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Low serum testosterone is a predictor of high-grade disease in patients with prostate cancer

Overview of attention for article published in Revista da Associação Médica Brasileira, August 2017
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Title
Low serum testosterone is a predictor of high-grade disease in patients with prostate cancer
Published in
Revista da Associação Médica Brasileira, August 2017
DOI 10.1590/1806-9282.63.08.704
Pubmed ID
Authors

George A. M. Lins de Albuquerque, Giuliano B. Guglielmetti, João Arthur B. A. Barbosa, José Pontes, Arnaldo J. C. Fazoli, Maurício D. Cordeiro, Rafael F. Coelho, Paulo Afonso de Carvalho, Fábio P. Gallucci, Guilherme P. Padovani, Rubens Park, José Cury, Henrique Nonemacher, Miguel Srougi, William C. Nahas

Abstract

To evaluate the relation between serum total testosterone (TT) and prostate cancer (PCa) grade and the effect of race and demographic characteristics on such association. We analyzed 695 patients undergoing radical prostatectomy (RP), of whom 423 had serum TT collected. Patients were classified as having hypogonadism or eugonadism based on two thresholds of testosterone: threshold 1 (300 ng/dL) and threshold 2 (250 ng/dL). We evaluated the relation between TT levels and a Gleason score (GS) ≥ 7 in RP specimens. Outcomes were evaluated using univariate and multivariate analyses, accounting for race and other demographic predictors. Out of 423 patients, 37.8% had hypogonadism based on the threshold 1 and 23.9% based on the threshold 2. Patients with hypogonadism, in both thresholds, had a higher chance of GS ≥ 7 (OR 1.79, p=0.02 and OR 2.08, p=0.012, respectively). In the multivariate analysis, adjusted for age, TT, body mass index (BMI) and race, low TT (p=0.023) and age (p=0.002) were found to be independent risk factors for GS ≥ 7. Among Black individuals, low serum TT was a stronger predictor of high-grade disease compared to White men (p=0.02). Hypogonadism is independently associated to higher GS in localized PCa. The effect of this association is significantly more pronounced among Black men and could partly explain aggressive characteristics of PCa found in this race.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 19 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 19 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 7 37%
Researcher 3 16%
Student > Doctoral Student 2 11%
Professor 1 5%
Student > Ph. D. Student 1 5%
Other 1 5%
Unknown 4 21%
Readers by discipline Count As %
Medicine and Dentistry 6 32%
Nursing and Health Professions 3 16%
Environmental Science 1 5%
Arts and Humanities 1 5%
Computer Science 1 5%
Other 3 16%
Unknown 4 21%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 21 December 2017.
All research outputs
#15,745,807
of 25,382,440 outputs
Outputs from Revista da Associação Médica Brasileira
#316
of 1,105 outputs
Outputs of similar age
#179,595
of 327,522 outputs
Outputs of similar age from Revista da Associação Médica Brasileira
#6
of 8 outputs
Altmetric has tracked 25,382,440 research outputs across all sources so far. This one is in the 37th percentile – i.e., 37% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,105 research outputs from this source. They receive a mean Attention Score of 2.7. This one has gotten more attention than average, scoring higher than 70% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 327,522 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 43rd percentile – i.e., 43% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 8 others from the same source and published within six weeks on either side of this one. This one has scored higher than 2 of them.