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Martits AM et al.
286 Rev Assoc Med Bras 2014; 60(4):286-294
guidelines in focus
Late-onset hypogonadism or ADAM: diagnosis
Hipogonadismo masculino tardio ou DAEM: diagnóstico
Authorship: Brazilian Society of Endocrinology, Brazilian Society of Urology
Final preparation: September 19th, 2013
Participants: Martits AM, Costa EMF, Nardi AC, Nardozza Jr A, Faria G, Facio Jr FN, Bernardo WM
The Guidelines Project, an initiative of the Brazilian Medical Association, aims to combine information from the medical field in order to standar-
dize procedures to assist the reasoning and decision-making of doctors.
The information provided through this project must be assessed and criticized by the physician responsible for the conduct that will be adopted, de-
pending on the conditions and the clinical status of each patient.
Description of the evidence collection
method
The recommendations were supported by the evidence
obtained in the Medline, Embase, Lilacs and Cochrane
databases, using the following strategies:
(((((Aged OR aging) AND (androgens/deficiency OR
hypogonadismOR testosterone/deficiency))) AND ((health
behavior OR hypogonadism/epidemiology OR impoten-
ce/diagnosis OR libido OR life style OR penile erection
OR quality of life OR reference values OR Risk OR sper-
matogenesis)))) AND (sensitiv*[title/abstract] OR sensi-
tivity AND specificity[MeSH Terms] OR diagnos*[title/
abstract] OR diagnosis OR diagnostic
* OR diagnosis, differential
OR diagnosis[ ) ((((((aged OR aging) AND
(ANDrogens/deficiency OR hypogonadismOR testostero-
ne/deficiency)) AND ((questionnaires OR adamOR smith
OR AMS OR mmas OR massachusetts male ageing study
OR aging males symptoms scale) OR (health behaviOR OR
hypogonadism/epidemiology OR impotence/diagnosis OR
libido OR life style OR penile erection OR quality of life OR
reference values OR risk OR spermatogenesis)) AND (“last
5 years”[PDat]))) AND (sensitiv*[title/abstract] OR sensi-
tivity AND specificity[MeSH Terms] OR diagnos*[title/
abstract] OR diagnosis OR diagnostic
* ] OR diagnosis, differential ] OR
diagnosis[ ]) AND (“last 5 years”[PDat])))
OR ((((((((aged OR aging) AND (ANDrogens/deficiency
OR hypogonadism OR testosterone/deficiency)) AND
((questionnaires OR adam OR smith OR AMS OR mmas
OR massachusetts male ageing study OR aging males
symptoms scale) OR (health behaviOR OR hypogona-
dism/epidemiology OR impotence/diagnosis OR libido
OR life style OR penile erection OR quality of life OR re-
ference values OR risk OR spermatogenesis)) AND (“last
5 years”[PDat]))) AND (sensitiv*[title/abstract] OR sensi-
tivity AND specificity[MeSH Terms] OR diagnos*[title/
abstract] OR diagnosis OR diagnostic
* ] OR diagnosis, differential ] OR
diagnosis[ ]) AND (“last 5 years”[PDat])))
NOT (((((((((((aged OR aging) AND (androgens/deficiency
OR hypogonadism OR testosterone/deficiency))) AND
((health behavior OR hypogonadism/epidemiology OR
impotence/diagnosis OR libido OR life Style OR Penile
erection OR quality of life OR reference values OR risk OR
spermatogenesis)))) AND (sensitiv*[title/abstract] OR sen-
sitivity AND specificity[MeSH Terms] OR diagnos*[title/
abstract] OR diagnosis OR diagnostic
* ] OR diagnosis, differential ] OR
diagnosis[ ]) AND (“last 5 years”[PDat])))
OR ((((((aged OR aging) AND (ANDrogens/deficiency OR
hypogonadism OR testosterone/deficiency)) AND (“last
5 years”[PDat]))) AND (((Questionnaires OR ADAM OR
Smith OR AMS) AND (“last 5 years”[PDat]))) AND (“last 5
years”[PDat]))))) AND ((((((aged OR aging) AND (ANDro-
gens/deficiency OR hypogonadism OR testosterone/defi-
ciency)) AND ((questionnaires OR adamOR smith OR AMS
OR mmas OR massachusetts male ageing study OR aging
males symptoms scale) OR (health behaviOR OR hypogo-
nadism/epidemiology OR impotence/diagnosis OR libido
OR life style OR penile erection OR quality of life OR re-
ference values OR risk OR spermatogenesis)) AND (“last
5 years”[PDat]))) AND (sensitiv*[title/abstract] OR sensi-
tivity AND specificity[MeSH Terms] OR diagnos*[title/
abstract] OR diagnosis OR diagnostic
* ] OR diagnosis, differential ] OR
diagnosis[ ]) AND (“last 5 years”[PDat])))
AND (“last 5 years”[PDat]))) AND (“last 5 years”[PDat]))).
SCIELO.indb 286 8/1/14 2:28 PM