Evidence map›Paper›PMID 27861721›Full record

ArticleJournal of the American Geriatrics Society2017

Long-Term Hormone Replacement Therapy Is Associated with Low Coronary Artery Calcium Levels in a Cohort of Older Women: The Age, Gene/Environment Susceptibility-Reykjavik Study.

Adalsteinn Gudmundsson, Thor Aspelund, Gunnar Sigurdsson, Tamara Harris, Lenore J Launer, Vilmundur Gudnason, Helgi Jonsson

Abstract readComparative Study
In one paragraph

Article in Journal of the American Geriatrics Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 20% 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

5 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Review
  3. Italian Association of Hospital Cardiologists Position Paper 'Gender discrepancy: time to implement gender-based clinical management'.European heart journal supplements : journal of the European Society of Cardiology · 2024
    Article
  4. Review
  5. 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

7 authors at 6 institutions in 2 countries.

Adalsteinn GudmundssonLandspitali University Hospital, Reykjavik, Iceland.
Thor AspelundUniversity of Iceland, Reykjavik, Iceland.
Gunnar SigurdssonLandspitali University Hospital, Reykjavik, Iceland.
Tamara HarrisIntramural Research Program, National Institute on Aging, Bethesda, Maryland.
Lenore J LaunerIntramural Research Program, National Institute on Aging, Bethesda, Maryland.
Vilmundur GudnasonUniversity of Iceland, Reykjavik, Iceland.
Helgi JonssonLandspitali University Hospital, Reykjavik, Iceland.
University of Iceland · ISIcelandic Heart Association · ISInstitute on Aging · USNational Institute on Aging · USNational University Hospital of Iceland · ISReykjavík University · IS

Funding

CLINICAL PROJECT: Age, Gene/Environment Susceptibility Study on the Multi-omics of Aging: A clinical epidemiologic prospective studyZIAAG007380 · NIA · NATIONAL INSTITUTE ON AGING · PI LAUNER, LENORE J · 2009 to 2025
$6.1M
Brain aging and cardiovascular risk factors and diseaseZIAAG007480 · NIA · NATIONAL INSTITUTE ON AGING · PI LAUNER, LENORE J · 2011 to 2025
$2.7M
AGES STUDY-THE REYKJAVIK STUDY OF HEALTHY AGING FOR THE NEW MILLENNIUM-26012100N01AG012100 · NIA · ICELANDIC HEART ASSOCIATION · 2002 to 2004
–
NIA NIH HHS N01 AG012100
6 · The paper itself

Abstract

objectivesTo assess the relationship between hormone replacement therapy (HRT) and coronary artery calcium (CAC).

designCross-sectional.

settingEstablished population-based cohort in Reykjavik, Iceland.

participantsWomen (mean age 76 ± 5) who had completed questionnaires on HRT use (N = 2,867). MEASUREMENTS: Coronary artery calcium assessed using computed tomography was the outcome variable and was compared between women with history of HRT and those who had never used HRT and analyzed according to age, length of use, and time after menopause that HRT was initiated.

resultsEight hundred seventy-two (30.4%) participants had used HRT, and 312 (10.9%) were current users. After adjustment for age, other late-life variables, and a propensity score based on midlife data for HRT use as observed in late life, there were significant negative associations between CAC and history and length of HRT use. This association was evident in all age categories. When HRT had been used for longer than 15 years, median CAC level was less than 50% of that observed in never users. The lowest CAC was observed in those who started HRT within 5 years after menopause. The prevalence of coronary events was comparable in both groups.

conclusionA strong association was found between long-term HRT use and low CAC. The negative association between duration of HRT and CAC was evident in all age groups of older women.

Indexed as

Coronary AngiographyHormone Replacement TherapyAgedAged, 80 and overComputed Tomography AngiographyCross-Sectional StudiesFemaleHumansIcelandPropensity ScoreVascular Calcificationcoronary artery calciumepidemiologyhormone replacement therapyolder women

Identifiers

PMID27861721
PMCPMC5258833
OpenAlexW2556270748

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.