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Cited by 190

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Low Serum Testosterone Increases Mortality Risk among Male Dialysis Patients

Open access
Carrero, Juan Jesu[Combining Acute Accent]s, Qureshi, Abdul Rashid, Parini, Paolo, Arver, Stefan, Lindholm, Bengt, Ba[Combining Acute Accent]ra[Combining Acute Accent]ny, Peter, Heimbu[Combining Diaeresis]rger, Olof, Stenvinkel, Peter·2009·Journal of the American Society of Nephrology

Abstract

Men treated with hemodialysis (HD) have a very poor prognosis and an elevated risk of premature cardiovascular disease (CVD). In the general population, associations between low testosterone concentrations and cardiovascular risk have been suggested. We performed a prospective observational study involving a well characterized cohort of 126 men treated with HD to examine the relationship between testosterone concentration and subsequent mortality during a mean follow-up period of 41 mo. Independent of age, serum creatinine, and sexual hormone binding globulin (SHBG), testosterone levels inversely and strongly associated with the inflammatory markers IL-6 and CRP. Patients with a clinical history of CVD had significantly lower testosterone levels. During follow up, 65 deaths occurred, 58% of which were a result of CVD. Men with testosterone values in the lowest tertile had increased all-cause and CVD mortality (crude hazard ratios [HRs] 2.03 [95% CI 1.24 to 3.31] and 3.19 [1.49 to 6.83], respectively), which persisted after adjustment for age, SHBG, previous CVD, diabetes, ACEi/ARB treatment, albumin, and inflammatory markers, but was lost after adjustment for creatinine. In summary, among men treated with HD, testosterone concentrations inversely correlate with all-cause and CVD-related mortality, as well as with markers of inflammation. Hypogonadism may be an additional treatable risk factor for patients with chronic kidney disease.

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Metadata

Authors
Carrero, J. J. A. A., Qureshi, A. R., Parini, P., Arver, S., Lindholm, B., Ba[Combining Acute Accent]ra[Combining Acute Accent]ny, P., Heimbu[Combining Diaeresis]rger, O., & Stenvinkel, P.
Venue
Journal of the American Society of Nephrology
Published
2009-03
Volume
20
Issue
3
Pages
613-620
ISSN
1046-6673 (ISSN-L)
OpenAlex
W2095981595
Cited by
190
References
11
FWCI
11.96
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Low Serum Testosterone Increases Mortality Risk among Male Dialysis Patients. https://app.cochat.ai/papers/10.1681/asn.2008060664
The paper
Carrero, J. J. A. A., Qureshi, A. R., Parini, P., Arver, S., Lindholm, B., Ba[Combining Acute Accent]ra[Combining Acute Accent]ny, P., Heimbu[Combining Diaeresis]rger, O., & Stenvinkel, P. (2009). Low Serum Testosterone Increases Mortality Risk among Male Dialysis Patients. Journal of the American Society of Nephrology. https://doi.org/10.1681/asn.2008060664

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