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.