Evidence map›Paper›PMID 41034844›Full record

ArticleBMC urology2025

Renal cancer survival and use of 5alpha-reductase inhibitors or androgen deprivation therapy.

Olli Lipponen, Antti Pöyhönen, Andres Kotsar, Thea Veitonmäki, Teuvo Lj Tammela, Kaisa Sunela, Teemu J Murtola

Abstract read
In one paragraph

Article in BMC urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Olli LipponenFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Antti PöyhönenCentre for Military Medicine, The Finnish Defence Forces, Riihimäki, Finland.
Andres KotsarDepartment of Urology, Tartu University Hospital, Tartu, Estonia.
Thea VeitonmäkiDepartment of Urology, TAYS Cancer Center, P.O.Box 2000, Tampere, 33521, Finland.
Teuvo Lj TammelaFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Kaisa SunelaDepartment of Oncology, TAYS Cancer Center, Tampere, Finland.
Teemu J MurtolaFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland. teemu.murtola@tuni.fi.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSeveral etiological factors have been implicated in renal cell carcinoma (RCC), and hormonal receptor activity appears to influence RCC-specific mortality. This study aimed to examine the potential association between the use of 5α-reductase inhibitors and androgen deprivation therapy (ADT) and RCC-specific mortality in a population-based cohort of men.

methodsThis study included a cohort of 7,720 Finnish men newly diagnosed with RCC between 1995 and 2012. The median follow-up period was 4.75 years. The risk of RCC-specific mortality associated with the use of 5α-reductase inhibitors and androgen deprivation therapy was analyzed using Cox proportional hazards regression. The influence of tumor histology and primary treatment were also evaluated. Long-term risks were assessed in lag-time analyses. Potential confounding by indication was addressed by repeating the analyses for α-blocker users for comparison.

resultsUse of 5α-reductase inhibitors prior to RCC diagnosis was associated with a slight risk increase for RCC-specific mortality compared to non-users (HR 1.18, 95% CI 1.02-1.36), with similar association observed also among α-blocker users. However, post-diagnostic use of 5α-reductase inhibitors was not associated with RCC-specific mortality (HR 0.93, 95% CI 0.81-1.07). The lag time analysis did not demonstrate any long-term risk reduction for either 5α-reductase inhibitors or α-blockers. Additionally, no association was observed between ADT use and RCC-specific mortality.

conclusionUse of 5α-reductase inhibitors or androgen deprivation therapy does not consistently associate with RCC-survival following diagnosis.

Indexed as

5-alpha Reductase InhibitorsAndrogen AntagonistsCarcinoma, Renal CellKidney NeoplasmsAgedAged, 80 and overCohort StudiesFinlandHumansMaleMiddle AgedSurvival Rate5-alpha Reductase InhibitorsAndrogen Antagonists5alpha-reductase inhibitorsAndrogen deprivation therapyRenal cancerSurvival

Identifiers

PMID41034844
PMCPMC12487166

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.