Evidence map›Paper›PMID 22727345›Full record

ArticleAmerican journal of obstetrics and gynecology2012

Biomarkers of progestin therapy resistance and endometrial hyperplasia progression.

Kristen Upson, Kimberly H Allison, Susan D Reed, Carolyn D Jordan, Katherine M Newton, Elizabeth M Swisher, Jennifer A Doherty, Rochelle L Garcia

Open access · greenAbstract read
In one paragraph

Article in American journal of obstetrics and gynecology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 8% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

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  13. Improving response to progestin treatment of low-grade endometrial cancer.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2020
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Kristen UpsonDivision of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA. kupson@u.washington.edu
Kimberly H Allison
Susan D Reed
Carolyn D Jordan
Katherine M Newton
Elizabeth M Swisher
Jennifer A Doherty
Rochelle L Garcia
University of Washington · USFred Hutch Cancer Center · USKaiser Permanente Washington Health Research Institute · US

Funding

University of Washington Reproductive, Perinatal and Pediatric Epidemiology T32HD052462 · NICHD · UNIVERSITY OF WASHINGTON · PI HOLT, VICTORIA L · 2006 to 2017
$2.7M
Endometrial Hyperplasia Outcomes - A Cohort StudyR01HD044813 · NICHD · FRED HUTCHINSON CANCER RESEARCH CENTER · PI REED, SUSAN D · 2004 to 2007
$2.0M
Effects of Endocrine Disruptors on Endometriosis Risk in Reproductive Age WomenF31NR013092 · NINR · UNIVERSITY OF WASHINGTON · PI UPSON, KRISTEN · 2011 to 2012
$66k
NICHD NIH HHS 5 R01 HD44813-02NICHD NIH HHS R01 HD044813NICHD NIH HHS T32 HD052462NICHD NIH HHS T32 HD052462-05NINR NIH HHS 1F31NR013092-01NINR NIH HHS F31 NR013092
6 · The paper itself

Abstract

objectiveWe sought to identify biomarkers associated with progestin therapy resistance and persistence/progression of endometrial hyperplasia. STUDY

designWe performed a nested case-control study among women with complex (n = 73) and atypical (n = 41) hyperplasia treated with oral progestin, followed up 2-6 months for persistence/progression. We evaluated index endometrial protein expression for progesterone receptor isoform A, progesterone receptor isoform B (PRB), PTEN, Pax-2, and Bcl-2. Odds ratios and 95% confidence intervals (CIs) were estimated.

resultsAmong women with atypical hyperplasia, high PRB expression was associated with 90% decreased risk of persistence/progression (95% CI, 0.01-0.8). High expression of progesterone receptor A and PRB suggested decreased risk of persistence/progression (odds ratio, 0.1; 95% CI, 0.02-1.0). These findings were not observed among women with complex hyperplasia. No associations were found with PTEN, Pax-2, and Bcl-2 protein expression.

conclusionPRB expression shows promise as a biomarker of progestin response. Further research is warranted to understand how PRB expression may guide treatment decisions.

Indexed as

AdultAgedBiomarkersCase-Control StudiesDisease ProgressionEndometrial HyperplasiaEndometriumFemaleFollow-Up StudiesHumansMiddle AgedOdds RatioPAX2 Transcription FactorProgestinsProto-Oncogene Proteins c-bcl-2PTEN PhosphohydrolaseBiomarkersPAX2 protein, humanPAX2 Transcription Factorprogesterone receptor Aprogesterone receptor BProgestinsProto-Oncogene Proteins c-bcl-2PTEN PhosphohydrolasePTEN protein, humanReceptors, Progesterone

Identifiers

PMID22727345
PMCPMC3398620
OpenAlexW2058917128

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.