Evidence map›Paper›PMID 29988099›Full record

SynthesisProstate cancer and prostatic diseases2018

Association of androgen deprivation therapy with thromboembolic events in patients with prostate cancer: a systematic review and meta-analysis.

Zhenlang Guo, Yiyu Huang, Leiliang Gong, Shu Gan, Franky Leung Chan, Chiming Gu, Songtao Xiang, Shusheng Wang

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Prostate cancer and prostatic diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Incidence of the adverse effects of androgen deprivation therapy for prostate cancer: a systematic literature review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Pulmonary Embolism Associated with Olaparib inCurrent oncology (Toronto, Ont.) · 2025
    Article
  6. Article
  7. Article
  8. UPDATE - Canadian Urological Association guideline on androgen deprivation therapy: Adverse events and management strategies.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2022
    Article
  9. Review
  10. Article
  11. Review
  12. Canadian Urological Association guideline on androgen deprivation therapy: Adverse events and management strategies.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2021
    Article
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  14. Article
  15. Review
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  19. Observational
  20. 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

8 authors at 3 institutions in 2 countries.

Zhenlang GuoThe Second Clinical College, Guangzhou University of Chinese Medicine, Guangzhou, China.
Yiyu HuangThe Second Clinical College, Guangzhou University of Chinese Medicine, Guangzhou, China.
Leiliang GongDepartment of Mechanical Engineering, National University of Singapore, Kent Ridge, Singapore.
Shu GanDepartment of Urology, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China.
Franky Leung ChanSchool of Biomedical Sciences, The Chinese University of Hong Kong, Shatin, Hong Kong, China.
Chiming GuDepartment of Urology, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China.
Songtao XiangDepartment of Urology, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China.
Shusheng WangDepartment of Urology, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China. shushengwanggzy@163.com.
Guangzhou University of Chinese Medicine · CNChinese University of Hong Kong · CNNational University of Singapore · SG

Funding

National Natural Science Foundation of China (National Science Foundation of China) 61301294
6 · The paper itself

Abstract

backgroundWhether androgen deprivation therapy (ADT) causes excess thromboembolic events (TEs) in men with prostate cancer (PCa) remains controversial and is the subject of the US Food and Drug Administration safety warning. This study aims to perform a systematic review and meta-analysis on previous studies to determine whether ADT is associated with TEs in men with PCa.

methodsMedline, Embase, and Cochrane Library databases were searched for relevant studies. These studies comprised those that compared ADT versus control to treat PCa, reported TEs as outcome, and were published before January 2018. Multivariate adjusted hazard ratios (HRs) and associated 95% confidence intervals (CIs) were calculated using random- or fixed-effects models.

resultsFive retrospective population-based cohort studies involving 170,851 ADT users and 256,704 non-ADT users were identified. Deep venous thrombosis (DVT) was found significantly associated with gonadotropin-releasing hormone (GnRH) agonists alone (HR = 1.47, 95% CI: 1.07-2.03; P = 0.017; I

conclusionsGnRH agonists alone, GnRH plus AA, and AA alone cause excess DVT in men with PCa after controlling the demographic and disease characteristics and other confounding factors, although statistically significant difference was not observed in orchiectomy group. Additionally, GnRH agonists alone and orchiectomy can increase the incidence of PE.

Indexed as

Androgen AntagonistsAnimalsAntineoplastic Agents, HormonalGonadotropin-Releasing HormoneHumansIncidenceMaleOrchiectomyPatient Outcome AssessmentPopulation SurveillanceProstatic NeoplasmsRetrospective StudiesThromboembolismVenous ThromboembolismAndrogen AntagonistsAntineoplastic Agents, HormonalGonadotropin-Releasing Hormone

Identifiers

PMID29988099
OpenAlexW2812849477

What OpenQuestion holds

Textmetadata
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.