A practical guide to diagnosis, management and treatment of testosterone deficiency for Canadian physicians
AbstractThe percentage of men receiving appropriate management for
testosterone deficiency syndrome (TDS) is small in comparison
to prevalence estimates. This is despite linkages to cardiovascular
disease, osteoporosis, diabetes, sexual function, sarcopenia, emotional
well-being and the metabolic syndrome. Furthermore, the
availability of guidelines has not significantly enhanced the care of
TDS patients. A multidisciplinary group of medical experts sought
to improve the management of testosterone-deficient patients by
Canadian physicians. This report describes their conclusions and
defines an algorithm for appropriate TDS management.
Le pourcentage d’hommes recevant une prise en charge appropriée
pour un syndrome de carence en testostérone est faible en comparaison
avec les taux de prévalence évalués, et ce, malgré le lien
entre ce syndrome et les maladies cardiovasculaires, l’ostéoporose,
le diabète, la fonction sexuelle, la sarcopénie, le bien-être émotionnel
et le syndrome métabolique. Par ailleurs, la publication
de guides de pratique n’a pas amélioré de façon significative
les soins offerts aux patients atteints du syndrome de carence en
testostérone. Une équipe multidisciplinaire de médecins a tenté
d’améliorer la prise en charge des patients atteints de ce syndrome
par les médecins canadiens. Le présent rapport décrit leurs conclusions
et propose un algorithme de prise en charge.
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