 0.001) and those with body mass index (BMI) >40 kg/m
conclusionsIn the VA, 93.7% of men receiving testosterone did not have a diagnosed condition of the testes, pituitary, or hypothalamus. The strongest predictors of testosterone receipt (e.g., obesity, receipt of opioids), which though are associated with unapproved, off-label use, may be valid reasons for therapy. Interventions should aim to increase the proportion of testosterone recipients who have a valid indication.
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Registered trials
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.