Evidence map›Paper›PMID 22936289›Full record

Trial reportJournal of general internal medicine2013

Paced respiration for vasomotor and other menopausal symptoms: a randomized, controlled trial.

Janet S Carpenter, Debra S Burns, Jingwei Wu, Julie L Otte, Bryan Schneider, Kristin Ryker, Eileen Tallman, Menggang Yu

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of general internal medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00819182 (Breathe-intervention for Hot Flashes, Associated Outcomes, and Interference), which is not on this map. Cited by 17 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 4 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.

NCT00819182 nacompletednot on this map

Breathe-intervention for Hot Flashes, Associated Outcomes, and Interference

TypeinterventionalSponsorIndiana UniversityRan2008 to 2013Enrolled218ConditionsHot FlashesArmsPaced respiration, Sham comparator: fast shallow breathing
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Variation in menopausal vasomotor symptoms outcomes in clinical trials: a systematic review.BJOG : an international journal of obstetrics and gynaecology · 2020
    Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Review
  10. Review
  11. Article
  12. Article
  13. Management of Menopausal Symptoms.Obstetrics and gynecology · 2015
    Review
  14. Review
  15. Article
  16. Review
  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

8 authors.

Janet S CarpenterIndiana University, Indianapolis, IN, USA. carpentj@iupui.edu
Debra S Burns
Jingwei Wu
Julie L Otte
Bryan Schneider
Kristin Ryker
Eileen Tallman
Menggang Yu

Funding

Breathe-Intervention for Hot Flashes, Interference, and Associated OutcomesR01CA132927 · NCI · INDIANA UNIVERSITY INDIANAPOLIS · PI CARPENTER, JANET S · 2008 to 2011
$1.2M
NCI NIH HHS 5 R01 CA132927NCI NIH HHS R01 CA132927
6 · The paper itself

Abstract

backgroundPaced respiration has been internationally recommended for vasomotor symptom management, despite limited empirical evidence.

objectiveTo evaluate efficacy of a paced respiration intervention against breathing control and usual care control for vasomotor and other menopausal symptoms.

designA 16-week, 3-group, partially blinded, controlled trial with 2:2:1 randomization and stratification by group (breast cancer, no cancer), in a Midwestern city and surrounding area.

participantsTwo hundred and eighteen randomized women (96 breast cancer survivors, 122 menopausal women without cancer), recruited through community mailings and registries (29 % minority).

interventionsTraining, home practice support, and instructions to use the breathing at the time of each hot flash were delivered via compact disc with printed booklet (paced respiration intervention) or digital videodisc with printed booklet (fast shallow breathing control). Usual care control received a letter regarding group assignment. MAIN MEASURES: Hot flash frequency, severity, and bother (primary); hot flash interference in daily life, perceived control over hot flashes, and mood and sleep disturbances (secondary). Intervention performance, adherence, and adverse events were assessed. KEY

resultsThere were no significant group differences for primary outcomes at 8-weeks or 16-weeks post-randomization. Most intervention participants did not achieve 50 % reduction in vasomotor symptoms, despite demonstrated ability to correctly do paced respiration and daily practice. Statistically significant differences in secondary outcomes at 8 and 16 weeks were small, not likely to be clinically relevant, and as likely to favor intervention as breathing control.

conclusionsPaced respiration is unlikely to provide clinical benefit for vasomotor or other menopausal symptoms in breast cancer survivors or menopausal women without cancer.

Indexed as

Breathing ExercisesAdultBreast NeoplasmsFemaleHot FlashesHumansMenopauseMiddle AgedPatient ComplianceSeverity of Illness IndexSingle-Blind MethodSleep Wake DisordersSurvivorsTreatment OutcomeVasomotor System

Identifiers

PMID22936289
PMCPMC3614127

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.