Evidence map›Paper›PMID 29081037›Full record

ArticleJournal of neuro-oncology2018

Progesterone-only contraception is associated with a shorter progression-free survival in premenopausal women with WHO Grade I meningioma.

Tessa A Harland, Jacob L Freeman, Monica Davern, D Jay McCracken, Emma C Celano, Kevin Lillehei, Jeffrey J Olson, D Ryan Ormond

Abstract read
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In one paragraph

Article in Journal of neuro-oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.2field-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

15 citing papers in PubMed, 27 citations in OpenAlex.

  1. Review
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  7. Association of Hormonal Contraception with Meningioma Location in Indonesian Patients.Asian Pacific journal of cancer prevention : APJCP · 2022
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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

8 authors at 2 institutions in 1 country.

Tessa A HarlandDepartment of Neurosurgery, University of Colorado School of Medicine, 12631 E. 17th Ave., C307, Aurora, CO, 80045, USA.
Jacob L FreemanDepartment of Neurosurgery, University of Colorado School of Medicine, 12631 E. 17th Ave., C307, Aurora, CO, 80045, USA.
Monica DavernDepartment of Neurosurgery, University of Colorado School of Medicine, 12631 E. 17th Ave., C307, Aurora, CO, 80045, USA.
D Jay McCrackenDepartment of Neurosurgery, Emory University School of Medicine, Atlanta, GA, USA.
Emma C CelanoDepartment of Surgery, Emory University School of Medicine, Atlanta, GA, USA.
Kevin LilleheiDepartment of Neurosurgery, University of Colorado School of Medicine, 12631 E. 17th Ave., C307, Aurora, CO, 80045, USA.
Jeffrey J OlsonDepartment of Neurosurgery, Emory University School of Medicine, Atlanta, GA, USA.
D Ryan OrmondDepartment of Neurosurgery, University of Colorado School of Medicine, 12631 E. 17th Ave., C307, Aurora, CO, 80045, USA. David.Ormond@ucdenver.edu.
University of Colorado Denver · USEmory University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The hormonally active nature of intracranial meningioma has prompted research examining the risk of tumorigenesis in patients using hormonal contraception. Studies exploring estrogen-only and estrogen/progesterone combination contraceptives have failed to demonstrate a consistent increased risk of meningioma. By contrast, the few trials examining progesterone-only contraceptives have shown higher odds ratios for risk of meningioma. With progesterone-only contraception on the rise, the risk of tumor recurrence with these specific medications warrants closer study. We sought to determine whether progesterone-only contraception increases recurrence rate and decreases progression-free survival in pre-menopausal women with surgically resected WHO Grade I meningioma. Comparative analysis of 67 pre-menopausal women taking hormone-based contraceptives (progesterone-only medication, n = 21; estrogen-only or estrogen/progesterone combination medication, n = 46) who underwent surgical resection of WHO Grade I intracranial meningioma was performed. Differences in demographics, degree of resection, adjuvant therapy and time to recurrence were compared between the two groups. Compared to patients taking combination or estrogen-only contraception, those taking progesterone-only contraception demonstrated a greater recurrence rate (33.3 vs. 19.6%) with a reduced time to recurrence (18 vs. 32 months, p = 0.038) despite a significantly shorter follow-up (p = 0.014). There were no significant demographic or treatment related differences. The results from this study suggest that exogenous progesterone-only medications may represent a specific contraceptive subgroup that should be avoided in patients with meningioma.

Indexed as

Progression-Free SurvivalAdultContraceptives, Oral, HormonalFemaleHumansMeningeal NeoplasmsMeningiomaMiddle AgedNeoplasm GradingNeoplasm Recurrence, LocalPremenopauseProgesteroneRetrospective StudiesContraceptives, Oral, HormonalProgesteroneContraceptionMeningioma recurrencePremenopausal womenProgesterone

Identifiers

PMID29081037
OpenAlexW2765294386

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.