Medical Manuscript: Serum Total Testosterone as a Prognostic Indicator in Male Patients With Terminal Cancer

  • Se Won Kim
  • , In Cheol Hwang
  • , Hee Kyung Ahn
  • , Sun Young Kyung
  • , Hong Yup Ahn

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

The role of total serum testosterone in the prognosis of terminal cancer is unclear. We retrospectively investigated the total serum testosterone level in 69 male patients with terminal cancer in a palliative care unit. The association between the serum testosterone level and survival was assessed using Cox proportional hazard model. The median value of serum total testosterone was 44.5 ng/dL, far lower than previously reported in patients with advanced cancer. Multivariate analysis revealed thrombocytopenia (adjusted hazard ratio [aHR], 2.68), hypoalbuminemia (aHR, 2.02), azotemia (aHR, 2.67), and lower serum testosterone level (aHR, 2.03) were significantly negatively prognostic of survival. Lower serum testosterone level was an independent unfavorable prognostic factor for life expectancy in male patients with terminal cancer.

Original languageEnglish
Pages (from-to)483-488
Number of pages6
JournalAmerican Journal of Hospice and Palliative Medicine
Volume33
Issue number5
DOIs
StatePublished - Jun 2016

Keywords

  • palliative care
  • prognostication
  • serum testosterone

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