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the claim
Finasteride increases the risk of high-grade prostate cancer.
the verdict
REFUTED
the evidence says no
Recorded sources
0 sources for · 4 against
Is it true that Finasteride increases the risk of high-grade prostate cancer?
No. A bias-adjusted reanalysis of the Prostate Cancer Prevention Trial reports that the apparent increase in high-grade prostate cancer with finasteride was attributable to detection bias, with adjusted estimates showing no significant increase (RR 1.14, 95% CI 0.96-1.35). Other placed items are partial: one shows the direction of the association depends on assumed biopsy sensitivity, and two concern dutasteride or genotype subgroups rather than finasteride's overall effect.
Verdict: REFUTED · 0 sources for, 4 against · Last checked
Evidence against · 4
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Finasteride Does Not Increase the Risk of High-Grade Prostate Cancer: A Bias-Adjusted Modeling Approach. (n.d.). cir.nii.ac.jp. https://doi.org/10.1158/1940-6207.capr-08-0092
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Finasteride Does Not Increase the Risk of High-grade Prostate Cancer: A Bias-adjusted Modeling Approach - PMC Lock. (n.d.). pmc.ncbi.nlm.nih.gov. https://doi.org/10.1158/1940-6207.CAPR-08-0092
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More against · 3
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Fowke, J., Howard, L., Andriole, G., & Freedland, S. (2014). Alcohol Intake Increases High-grade Prostate Cancer Risk Among Men Taking Dutasteride in the REDUCE Trial. doi.org. https://doi.org/10.1016/j.eururo.2014.01.037
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Dai, J. Y., LeBlanc, M., Goodman, P., Lucia, M., Thompson, I., & Tangen, C. (2018). Case-only Methods Identified Genetic Loci Predicting a Subgroup of Men with Reduced Risk of High-grade Prostate Cancer by Finasteride. doi.org. https://doi.org/10.1158/1940-6207.CAPR-18-0284
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Hoque, A., Yao, S., Till, C., Kristal, A., Goodman, P., Hsing, A., Tangen, C., Platz, E., Stanczyk, F., Reichardt, J., vanBokhoven, A., Neuhouser, M., Santella, R., Figg, W., Price, D., Parnes, H., Lippman, S., Ambrosone, C., & Thompson, I. (2015). Effect of Finasteride on Serum Androstenedione and Risk of Prostate Cancer within the Prostate Cancer Prevention Trial: Differential Effect on High and Low Grade Disease. doi.org. https://doi.org/10.1016/j.urology.2014.11.024
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