Evidence map›Paper›PMID 31928462›Full record

ArticleThe Journal of urology2020

Trends and Patterns of Testosterone Therapy among U.S. Male Medicare Beneficiaries, 1999 to 2014.

Cindy Ke Zhou, Shailesh Advani, Matthew Chaloux, James Todd Gibson, Mandi Yu, Marie Bradley, Robert N Hoover, Michael B Cook

Open access · greenAbstract read
In one paragraph

Article in The Journal of urology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Testosterone Concentration and Incident Depression in Older Men: A Longitudinal Cohort Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Young Adults' Understanding of Modifiable Risk Factors of Infertility.Women's health reports (New Rochelle, N.Y.) · 2024
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Testosterone replacement therapy in the era of telemedicine.International journal of impotence research · 2022
    Review
  17. Article
  18. Article
  19. Article
  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 4 institutions in 1 country.

Cindy Ke ZhouMetabolic Epidemiology Branch, Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, Maryland.
Shailesh AdvaniSocial Epidemiology Research Unit, Social Behavioral Research Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, Maryland.
Matthew ChalouxDivision of Cancer Epidemiology and Genetics, Surveillance Research Program, National Cancer Institute, Bethesda, Maryland.
James Todd GibsonInformation Management Services, Inc., Rockville, Maryland.
Mandi YuDivision of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, Maryland.
Marie BradleyDivision of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, Maryland.
Robert N HooverEpidemiology and Biostatics Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, Maryland.
Michael B CookMetabolic Epidemiology Branch, Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, Maryland.
National Cancer Institute · USDivision of Cancer Epidemiology and GeneticsInformation Management Services · USNational Human Genome Research Institute · US

Funding

Descriptive Studies and Record LinkageZIACP010183 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI SHIELS, MEREDITH · 2009 to 2025
$10.7M
Intramural NIH HHS ZIA CP010183
6 · The paper itself

Abstract

purposeWe explored the Medicare database (1999 to 2014) to provide a comprehensive assessment of testosterone therapy patterns in the older U.S. male population. MATERIALS AND

methodsWe estimated annual age-standardized incidence (new users) and prevalence (existing users) of testosterone therapy according to demographic characteristics, comorbidities and potential indications.

resultsThere were 392,698 incident testosterone therapy users during 88 million person-years. Testosterone therapy users were predominantly younger, white nonHispanic, and located in South and West U.S. Census regions. On average testosterone therapy use increased dramatically during 2007 to 2014 (average annual percent change 15.5%), despite a decrease in 2014. In 2014 the most common recorded potential indications for any testosterone therapy were hypogonadism (48%), fatigue (18%), erectile dysfunction (15%), depression (4%) and psychosexual dysfunction (1%). Laboratory tests to measure circulating testosterone concentrations for testosterone therapy were infrequent with 35% having had at least 1 testosterone test in the 120 days preceding testosterone therapy, 4% the recommended 2 pre-testosterone therapy tests, and 16% at least 1 pre-testosterone therapy test and at least 1 post-testosterone therapy test.

conclusionsTestosterone therapy remains common in the older U.S. male population, despite a recent decrease. Although testosterone therapy prescriptions are predominantly for hypogonadism, a substantial proportion appear to be for less specific conditions. Testosterone tests among men prescribed testosterone therapy appear to be infrequent.

Indexed as

AgedAged, 80 and overAndrogensDepressionDrug UtilizationErectile DysfunctionFatigueHormone Replacement TherapyHumansHypogonadismLongitudinal StudiesMaleMedicarePractice Patterns, Physicians'Retrospective StudiesTestosteroneAndrogensTestosteroneepidemiologyhypogonadismMedicaretestosteronetrends

Identifiers

PMID31928462
PMCPMC7211140
OpenAlexW3000320896

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.