Set - Out - Português

artits

404

ssoc

ras

2014; 60(5):404-414

Diretrizes em foco

Hipogonadismo masculino tardio (HMT) ou Daem: tratamento

ate

onset

hypogonadism

ADAM:

treatment

Autoria:

Sociedade Brasileira de Endocrinologia; Sociedade Brasileira de Urologia

Participantes:

Martits AM, Costa EMF, Nardi AC, Nardozza Jr. A, Facio Jr. FN, Faria G, Bernardo WM

Elaboração final:

21 de março de 2014

Conflito de interesse:

nenhum conflito de interesse declarado

http://dx.doi.org/10.1590/1806-9282.60.05.005

O Projeto Diretrizes, iniciativa da Associação Médica Brasileira, tem por objetivo conciliar informações da área médica, a fim de pa-

dronizar condutas que auxiliem o raciocínio e a tomada de decisão do médico.

As informações contidas neste projeto devem ser submetidas à avaliação e à crítica do médico, responsável pela conduta a ser seguida,

diante da realidade e do estado clínico de cada paciente.

escrição

do método

coleta

evidência

As recomendações foram sustentadas pela evidência obti-

da nas bases de dados Medline, Embase, Lilacs e Coch-

rane, utilizando as seguintes estratégias: (((((( OR ) AND

(Androgens/deficiency OR Hypogonadism OR Testoste-

rone/deficiency)) AND (Hormone Replacement Therapy)

AND (Aging/blood OR Androgens/blood* OR Androgens

OR Androstenedione/blood OR Body Mass Index OR Body

Weight ORDehydroepiandrosterone/blood* ORDehydroe-

piandrosterone Sulfate/blood* OR Dihydrotestosterone/

blood OR Gonadal Steroid Hormones/blood* OR Gona-

dotropins/blood OR Gonadotropins OR Pituitary Hor-

mones OR Hormones/blood* OR Hormones/physiology

OR Hypogonadism/blood OR Hypothalamo-Hypophy-

seal System OR Immunoassay OR Luteinizing Hormone

OR Luteinizing Hormone/blood OR Radioimmunoassay

OR Radioimmunoassay/methods OR Radioimmunoas-

say/standards* OR Reagent Kits, Diagnostic/standards

OR Sex Hormone-Binding Globulin/analysis OR Testos-

terone OR Testosterone/blood* OR Testosterone/meta-

bolism OR Hematocrit OR Liver function tests OR pros-

tatic neoplasms OR Continuity of Patient Care OR

consultation OR monitoring))) AND (Diagnosis/

Broad[filter]) AND (“last 5 years”[PDat]))) OR (((((Aged

OR Aging) AND (Androgens/deficiency OR Hypogona-

dism OR Testosterone/deficiency)) AND (Hormone Re-

placement Therapy) AND (Aging/blood OR Androgens/

blood* OR Androgens OR Androstenedione/blood OR

Body Mass Index OR Body Weight OR Dehydroepiandros-

terone/blood* ORDehydroepiandrosterone Sulfate/blood*

OR Dihydrotestosterone/blood OR Gonadal Steroid Hor-

mones/blood* OR Gonadotropins/blood OR Gonadotro-

pins OR Pituitary Hormones OR Hormones/blood* OR

Hormones/physiology ORHypogonadism/blood ORHypo-

thalamo-Hypophyseal System OR Immunoassay OR Lu-

teinizing Hormone OR Luteinizing Hormone/blood OR

Radioimmunoassay OR Radioimmunoassay/methods

OR Radioimmunoassay/standards* OR Reagent Kits,

Diagnostic/standards OR Sex Hormone-Binding Globu-

lin/analysis OR Testosterone OR Testosterone/blood*

OR Testosterone/metabolism OR Hematocrit OR Liver

function tests OR prostatic neoplasms OR Continuity of

Patient Care OR consultation OR monitoring))) AND

(Etiology/Broad[filter]) (age OR aged OR aging) AND

(andropause OR gonadal OR deficiency OR hypogona-

dism OR hypogonadal) AND (testosterone OR andros-

terone OR DHEA OR dehydroepiandrosterone OR an-

drogen OR androgenic OR nandrolone OR replacement

OR steroids OR anabolic OR sex OR hormone) AND

(muscles OR strength OR cognitive OR function OR cog-

nition OR mental OR performance OR diabetic OR dia-

betes OR obesity OR body OR fat OR obese OR mass OR

hyperinsulinaemia OR adiposity OR libido OR sexual OR

behavior OR quality of life OR life style OR lipids OR car-

bohydrates OR metabolism) (((age OR aged OR aging)

AND (andropause OR gonadal OR deficiency OR hypo-

gonadism OR hypogonadal) AND (testosterone OR an-

drosterone OR DHEA OR dehydroepiandrosterone OR

androgen OR androgenic OR nandrolone OR replace-

ment OR steroids OR anabolic OR sex OR hormone)))

AND (Polycythemia OR Prostatic Neoplasms OR Cardio-

vascular Diseases OR Liver Diseases OR Sleep Apnea Syn-

dromes OR Metabolic Syndrome).