Evidence map›Paper›PMID 24042430›Full record

SynthesisEpidemiologic reviews2014

Postmenopausal hormone therapy is not associated with risk of all-cause dementia and Alzheimer's disease.

Jacqueline O'Brien, John W Jackson, Francine Grodstein, Deborah Blacker, Jennifer Weuve

Open access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Epidemiologic reviews, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 6 pooled it
4.7field-weighted citation impact, top 4% 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, 6 syntheses or guidelines pooled it, 82 citations in OpenAlex.

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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

5 authors at 1 institution in 1 country.

Jacqueline O'BrienAbbreviations: CEE, conjugated equine estrogen; CEE+MPA, conjugated equine estrogen plus medroxyprogesterone acetate combined; CI, confidence interval; MPA, medroxyprogesterone acetate; RR, relative risk; WHI, Women's Health Initiative; WHIMS, Women's Health Initiative Memory Study.
John W Jackson
Francine Grodstein
Deborah Blacker
Jennifer Weuve
Brigham and Women's Hospital · US

Funding

Training Program in Psychiatric Genetics and Translational ResearchT32MH017119 · NIMH · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI KARESTAN C KOENEN, Jukka-Pekka Onnela · 1985 to 2026
$8.9M
TRAINING PROGRAM IN EPIDEMIOLOGIC RESEARCH ON AGINGT32AG000158 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI GAZIANO, J. MICHAEL · 1988 to 2015
$2.1M
Exposure to Traffic-Related Air Pollution and to Disability in Older AdultsR21ES020404 · NIEHS · RUSH UNIVERSITY MEDICAL CENTER · PI WEUVE, JENNIFER · 2012 to 2013
$458k
NIA NIH HHS T32 AG000158NIEHS NIH HHS R21 ES020404NIEHS NIH HHS R21ES020404NIMH NIH HHS T32 MH017119NIMH NIH HHS T32-MH017119
6 · The paper itself

Abstract

The relationship of postmenopausal hormone therapy with all-cause dementia and Alzheimer's disease dementia has been controversial. Given continued interest in the role of hormone therapy in chronic disease prevention and the emergence of more prospective studies, we conducted a systematic review to identify all epidemiologic studies meeting prespecified criteria reporting on postmenopausal hormone therapy use and risk of Alzheimer's disease or dementia. A systematic search of Medline and Embase through December 31, 2012, returned 15 articles meeting our criteria. Our meta-analysis of any versus never use did not support the hypothesis that hormone therapy reduces risk of Alzheimer's disease (summary estimate = 0.88, 95% confidence interval: 0.66, 1.16). Exclusion of trial findings did not change this estimate. There were not enough all-cause dementia results for a separate meta-analysis, but when we combined all-cause dementia results (n = 3) with Alzheimer's disease results (n = 7), the summary estimate remained null (summary estimate = 0.94, 95% confidence interval: 0.71, 1.26). The limited explorations of timing of use-both duration and early initiation-did not yield consistent findings. Our findings support current recommendations that hormone therapy should not be used for dementia prevention. We discuss trends in hormone therapy research that could explain our novel findings and highlight areas where additional data are needed.

Indexed as

Alzheimer DiseaseCausalityDementiaDrug Administration ScheduleHealth Status IndicatorsHormone Replacement TherapyHumansPostmenopauseAlzheimer diseaseclinical trialcognitioncohort studiesdementiaestrogen replacement therapyhormone replacement therapysystematic review

Identifiers

PMID24042430
PMCPMC3873843
OpenAlexW2171374102

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.