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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone and Men's Health Articles
Doctors Around the World Would Treat a 61 Year Old Man with Low T Differently
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<blockquote data-quote="Nelson Vergel" data-source="post: 10514" data-attributes="member: 3"><p>Less than 50 percent would prescribe testosterone to that man with low T.</p><p></p><p>Clin Endocrinol (Oxf). 2014 Aug 22. doi: 10.1111/cen.12594. [Epub ahead of print]</p><p></p><p><strong>Clinical Practice Patterns in the Assessment and Management of Low Testosterone in Men: An International Survey of Endocrinologists.</strong></p><p></p><p>Grossmann M1, Anawalt BD, Wu FC.</p><p></p><p>Abstract</p><p></p><p>OBJECTIVE:</p><p></p><p>To document current practices in the approach to low testosterone in older men. Given that recommendations are based on low-level evidence, we hypothesized that there would be a wide variability in clinical practice patterns.</p><p></p><p>DESIGN:</p><p></p><p>Members of all major endocrine and andrological societies were invited to participate in a web-based survey of the diagnostic work-up and management of a hypothetical index case of a 61-year old overweight man presenting with symptoms suggestive of androgen deficiency, without evidence of hypothalamic-pituitary-gonadal (HPT) axis disease.</p><p></p><p>RESULTS:</p><p></p><p>943 respondents (91.2% adult endocrinologists) from Northern America (63.7%), Europe (12.7%), Oceania (8.2%), Latin America and Caribbean (7.6%), and the Middle East, Asia, or Africa (7.8%) completed the survey. Response rates among participating societies ranged from 4.1-20.0%. There was a wide variability in clinical practice patterns, especially regarding biochemical diagnosis of androgen deficiency, exclusion of HPT axis pathology, and monitoring for prostate cancer. I<strong>n a man with suggestive symptoms, 42.4% of participants would offer testosterone treatment below a serum total testosterone of 10.4 nmol/L (300ng/dl).</strong> 46.0% of participants were, over the last five years, "less inclined" to prescribe testosterone to men with nonspecific symptoms and borderline testosterone levels, compared to "no change" (29.3%) or "more inclined" (24.7%), p <0.001.</p><p></p><p></p><p>CONCLUSIONS:</p><p></p><p>This large-scale international survey shows a wide variability in the management of lowered testosterone in older men, with deviations from current clinical practice guidelines, and a temporal trend towards increasing reluctance to prescribe testosterone to men without classical hypogonadism. These findings highlight the need for better evidence to guide clinicians regarding testosterone therapy.</p></blockquote><p></p>
[QUOTE="Nelson Vergel, post: 10514, member: 3"] Less than 50 percent would prescribe testosterone to that man with low T. Clin Endocrinol (Oxf). 2014 Aug 22. doi: 10.1111/cen.12594. [Epub ahead of print] [B]Clinical Practice Patterns in the Assessment and Management of Low Testosterone in Men: An International Survey of Endocrinologists.[/B] Grossmann M1, Anawalt BD, Wu FC. Abstract OBJECTIVE: To document current practices in the approach to low testosterone in older men. Given that recommendations are based on low-level evidence, we hypothesized that there would be a wide variability in clinical practice patterns. DESIGN: Members of all major endocrine and andrological societies were invited to participate in a web-based survey of the diagnostic work-up and management of a hypothetical index case of a 61-year old overweight man presenting with symptoms suggestive of androgen deficiency, without evidence of hypothalamic-pituitary-gonadal (HPT) axis disease. RESULTS: 943 respondents (91.2% adult endocrinologists) from Northern America (63.7%), Europe (12.7%), Oceania (8.2%), Latin America and Caribbean (7.6%), and the Middle East, Asia, or Africa (7.8%) completed the survey. Response rates among participating societies ranged from 4.1-20.0%. There was a wide variability in clinical practice patterns, especially regarding biochemical diagnosis of androgen deficiency, exclusion of HPT axis pathology, and monitoring for prostate cancer. I[B]n a man with suggestive symptoms, 42.4% of participants would offer testosterone treatment below a serum total testosterone of 10.4 nmol/L (300ng/dl).[/B] 46.0% of participants were, over the last five years, "less inclined" to prescribe testosterone to men with nonspecific symptoms and borderline testosterone levels, compared to "no change" (29.3%) or "more inclined" (24.7%), p <0.001. CONCLUSIONS: This large-scale international survey shows a wide variability in the management of lowered testosterone in older men, with deviations from current clinical practice guidelines, and a temporal trend towards increasing reluctance to prescribe testosterone to men without classical hypogonadism. These findings highlight the need for better evidence to guide clinicians regarding testosterone therapy. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone and Men's Health Articles
Doctors Around the World Would Treat a 61 Year Old Man with Low T Differently
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