Evidence map›Paper›PMID 29381665›Full record

ArticleMenopause (New York, N.Y.)2018

What's in a name: are menopausal "hot flashes" a symptom of menopause or a manifestation of neurovascular dysregulation?

Virginia M Miller, Juliana M Kling, Julia A Files, Michael J Joyner, Ekta Kapoor, Ann M Moyer, Walter A Rocca, Stephanie S Faubion

Abstract read
In one paragraph

Article in Menopause (New York, N.Y.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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

16 citing papers in PubMed.

  1. Article
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  5. Review
  6. Article
  7. Zuogui and Yougui pills improve perimenopausal syndrome regulation of apoptosis in mice.Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan · 2023
    Article
  8. Article
  9. Article
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  15. Sympathetic neural responsiveness to sleep deprivation in older adults: sex differences.American journal of physiology. Heart and circulatory physiology · 2019
    Article
  16. 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

8 authors.

Virginia M MillerDepartments of Surgery and Physiology and Biomedical Engineering, Mayo Clinic, Rochester, MN.
Juliana M KlingDivision of Women's Health Internal Medicine, Mayo Clinic, Scottsdale, AZ.
Julia A FilesDivision of Women's Health Internal Medicine, Mayo Clinic, Scottsdale, AZ.
Michael J JoynerDepartment of Anesthesiology, Mayo Clinic, Rochester, MN.
Ekta KapoorWomen's Health Clinic, Division of General Internal Medicine, Mayo Clinic, Rochester, MN.
Ann M MoyerDepartment of Laboratory Medicine and Pathology, Personalized Genomics Laboratory, Mayo Clinic, Rochester, MN.
Walter A RoccaWomen's Health Research Center, Mayo Clinic, Rochester, MN.
Stephanie S FaubionWomen's Health Clinic, Division of General Internal Medicine, Mayo Clinic, Rochester, MN.

Funding

Rochester Epidemiology ProjectR01AG034676 · NIA · MAYO CLINIC ROCHESTER · PI ROCCA, WALTER A, ST SAUVER, JENNIFER LYNN · 2010 to 2019
$9.5M
Sex-specific Risk for Vascular Dysfunction and Cognitive DeclineP50AG044170 · NIA · MAYO CLINIC ROCHESTER · PI MILLER, VIRGINIA M · 2012 to 2017
$6.1M
Neurovascular Control and Blood Pressure Regulation in HumansR01HL083947 · NHLBI · MAYO CLINIC ROCHESTER · PI JOYNER, MICHAEL J · 2007 to 2016
$3.6M
NHLBI NIH HHS R01 HL083947NIA NIH HHS P50 AG044170NIA NIH HHS R01 AG034676
6 · The paper itself

Abstract

Hot flashes have typically been classified as "symptoms of menopause" that should be tolerated or treated until they resolve. However, mounting evidence points to hot flashes as a manifestation of one or several underlying pathophysiological processes. Associations exist between the presence, timing of onset, severity, and duration of hot flashes, and the risk of several neurological (affecting sleep, mood, and cognition) and cardiovascular conditions. In addition, four consistent patterns of vasomotor disturbances have been identified across different countries, making it unlikely that these patterns are solely explained by socioeconomic or cultural factors. The changing hormonal environment of menopause may unmask differences in the autonomic neurovascular control mechanisms that put an individual woman at risk for chronic conditions of aging. These differences may have a genetic basis or may be acquired across the life span and are consistent with the variability of the clinical manifestations of aging observed in women after bilateral oophorectomy. It is time to investigate the pathophysiological mechanisms underlying the four patterns of vasomotor symptoms more closely, and to shift from describing hot flashes as symptoms to be tolerated to manifestations of an underlying autonomic neurovascular dysregulation that need to be addressed.

Indexed as

MenopauseTerminology as TopicFemaleHot FlashesHumansVascular Diseases

Identifiers

PMID29381665
PMCPMC5970009

What OpenQuestion holds

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Registered trials

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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.