ExploreFinding
Finding adverse
Among 111,631 men receiving new testosterone prescriptions, only 5.4% had androgen deficiency properly diagnosed by two low morning testosterone levels, 16.5% had no testosterone levels checked, nearly 13% had relative contraindications, and 1.4% had an absolute contraindication of prostate cancer.
Effect sizeOnly 5.4% had proper diagnosis; 16.5% had no testosterone levels checked; ~13% had relative contraindications; 1.4% had absolute contraindication (prostate cancer)
ComparatorGuideline-recommended testosterone prescribing practice (requiring two low morning testosterone levels, baseline hematocrit and PSA, and no contraindications)
Effect summaryadverse; Only 5.4% had proper diagnosis; 16.5% had no testosterone levels checked; ~13% had relative contraindications; 1.4% had absolute contraindication (prostate cancer)
Adverse events1.4% prostate cancer (absolute contraindication), ~13% relative contraindications

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Source

PMC5564394
Update on Medical Overuse
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