2016
DOI: 10.1136/bmj.i5968
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Testosterone treatment and risk of venous thromboembolism: population based case-control study

Abstract: Objective To determine the risk of venous thromboembolism associated with use of testosterone treatment in men, focusing particularly on the timing of the risk.Design Population based case-control studySetting 370 general practices in UK primary care with linked hospital discharge diagnoses and in-hospital procedures and information on all cause mortality.Participants 19 215 patients with confirmed venous thromboembolism (comprising deep venous thrombosis and pulmonary embolism) and 909 530 age matched control… Show more

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Cited by 142 publications
(133 citation statements)
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“…After the adjustment for confounders, TTh was not associated with an increased risk of VTE (adjusted ratio, 0.90 (0.73 to 1.12)) 54. In contrast to this study, a more recent report reached opposite findings 55. In this study, data were derived from 370 general practitioners in UK primary care, including all men aged 20–89 years registered in the Clinical Practice Research Datalink.…”
Section: Venous Thromboembolism Riskmentioning
confidence: 58%
“…After the adjustment for confounders, TTh was not associated with an increased risk of VTE (adjusted ratio, 0.90 (0.73 to 1.12)) 54. In contrast to this study, a more recent report reached opposite findings 55. In this study, data were derived from 370 general practitioners in UK primary care, including all men aged 20–89 years registered in the Clinical Practice Research Datalink.…”
Section: Venous Thromboembolism Riskmentioning
confidence: 58%
“…We and others speculate that VTE events peaking around 3 months,28 with a subsequent sharp decline, may reflect TT-induced depletion of susceptible29 thrombophilic patients from the population, leaving a thrombophilia-winnowed residual group with progressively fewer VTE events over time despite continuation of testosterone supplementation.…”
Section: Introductionmentioning
confidence: 80%
“…Seventy-six per cent of the thrombotic events occurred in a time frame ranging from <1 month to 8 months after starting TT. Martinez et al 28 recently examined relationships of TT and risk of VTE. Participants included 19,215 patients with confirmed VTE (DVT and PE) and 909,530 age-matched controls from a source population including >2.22 million men 28.…”
Section: Discussionmentioning
confidence: 99%
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