Evidence map›Paper›PMID 33772218›Full record

ArticleProstate cancer and prostatic diseases2021

Hormone therapy use and the risk of acute kidney injury in patients with prostate cancer: a population-based cohort study.

Chris R Cardwell, Joe M O'Sullivan, Suneil Jain, Blánaid M Hicks, Paul A Devine, Úna C McMenamin

Open access · hybridAbstract read
In one paragraph

Article in Prostate cancer and prostatic diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 19% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Chris R CardwellCentre for Public Health, Queen's University Belfast, Belfast, Northern Ireland, UK. c.cardwell@qub.ac.uk.ORCID http://orcid.org/0000-0002-2689-4335
Joe M O'SullivanCentre for Cancer Research and Cell Biology, Queen's University Belfast, Belfast, Northern Ireland, UK.ORCID http://orcid.org/0000-0001-6999-2739
Suneil JainCentre for Cancer Research and Cell Biology, Queen's University Belfast, Belfast, Northern Ireland, UK.
Blánaid M HicksCentre for Public Health, Queen's University Belfast, Belfast, Northern Ireland, UK.
Paul A DevineRegional Nephrology and Transplant Unit, Belfast City Hospital, Belfast, UK.ORCID http://orcid.org/0000-0001-7140-000X
Úna C McMenaminCentre for Public Health, Queen's University Belfast, Belfast, Northern Ireland, UK.
Queen's University Belfast · GBUniversity of Ulster · GB

Funding

Cancer Research UK 20100Cancer Research UK 22185Cancer Research UK C53788/A20100Medical Research Council MR/T019859/1
6 · The paper itself

Abstract

backgroundHormone therapy is widely used in prostate cancer. However, studies have raised concerns that hormone therapy, particularly the use of gonadotropin-releasing hormone agonists, could increase the risk of acute kidney injury.

methodsMen newly diagnosed with non-metastatic prostate cancer, from 2012 to 2017, were identified from the Scottish Cancer Registry. A matched comparison cohort of prostate cancer-free men was also identified. Hormone therapy use was determined from the Prescribing Information System in Scotland. The primary outcome was hospitalisations with acute kidney injury taken from Scottish hospital records (SMR01) up to June 2019. Time-dependent Cox regression models were used to calculate hazard ratios (HRs) and 95% confidence intervals (CIs) for acute kidney injury by hormone therapy use.

resultsThe prostate cancer cohort contained 10,751 patients followed for 41,997 person years, during which there were 618 hospitalisations with acute kidney injury. Prostate cancer patients had higher rates of acute kidney injury compared with cancer-free controls (adjusted HR = 1.47 95% CI 1.29, 1.69). However, prostate cancer patients currently using hormone therapy (adjusted HR = 1.14 95% CI 0.92, 1.41), including gonadotropin-releasing hormone (GnRH) agonists (adjusted HR = 1.13 95% CI 0.90, 1.40), did not appear to have a marked increase in acute kidney injury compared with prostate cancer patients not using hormone therapy after adjusting for potential confounders.

conclusionsIn our cohort, there was little evidence that gonadotropin-releasing hormone agonists were associated with marked increases in acute kidney injury.

Indexed as

Acute Kidney InjuryAgedAged, 80 and overAndrogen AntagonistsAntineoplastic Agents, HormonalComorbidityHumansMaleMiddle AgedNeoplasm GradingProstatic NeoplasmsRegistriesScotlandAndrogen AntagonistsAntineoplastic Agents, Hormonal

Identifiers

PMID33772218
PMCPMC8616753
OpenAlexW3137447529

What OpenQuestion holds

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LicenceCC BY
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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.