Table 5.
Study | Outcome | Threshold | Main Outcome used in Meta-Analysis | Value of Outcome | Adjustments |
---|---|---|---|---|---|
Manning 2002(32) | Albumin-to-creatinine ratio (mg/g Cr) | 30 mg/g Cr | Median (IQR) range of change from baseline to end of intervention | Median (IQR) of changea HT: 2 (-11, 21) Placebo: 2 (-1, 14) |
None |
Machado 2008(30) | Urine albumin excretion (μg/min) by 12 hour collection | N/A | Mean change in microalbuminuria from baseline to follow-up | Mean (SD) of change HT: -0.16 (2.79) Placebo: -0.86 (3.64) |
None |
Yilmaz 2011(31) | Microalbumin (mg/L) | N/A | Mean change in microalbuminuria from baseline to follow-up | Mean (SD imputed)b of change HT: -11.5 (24.3) Placebo: -8.2 (18.3) |
None |
Szekac 2000(24) | 24-hour urine protein (mg/24 hrs) | N/A | Mean change in proteinuria from baseline to follow-up | Mean (SD) of pre- and post-HT Pre-HT: 452(39) Post-HT: 370 (47) |
None |
Monster 2000(9) | Microalbuminuria | 30-300 mg/g Cr | Odds Ratio – adjusted | OR (95% CI): 2.05 (1.12-3.77) | Age, HTN, DM, obesity, hyperlipidemia, smoking |
Fencki 2003(23) | 24-hour urine protein (mg/24 hrs) | N/A | Mean change in proteinuria from baseline to follow-up (combined HT and DM) | Mean (SD) of pre- and post-HT Pre-HT: 125.9 (31.9) Post-HT: 142 (21.3) |
None |
Agarwal 2005(11) | Albumin-to-creatinine ratio (mg/g Cr) | 25 mg/g Cr | Odds Ratio – adjusted | OR (95% CI): Prospective: OR 0.67 (0.43-1.01) Mean (SD) of ln (UACR) HT: 2.16 (0.82) No HT: 2.43 (1.07) |
Age, race, DM, SBP, DBP, triglycerides, HDL, smoking, BMI, GFR |
Schopick 2009(12) | Top albumin-to-creatinine ratio decile | 9.2 mg/g Cr | Odds Ratio – adjusted | OR (95% CI): 0.55 (0.39-0.77) Median (IQR) of two groups: HT (> 6 years): 2.58 (1.6-4.6)c No HT: 3.5 (2.1-5.8) |
Age, BMI, hypertension and eGFR |
Fung 2011(10) | Albumin-to-creatinine ratio (mg/g Cr) | 25 mg/g Cr | Odds Ratio - adjusted | Cross-sectional: OR 1.07 (0.73-1.56) Prospective: Mean (SD imputed)b change of ln(UACR) HT: -0.07 (0.8) No HT: 0.31 (0.77) |
Age, weight, DM, smoking, hyperlipidemic, HTN Age |
Kaygusz 2012(41) | Protein-to-creatinine ratio | N/A | Difference in mean between HT and no HT group | Median (IQR) of two groupsa: HT: 0.08 (0.01-0.97) No HT: 0.09 (0-0.6) |
None |
Vitolo 2015(42) | Albumin-to-creatinine ratio (mg/g Cr) | N/A | Odds Ratio – unadjusted | OR (95% CI): 0.90 (0.549-1.479) Median (IQR) of two groupsa: HT: 6.45 (2.16-29.1) No HT: 6.15 (2.70-33.9) |
None |
Median taken as mean change and interquartile range converted to standard deviation of change for analysis of continuous outcomes.
Standard deviation of change imputed using the correlation coefficient calculated from Machado et al (correlation coefficient = 0.53).
Combined medians of all groups with > 6 years of hormone therapy and took widest confidence interval for the group.
Abbreviations: Cr = creatinine, IQR = interquartile range, HT = hormone therapy, SD = standard deviation, N/A = not applicable, HTN = hypertension, DM = diabetes, BMI = body-mass index, OR = odds ratio, CI = confidence interval, UACR = urine albumin-to-creatinine ratio