Evidence map›Paper›PMID 17270180›Full record

ArticleFertility and sterility2007

Influence of hysterectomy on long-term fracture risk.

L Joseph Melton, Sara J Achenbach, John B Gebhart, Ebenezer O Babalola, Elizabeth J Atkinson, Adil E Bharucha

Open access · greenAbstract readComparative Study
In one paragraph

Article in Fertility and sterility, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Risk of osteoporosis and fracture after hysterectomies without oophorectomies: a systematic review and pooled analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022
    Pooled it
  2. The Gut Microbiota: a Novel Player in the Pathogenesis of Uterine Fibroids.Reproductive sciences (Thousand Oaks, Calif.) · 2023
    Review
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  7. Review
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  14. Reassessing hysterectomy.Minnesota medicine · 2012
    Article
  15. Article
  16. FRAX assessment of osteoporotic fracture probability in Switzerland.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2010
    Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

L Joseph MeltonDivision of Epidemiology, Mayo Clinic College of Medicine, Rochester, Minnesota 55905, USA. melton.j@mayo.edu
Sara J Achenbach
John B Gebhart
Ebenezer O Babalola
Elizabeth J Atkinson
Adil E Bharucha
Mayo Clinic · USMayo Clinic in Arizona · US

Funding

SEX STEROIDS, GROWTH FACTORS, &BONE CELL FUNCTIONP01AG004875 · NIA · MAYO CLINIC ROCHESTER · PI KHOSLA, SUNDEEP · 1985 to 2019
$30.8M
ROCHESTER EPIDEMIOLOGY PROJECTR01AR030582 · NIAMS · MAYO CLINIC ROCHESTER · PI ROCCA, WALTER A · 1986 to 2009
$5.1M
Epidemiology and Mechanisms of Fecal IncontinenceR01HD041129 · NICHD · MAYO CLINIC COLL OF MEDICINE, ROCHESTER · PI BHARUCHA, ADIL E. · 2001 to 2005
$1.5M
NIAMS NIH HHS AR30582NIAMS NIH HHS R01 AR030582NIA NIH HHS AG04875NIA NIH HHS P01 AG004875NICHD NIH HHS HD41129NICHD NIH HHS R01 HD041129
6 · The paper itself

Abstract

objectiveTo assess long-term fracture risk after hysterectomy, with or without oophorectomy.

designPopulation-based, cohort study.

settingOlmsted County, Minnesota. PATIENT(S): Women residing in Olmsted County (n = 9,258) who underwent hysterectomy in 1965-2002, compared to an equal number of age- and sex-matched community controls. INTERVENTION(S): Observational study of the effect of hysterectomy for various indications on subsequent fractures. MAIN OUTCOME MEASURE(S): Fractures of any type, and at osteoporotic sites (e.g., hip, spine, or wrist) alone, as assessed by electronic review of inpatient and outpatient diagnoses in the community. RESULT(S): Compared with controls, there was a significant increase (hazard ratio [HR], 1.21; 95% confidence interval [CI], 1.13-1.29) in overall fracture risk among the women with a hysterectomy, but osteoporotic fracture risk was not elevated (HR, 1.09; 95% CI, 0.98-1.22). Most hysterectomy indications were associated with fractures generally, although these were not often statistically significant. Only operations for a uterine prolapse were associated with osteoporotic fractures (HR, 1.33; 95% CI, 1.01-1.74). Oophorectomy was not an independent predictor of fracture risk (HR, 1.0; 95% CI, 0.98-1.15). CONCLUSION(S): Hysterectomy does not appear to pose much long-term risk for fractures, but the association of fractures with surgery for uterine prolapse deserves further attention.

Indexed as

AdultCohort StudiesFemaleFractures, BoneHumansHysterectomyMiddle AgedRisk FactorsTime

Identifiers

PMID17270180
PMCPMC2032011
OpenAlexW2080990374

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.