Evidence map›Paper›PMID 35752985›Full record

SynthesisCancer causes & control : CCC2022

Does testosterone mediate the relationship between vitamin D and prostate cancer progression? A systematic review and meta-analysis.

Luke A Robles, Sean Harrison, Vanessa Y Tan, Rhona Beynon, Alexandra McAleenan, Julian Pt Higgins, Richard M Martin, Sarah J Lewis

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Cancer causes & control : CCC, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Vitamin D status and clinical implications in the adult population of Malaysia: a position paper by the Malaysian Vitamin D Special Interest Group.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2023
    Review
  5. Review
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 2 institutions in 1 country.

Luke A RoblesDepartment of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, England. luke.robles@bristol.ac.uk.ORCID http://orcid.org/0000-0003-2882-9868
Sean HarrisonDepartment of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, England.
Vanessa Y TanDepartment of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, England.
Rhona BeynonDepartment of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, England.
Alexandra McAleenanDepartment of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, England.
Julian Pt HigginsDepartment of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, England.
Richard M MartinDepartment of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, England.
Sarah J LewisDepartment of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, England.
University Hospitals Bristol NHS Foundation Trust · GBUniversity of Bristol · GB

Funding

Cancer Research UK 29019
6 · The paper itself

Abstract

purposeObservational studies and randomized controlled trials (RCTs) have shown an association between vitamin D levels and prostate cancer progression. However, evidence of direct causality is sparse and studies have not examined biological mechanisms, which can provide information on plausibility and strengthen the evidence for causality.

methodsWe used the World Cancer Research Fund International/University of Bristol two-stage framework for mechanistic systematic reviews. In stage one, both text mining of published literature and expert opinion identified testosterone as a plausible biological mechanism. In stage two, we performed a systematic review and meta-analysis to assess the evidence from both human and animal studies examining the effect of vitamin D on testosterone, and testosterone on advanced prostate cancer (diagnostic Gleason score of ≥ 8, development of metastasis) or prostate cancer-specific mortality.

resultsA meta-analysis of ten human RCTs showed evidence of an effect of vitamin D on total testosterone (standardised mean difference (SMD) = 0.133, 95% CI =  - 0.003-0.269, I

conclusionThere is some evidence that vitamin D increases levels of total and free testosterone, although the effect of testosterone levels within the normal range on prostate cancer progression is unclear. The role of testosterone as a mechanism between vitamin D and prostate cancer progression remains inconclusive.

Indexed as

Prostatic NeoplasmsVitamin DHumansMaleProstateTestosteroneVitaminsTestosteroneVitamin DVitaminsMeta-analysisProgressionProstate cancerTestosteroneVitamin D

Identifiers

PMID35752985
PMCPMC9270305
OpenAlexW4283582970

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.