Evidence map›Paper›PMID 28264823›Full record

Trial reportBMJ open2017

Changing trends in reproductive/lifestyle factors in UK women: descriptive study within the UK Collaborative Trial of Ovarian Cancer Screening (UKCTOCS).

Aleksandra Gentry-Maharaj, Clara Glazer, Matthew Burnell, Andy Ryan, Hannah Berry, Jatinderpal Kalsi, Robert Woolas, Steve J Skates, Stuart Campbell, Mahesh Parmar and 2 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

8 citing papers in PubMed, 15 citations in OpenAlex.

  1. Trial
  2. Observational
  3. Review
  4. [Secular trends of age at menarche and age at menopause in women born since 1951 from a county of Shandong Province, China].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2023
    Article
  5. Article
  6. Article
  7. Article
  8. Observational
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

12 authors at 6 institutions in 4 countries.

Aleksandra Gentry-MaharajDepartment of Women's Cancer, Institute for Women's Health, UCL, London UK.
Clara GlazerDepartment of Women's Cancer, Institute for Women's Health, UCL, London UK.
Matthew BurnellDepartment of Women's Cancer, Institute for Women's Health, UCL, London UK.
Andy RyanDepartment of Women's Cancer, Institute for Women's Health, UCL, London UK.
Hannah BerryDepartment of Women's Cancer, Institute for Women's Health, UCL, London UK.
Jatinderpal KalsiDepartment of Women's Cancer, Institute for Women's Health, UCL, London UK.
Robert WoolasDepartment of Gynaecological Oncology, Queen Alexandra Hospital, Portsmouth, UK.
Steve J SkatesMassachusetts General Hospital Biostatistics, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Stuart CampbellCreate Health Clinic, London, UK.
Mahesh ParmarMedical Research Council Clinical Trials Unit at University College London, London, UK.ORCID 0000-0003-0166-1700
Ian JacobsDepartment of Women's Cancer, Institute for Women's Health, UCL, London UK.
Usha MenonDepartment of Women's Cancer, Institute for Women's Health, UCL, London UK.ORCID 0000-0003-3708-1732
London Women's Clinic · GBFrederiksberg Hospital · DKHarvard University · USManchester Academic Health Science Centre · GBQueen Alexandra Hospital · GBUniversity College London · GB

Funding

Proteomic, Genomic, and Longitudinal Pathways to Ovarian Cancer Biomarker DiscoveryU01CA152990 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI BIRRER, MICHAEL, SKATES, STEVEN J · 2010 to 2021
$8.9M
Cancer Research UKDepartment of Health [UK]Medical Research Council G0801228Medical Research Council G9901012NCI NIH HHS U01 CA152990
6 · The paper itself

Abstract

objectiveThere has been considerable interest in the impact of reproductive factors on health but there are little data on how these have varied over time. We explore trends in reproductive/lifestyle factors of postmenopausal British women by analysing self-reported data from participants of the UK Collaborative Trial of Ovarian Cancer Screening (UKCTOCS).

designProspective birth cohort analysis.

settingPopulation cohort invited between 2001 and 2005 from age-sex registers of 27 Primary Care Trusts in England, Wales and Northern Ireland and recruited through 13 National Health Service Trusts.

participants202 638 postmenopausal women aged 50-74 years at randomisation to UKCTOCS between April 2001 and October 2005.

interventionsWomen were stratified into the following six birth cohorts (1925-1929, 1930-1934, 1935-1939, 1940-1944, 1945-1949, 1950-1955) based on year of birth. Self-reported data on reproductive factors provided at recruitment were explored using tabular and graphical summaries to examine for differences between the birth cohorts. OUTCOME MEASURES: Trends in mean age at menarche and menopause, use of oral contraceptives, change in family size, infertility treatments, tubal ligation and hysterectomy rates.

resultsWomen born between 1935 and 1955 made up 86% of the cohort. Median age at menarche decreased from 13.4 for women born between 1925 and 1929 to 12.8 for women born between 1950 and 1955. Increased use of the oral contraceptives, infertility treatments and smaller family size was observed in the younger birth cohorts. Tubal ligation rates increased for those born between 1925 and 1945, but this increase did not persist in subsequent cohorts. Hysterectomy rates (17-20%) did not change over time.

conclusionsThe trends seen in this large cohort are likely to reflect the reproductive history of the UK female postmenopausal population of similar age. Since these are risk factors for hormone-related cancers, these trends are important in understanding the changing incidence of these cancers. TRIAL REGISTRATION NUMBER: International Standard Randomised Controlled Trial Number: 22488978.

Indexed as

Life StyleAgedAge FactorsCohort StudiesContraceptives, OralCooperative BehaviorFamily CharacteristicsFemaleHumansHysterectomyInfertilityMenarcheMenopauseMiddle AgedOvarian NeoplasmsPostmenopauseContraceptives, Oralbirth cohortpostmenopausal womenreproductive factorstrendsUKUKCTOCS

Identifiers

PMID28264823
PMCPMC5353253
OpenAlexW2594440440

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.