Evidence map›Paper›PMID 28861300›Full record

ArticleTurkish journal of urology2017

Low free and bioavailable testosterone levels may predict pathologically-proven high-risk prostate cancer: a prospective, clinical trial.

Göksel Bayar, Hakan Şirin, Mustafa Aydın, Ayşim Özağarı, Orhan Tanrıverdi, Mustafa Kadıhasanoğlu, Muammer Kendirci

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Article in Turkish journal of urology, 2017. 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
1.9field-weighted citation impact, top 13% 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, 14 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 3 institutions in 1 country.

Göksel BayarClinic of Urology, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul, Turkey.
Hakan ŞirinClinic of Urology, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul, Turkey.
Mustafa AydınClinic of Urology, Samsun Training and Research Hospital, Samsun, Turkey.
Ayşim ÖzağarıClinic of Pathology, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul, Turkey.
Orhan TanrıverdiDepartment of Urology, İstinye University School of Medicine, Liv Hospital Ulus, İstanbul, Turkey.
Mustafa KadıhasanoğluDepartment of Urology, İstanbul Training and Research Hospital, İstanbul, Turkey.
Muammer KendirciDepartment of Urology, İstinye University School of Medicine, Liv Hospital Ulus, İstanbul, Turkey.
Istinye University · TRSamsun University · TRŞişli Etfal Eğitim ve Araştırma Hastanesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the predictive value of free and bioavailable testosterone levels on the detection of high-grade prostate cancer proven by histopathological examination of transrectal prostate biopsy specimens. MATERIAL AND

methodsA total of 405 patients who underwent transrectal prostate biopsy due to high prostatic specific antigen (PSA) (>2.5 ng/mL) and/or abnormal findings at digital rectal examination were included in this study. Blood free and bioavailable testosterone levels were calculated by the formula recommended by International Society for the Study of the Aging Male (ISSAM). The patients were stratified according to the D'Amico classification based on PSA levels and histological outcomes of prostate biopsies as benign, low, intermediate and high-risk prostate cancer. Patients were also divided into five groups according to the percentage of cancerous cores.

resultsProstate cancer was detected in 160 of 405 (39.5%) patients. Total, free and bioavailable testosterone levels did not differ significantly between the patients with benign or malign histology. However, mean free (6.2 vs. 5.2 ng/dL, p=0.02) and bioavailable (151 vs. 125 ng/dL, p=0.001) testosterone levels were found to be significantly different in men with low-intermediate and high-risk prostate cancer. Moreover, a significant correlation was found between free, and bioavailable testosterone levels and percentage of cores with cancer (p=0.002 for free and p=0.016 for bioavailable testosterone, respectively).

conclusionThis prospective clinical study demonstrates that reduced levels of calculated blood free and bioavailable testosterone levels are associated with an increased risk of high-grade prostate cancer. Based on these findings blood free and bioavailable testosterone levels may be be thought to be an adjunctive factor in the prediction of high-risk prostate cancer.

Indexed as

Prostate cancerprostate-specific antigenradical prostatectomytestosteronetransrectal prostate biopsy

Identifiers

PMID28861300
PMCPMC5562247
OpenAlexW2741065305

What OpenQuestion holds

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Registered trials

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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.