Evidence map›Paper›PMID 37873943›Full record

ArticleThe Journal of urology2024

Serum Testosterone and Dihydrotestosterone and Incidence and Progression of Lower Urinary Tract Symptoms: Results From the REDUCE Study.

James P Daniels, James Mirocha, Michie Adjei, Daniel Moreira, Stephen J Freedland

Open access · greenAbstract read
In one paragraph

Article in The Journal of urology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Response to Letter to the Editor.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

James P DanielsCedars-Sinai Medical Center, Los Angeles, California.ORCID 0000-0002-2401-2474
James MirochaCedars-Sinai Medical Center, Los Angeles, California.ORCID 0000-0002-2338-193X
Michie AdjeiCedars-Sinai Medical Center, Los Angeles, California.ORCID 0000-0001-8270-2345
Daniel MoreiraThe University of Illinois College of Medicine, Chicago, Illinois.
Stephen J FreedlandCedars-Sinai Medical Center, Los Angeles, California.ORCID 0000-0002-8104-6419
Cedars-Sinai Medical Center · USIllinois College · US

Funding

Training CoreTL1DK132768 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Elizabeta Nemeth · 2021 to 2026
$3.4M
Network CoreU2CDK129496 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ISIDRO B. SALUSKY · 2021 to 2026
$2.9M
NIDDK NIH HHS TL1 DK132768NIDDK NIH HHS U2C DK129496
6 · The paper itself

Abstract

purposeThough the pathogenesis of benign prostatic hyperplasia is unclear, it was previously believed that increasing androgen levels contributed, though not all data support this idea. We tested if elevated serum testosterone or dihydrotestosterone were risk factors for lower urinary tract symptoms incidence in asymptomatic men and for lower urinary tract symptoms progression in symptomatic men. MATERIALS AND

methodsA post hoc analysis of REDUCE was performed in 3009 asymptomatic men and in 2145 symptomatic men. REDUCE was a randomized trial of dutasteride for prostate cancer prevention in men with an elevated prostate-specific antigen and negative prestudy biopsy. We estimated multivariable adjusted hazard ratios and 95% confidence intervals using Cox models to test the association between quintiles of serum testosterone and dihydrotestosterone at baseline and lower urinary tract symptoms incidence and progression and tested for interaction by treatment arm (dutasteride vs placebo).

resultsIn asymptomatic men, there was no evidence serum testosterone or dihydrotestosterone were related to lower urinary tract symptoms incidence (

conclusionsIn REDUCE, higher serum testosterone and higher serum dihydrotestosterone were not associated with either lower urinary tract symptoms incidence in asymptomatic men or lower urinary tract symptoms progression in symptomatic men. These data do not support the hypothesis that serum androgens in middle-aged men are associated with lower urinary tract symptoms.

Indexed as

Lower Urinary Tract SymptomsProstatic HyperplasiaDihydrotestosteroneDutasterideHumansIncidenceMaleMiddle AgedRandomized Controlled Trials as TopicTestosteroneDihydrotestosteroneDutasterideTestosteroneandrogensbenign prostatic hyperplasiaDHTlower urinary tract symptomstestosterone

Identifiers

PMID37873943
PMCPMC10842939
OpenAlexW4387893724

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.