Evidence map›Paper›PMID 21694454›Full record

Trial reportJournal of Alzheimer's disease : JAD2011

Short-term hormone therapy with transdermal estradiol improves cognition for postmenopausal women with Alzheimer's disease: results of a randomized controlled trial.

Whitney Wharton, Laura D Baker, Carey E Gleason, Maritza Dowling, Jodi H Barnet, Sterling Johnson, Cynthia Carlsson, Suzanne Craft, Sanjay Asthana

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of Alzheimer's disease : JAD, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 3 pooled it
4.3field-weighted citation impact, top 5% 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

47 citing papers in PubMed, 3 syntheses or guidelines pooled it, 95 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Long-term hormone therapy for perimenopausal and postmenopausal women.The Cochrane database of systematic reviews · 2017
    Pooled it
  4. Review
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  12. Endothelial Dysfunction in Neurodegenerative Diseases.International journal of molecular sciences · 2023
    Review
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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

9 authors at 4 institutions in 1 country.

Whitney WhartonUniversity of Wisconsin, School of Medicine and Public Health, William S. Middleton Memorial VA Hospital, 2500 Overlook Terrace, GRECC11G Madison, WI 53705, USA. wlwharto@medicine.wisc.edu
Laura D Baker
Carey E Gleason
Maritza Dowling
Jodi H Barnet
Sterling Johnson
Cynthia Carlsson
Suzanne Craft
Sanjay Asthana
Geriatric Research Education and Clinical Center · USUniversity of Wisconsin–Madison · USUniversity of Puget Sound · USWilliam S. Middleton Memorial Veterans Hospital · US

Funding

INSTITUTIONAL CTSA (UW-MADISON): CLINICAL TRIALSUL1RR025011 · NCRR · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2007 to 2011
$29.5M
WISCONSIN CENTER ON MENTAL RETARDATION: CORE SUPPORTP30HD003352 · NICHD · UNIVERSITY OF WISCONSIN-MADISON · PI MAILICK, MARSHA RUTH · 1985 to 2015
$25.2M
Wisconsin Alzheimer's Disease Research CenterP50AG033514 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI SAGER, MARK · 2009 to 2018
$16.2M
KEEPS Cognitive and Affective StudyR01AG029624 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI ASTHANA, SANJAY · 2007 to 2013
$3.4M
Effect of Statins on Pathobiology of Alzheimer's DiseaseK23AG026752 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI CARLSSON, CYNTHIA M · 2005 to 2008
$756k
Alzheimer's Disease: Potential Benefit of IsoflavonesK23AG024302 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI GLEASON, CAREY E · 2004 to 2008
$661k
NIA Academic Career Leadership Award in Alzheimer's DiseaseK07AG021582 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI ASTHANA, SANJAY · 2006 to 2010
$540k
NCRR NIH HHS 1UL1RR025011NCRR NIH HHS UL1 RR025011NIA NIH HHS AG029624NIA NIH HHS K07 AG021582NIA NIH HHS K07AG021582NIA NIH HHS K23 AG024302NIA NIH HHS K23AG024302NIA NIH HHS K23 AG026752NIA NIH HHS K23AG026752NIA NIH HHS P50 AG033514NIA NIH HHS P50AG033514NIA NIH HHS R01 AG029624NICHD NIH HHS P30 HD003352
6 · The paper itself

Abstract

We aimed to conduct a placebo-controlled, double-blind, parallel-group design intervention study to evaluate the therapeutic efficacy of hormone therapy (HT) in postmenopausal women with mild to moderate Alzheimer's disease (AD). The trial was designed to evaluate the dose-dependent effects of transdermal 17-β estradiol, unopposed and opposed with medroxyprogesterone (MPA, Provera©), for 12 months in 43 postmenopausal women with AD. Participants were assessed using cognitive measures at baseline, months 1, 3, 6, and 12 of treatment and eight weeks post treatment (month 15). The dropout rate was 49% across 12 months. As a result of the Women's Health Initiative (WHI) and anticipated increased attrition, the protocol was modified to examine data only at time points where attrition was less than 30%. The results of sensitivity analyses indicated robust and reliable data collected in the first three months of the trial. Data collected in the first three months of the trial for forty-three participants were analyzed. HT had favorable cognitive effects across multiple cognitive domains, including visual memory (p-values < 0.030) and semantic memory (p-values < 0.037) in postmenopausal women with AD. Moreover, treatment-related changes in plasma estradiol were positively correlated with improvements in visual memory. Short-term HT that includes the use of estradiol has favorable effects on cognition in women with AD.

Indexed as

Estrogen Replacement TherapyAdministration, CutaneousAffectAgedAged, 80 and overAlzheimer DiseaseApolipoprotein E4CognitionDose-Response Relationship, DrugDouble-Blind MethodEstradiolFemaleHumansMiddle AgedNeuropsychological TestsPostmenopauseApolipoprotein E4Estradiol

Identifiers

PMID21694454
PMCPMC3302351
OpenAlexW1707920304

What OpenQuestion holds

Textmetadata
LicenceTDM
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.