Evidence map›Paper›PMID 21127439›Full record

ArticleMenopause (New York, N.Y.)2011

Trends in menopausal hormone therapy use of US office-based physicians, 2000-2009.

Sandra A Tsai, Marcia L Stefanick, Randall S Stafford

Abstract read
In one paragraph

Article in Menopause (New York, N.Y.), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

42 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

3 authors.

Sandra A TsaiProgram on Prevention Outcomes, Stanford Prevention Research Center, Stanford School of Medicine, Stanford, CA 94305-5411, USA. sandra.tsai@stanford.edu
Marcia L Stefanick
Randall S Stafford

Funding

CARDIOVASCULAR DISEASE PREVENTION TRAINING PROGRAMT32HL007034 · NHLBI · STANFORD UNIVERSITY · PI GARDNER, CHRISTOPHER D · 1985 to 2020
$8.7M
Translating Clinical Decision Making into Systems of Care: A Mid-Career MentorK24HL086703 · NHLBI · STANFORD UNIVERSITY · PI STAFFORD, RANDALL SCOTT · 2007 to 2016
$1.5M
NHLBI NIH HHS K24 HL086703NHLBI NIH HHS K24-HL086703NHLBI NIH HHS T32 HL007034NHLBI NIH HHS T32-HL07034
6 · The paper itself

Abstract

objectiveThe aim of this study was to evaluate recent trends and the adoption of practice recommendations for menopausal hormone therapy (MHT) use from 2001 to 2009 by formulation, dose, woman's age, and characteristics of physicians reporting MHT visits.

methodsThe IMS Health (Plymouth Meeting PA) National Disease and Therapeutic Index physician survey data from 2001 to 2009 were analyzed for visits in which MHT use was reported by US office-based physicians. Estimated national volume of visits for which MHT use was reported.

resultsMHT use declined each year since 2002. Systemic MHT use fell from 16.3 million (M) visits in 2001 to 6.1 M visits in 2009. Declines were greatest for women 60 years or older (64%) but were also substantial for women younger than 50 years (59%) and women 50 to 59 years old (60%). Women 60 years or older accounted for 37% of MHT use. Lower dose product use increased modestly, from 0.7 M (2001) to 1.3 M (2009), as did vaginal MHT use, from 1.8 M (2001) to 2.4 M (2009). Declines in continuing systemic MHT use (65%) were greater than for newly initiated MHT use (51%). Compared with other physicians, obstetrician/gynecologists changed their practices less, thereby increasing their overall share of total MHT visits from 72% (2001) to 82% (2009).

conclusionsTotal MHT use has steadily declined. Increased use of lower dose and vaginal products reflects clinical recommendations. Uptake of these products, however, has been modest, and substantial use of MHT continues in older women.

Indexed as

MenopauseAdultAgedAged, 80 and overAge FactorsData CollectionDrug Administration RoutesDrug Therapy, CombinationEstrogensFemaleGynecologyHormone Replacement TherapyHumansMaleMiddle AgedObstetricsEstrogensProgestins

Identifiers

PMID21127439
PMCPMC3123410

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Registered trials

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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.