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Cardiovascular Risk Profile of Veteran Men Beginning Androgen Deprivation Therapy (ADT)

Authors
  • Williams, Lindsay
  • Hicks, Elisabeth
  • Kwan, Lorna
  • Litwin, Mark
  • Maliski, Sally1, 2, 3
  • 1 UCLA School of Nursing
  • 2 UCLA David Geffen School of Medicine
  • 3 Department of Urology
Type
Published Article
Journal
Journal of Vascular Nursing
Publisher
Elsevier
Publication Date
Jan 01, 2014
Accepted Date
Jan 25, 2014
Identifiers
DOI: 10.1016/j.jvn.2014.01.004
Source
Elsevier
License
Unknown

Abstract

ObjectiveTo describe the cardiovascular profile of Veteran men before beginning ADT, with the eventual benefit of targeting treatments to manage harmful cardiovascular side effects. Materials and MethodsWe performed a secondary analysis with Chi-square and Fisher’s exact tests were performed for associations between demographics and cardiovascular comorbidities on 375 Veteran men diagnosed with prostate cancer. ResultsOverweight and a current smokers were more likely to be younger, whereas men with a systolic blood pressure greater than 120 were more likely to be older (all p’s <0.05). Men with total cholesterol greater than 180 were more likely to be identified in the Hispanic/ other/unknown ethnicity category ConclusionsInterventions to manage cardiovascular risk should focus on preventive lifestyle changes for younger men, and chronic disease management for older men. Men in the smaller Hispanic/other/unknown category are at risk for marginalization within the Veteran Administration (VA) system due to their low numbers and should be closely monitored for cholesterol levels when receiving ADT.

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