Evidence map›Paper›PMID 25417709›Full record

Trial reportClimacteric : the journal of the International Menopause Society2015

Endothelial function in women of the Kronos Early Estrogen Prevention Study.

J M Kling, B A Lahr, K R Bailey, S M Harman, V M Miller, S L Mulvagh

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Climacteric : the journal of the International Menopause Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
4.7field-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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Long-term hormone therapy for perimenopausal and postmenopausal women.The Cochrane database of systematic reviews · 2017
    Pooled it
  3. Trial
  4. Differential effects of hormone therapy on serotonin, vascular function and mood in the KEEPS.Climacteric : the journal of the International Menopause Society · 2016
    Trial
  5. Hypertension in Women Across the Lifespan.Current atherosclerosis reports · 2021
    Review
  6. Review
  7. Aging women and their endothelium: probing the relative role of estrogen on vasodilator function.American journal of physiology. Heart and circulatory physiology · 2019
    Review
  8. Article
  9. Article
  10. Observational
  11. Review
  12. Review
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

6 authors at 4 institutions in 1 country.

J M KlingDepartment of Internal Medicine Mayo Clinic Scottsdale , USA.
B A Lahr
K R Bailey
S M Harman
V M Miller
S L Mulvagh
Mayo Clinic · USMayo Clinic in Florida · USKronos Longevity Research Institute · USMayo Clinic in Arizona · US

Funding

Mayo Clinic Center for Translational Science ActivitiesUL1TR000135 · NCATS · MAYO CLINIC ROCHESTER · PI KHOSLA, SUNDEEP · 2012 to 2015
$41.2M
NCATS NIH HHS UL1 TR000135NCATS NIH HHS UL1TR000135
6 · The paper itself

Abstract

objectiveEndothelial dysfunction occurs early in the atherosclerotic disease process, often preceding clinical symptoms. Use of menopausal hormone treatment (MHT) to reduce cardiovascular risk is controversial. This study evaluated effects of 4 years of MHT on endothelial function in healthy, recently menopausal women.

methodsEndothelial function was determined by pulse volume digital tonometry providing a reactive hyperemia index (RHI) in a subset of women enrolled in the Kronos Early Estrogen Prevention Study. RHI was measured before and annually after randomization to daily oral conjugated equine estrogen (oCEE, 0.45 mg), weekly transdermal 17β-estradiol (tE2, 50 μg) each with intermittent progesterone (200 mg daily 12 days of the month) or placebo pills and patch.

resultsAt baseline, RHI averaged 2.39 ± 0.69 (mean ± standard deviation; n = 83), and over follow-up did not differ significantly among groups: oCEE, 2.26 ± 0.48 (n = 26); tE2, 2.26 ± 0.45 (n = 24); and placebo, 2.37 ± 0.37 (n = 33). Changes in RHI did not correlate with changes in traditional cardiovascular risk factors, but may inversely correlate with carotid intima medial thickness (Spearman correlation coefficient ρ = -0.268, p = 0.012).

conclusionIn this 4-year prospective assessment of recently menopausal women, MHT did not significantly alter RHI when compared to placebo.

Indexed as

Estrogen Replacement TherapyAdministration, CutaneousAdministration, OralAdultCardiovascular DiseasesEndothelium, VascularEstradiolEstrogens, Conjugated (USP)FemaleHumansHyperemiaMenopauseMiddle AgedPlacebosProgesteroneProspective StudiesEstradiolEstrogens, Conjugated (USP)PlacebosProgesteroneCARDIOVASCULAR DISEASECAROTID INTIMA-MEDIAL THICKNESSDIGITAL TONOMETRYENDOTHELIUMESTROGENMENOPAUSAL SYMPTOMS

Identifiers

PMID25417709
PMCPMC4389699
OpenAlexW2009752367

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.