Skip to main content
. 2010 Jan 6;102(1):39–46. doi: 10.1093/jnci/djp404

Table 2.

Unadjusted rate of incident diabetes, coronary heart disease, myocardial infarction, sudden death, and stroke associated with androgen deprivation therapy (ADT)*

Incident diabetes
Incident CHD
Myocardial infarction
Sudden cardiac death
Stroke
Treatment Rate (95% CI) P value Rate (95% CI) P value Rate (95% CI) P value Rate (95% CI) P value Rate (95% CI) P value
No ADT 87.5 (84.6 to 90.4) 81.4 (78.7 to 84.2) 7.3 (6.4 to 7.9) 11.5 (10.7 to 12.3) 10.8 (10.0 to 11.5)
GnRH agonist 159.4 (150.6 to 168.3) <.001 144.0 (135.7 to 152.2) <.001 12.8 (11.1 to 14.4) <.001 21.6 (19.4 to 23.7) <.001 18.5 (16.5 to 20.5) <.001
Orchiectomy 190.4 (137.6 to 243.2) <.001 210.5 (150.9 to 270.0) <.001 24.3 (12.4 to 36.3) .005 23.3 (11.5 to 35.1) .05 26.2 (13.8 to 38.7) .015
Combined androgen blockade 144.6 (117.2 to 172.0) <.001 157.7 (129.4 to 186.0) <.001 10.2 (5.2 to 15.2) .26 20.1 (13.0 to 27.2) .02 14.8 (8.8 to 20.9) .19
Oral antiandrogen 126.8 (82.9 to 170.8) .08 143.2 (97.1 to 189.4) .009 11.2 (2.3 to 20.1) .40 18.8 (7.2 to 30.5) .22 14.9 (4.6 to 25.2) .43
*

CHD = coronary heart disease; GnRH = gonadotropin-releasing hormone; Rate = number of events per 1000 person-years.

P values were based on two-sample z tests that evaluated whether the rate of each outcome for men during treatment with any of the treatments differed from the rate under no androgen deprivation therapy, accounting for censoring. Patients with prevalent diabetes and coronary heart disease did not contribute data to the rates for incident diabetes and coronary heart disease, respectively. All statistical tests were two-sided.