Table 3. Descriptive characteristics of the available pharmaco-epidemiological studies evaluating the impact of testosterone treatment on forthcoming overall mortality or myocardial infarction.
Study | Age (y)a | Number (case/control) | Follow-up (wk) | Diagnosis of hypogonadism | Study design | Adjusted overall mortality | Adjusted acute mycardial infarction |
---|---|---|---|---|---|---|---|
Shores et al (2012) [38] | 62.1 | 398/633 | 81 | TT <250 ng/dL (8.7 nmol/L) | T treatment vs. no treatment | ↓ | NA |
Finkle et al (2014) [35] | 54.3 | 55,593/141,031 | 140 | NA | TTh prescription vs. PDE5i prescription | NA | ↑ |
Muraleedharan et al (2013) [39] | 45~59 | 16.5 | TT <300 ng/dL (10.4 nmol/L) | T treatment vs. no treatment | ↓ | NA | |
Vigen et al (2013) [34] | 63.4 | 1,223/7,486 | 110 | TT <300 ng/dL (10.4 nmol/L) | T treatment vs. no treatment | ↑b | ↑b |
Baillargeon et al (2014) [40] | ≥66 | 6,355/19,065 | 182 | NA | TTh prescription vs. no TTh prescription | NA | ↔ |
Eisenberg et al (2015) [41] | 54.4 | 284/225 | 520 | NA | TTh prescription vs. no TTh prescription | ↔ | NA |
Etminan et al (2015) [42] | 70.4 | 30.066/120.264 | 145 | NA | TTh prescription vs. no TTh prescription | NA | ↔ |
Ramasamy et al (2015) [43] | 74.3 | 153/64 | 191 | TT <300 ng/dL (10.4 nmol/L) | T treatment vs. no treatment | ↔ | NA |
Sharma et al (2015) [44] | 66.2 | 60.632/21.380 | 304 | TT lower than the local laboratory reference range | T treatment vs. no treatment | ↓c | ↓c |
Tan et al (2015) [45] | 20~86 | 19.968/821.725 | 72 | TT <350 ng/dL (12.0 nmol/L) | TTh prescription vs. no TTh prescription | NA | ↓ |
Maggi et al (2016) [46] | 59.1 | 759/249 | 156 | TT lower than the local laboratory reference range | T treatment vs. no treatment | ↔ | ↔ |
Wallis et al (2016) [47] | ≥65 | 10.311/28.029 | 260 | NA | TTh prescription vs. no TTh prescription | ↓ | NA |
Cheetham et al (2017) [48] | 58.4 | 8,808/35,527 | 158 (median) | Mixed hypogonadanal and eugonaladl subjcts | T treatment vs. no treatment | ↓d | ↓d |
TT: total testosterone, NA: not available, T: testosterone, TTh: testosterone therapy, PDE5i: phosphodiesterase type 5 inhibitor, ↓: reduced risk, ↑: increased risk, ↔: unchanged risk.
aValues are presented as mean only or mean range
bComposite of all-cause mortality, acute myocardial infarction, and ischemic stroke.
cComposite cardiac events= myocardial infarction, coronary revascularization, unstable angina, and sudden cardiac death.
dNormalized treated vs. untreated.