Evidence map›Paper›PMID 29765921›Full record

ArticleJournal of menopausal medicine2018

Therapeutic Approaches to Atrophic Vaginitis in Postmenopausal Women: A Systematic Review with a Network Meta-analysis of Randomized Controlled Trials.

Arum Lee, Tae Hee Kim, Hae Hyeog Lee, Yeon Suk Kim, Temuulee Enkhbold, Bora Lee, Yoo Jin Park, Kisung Song

Open access · diamondAbstract read
In one paragraph

Article in Journal of menopausal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
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.

Arum LeeDepartment of Interdisciplinary Program in Biomedical Science, Soonchunhyang University, Asan, Korea.
Tae Hee KimDepartment of Obstetrics and Gynecology, Soonchunhyang University College of Medicine, Bucheon, Korea.
Hae Hyeog LeeDepartment of Obstetrics and Gynecology, Soonchunhyang University College of Medicine, Bucheon, Korea.
Yeon Suk KimDepartment of Interdisciplinary Program in Biomedical Science, Soonchunhyang University, Asan, Korea.
Temuulee EnkhboldDepartment of Obstetrics and Gynecology, Etemo Clininc, Ulaanbaatar, Mongolia.
Bora LeeDepartment of Biostatistics, Graduate School of Chung-Ang University, Seoul, Korea.
Yoo Jin ParkDepartment of Interdisciplinary Program in Biomedical Science, Soonchunhyang University, Asan, Korea.
Kisung SongDepartment of Interdisciplinary Program in Biomedical Science, Soonchunhyang University, Asan, Korea.
Soonchunhyang University · KRChung-Ang University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAtrophic vaginitis (AV), which is common in postmenopausal women, is characterized by vaginal dryness, dyspareunia, and discomfort. There are a variety of therapeutic agents for the treatment of AV, besides hormone replacement therapy. We performed this systematic review to compare the effectiveness of various therapies for symptom improvement in AV patients.

methodsWe searched the Cochrane Library, EMBASE, MEDLINE, and other literature (Google Scholar, Web of Science, and hand search) for studies published between January 2010 and March 2015. AV was evaluated by the following outcomes: vaginal pH, dyspareunia, vaginal dryness, or cytological change (endometrial thickness, percentages of superficial cells and parabasal cells). They measured treatment efficacy with various outcomes pertaining to AV symptoms.

resultsMeta-analysis suggested that ospemifene was effective against dyspareunia, vaginal dryness, endometrial thickness, and percentage changes in superficial and parabasal cells. Vaginal pH was most affected by soy isoflavone vaginal gel. Ospemifene was effective for AV symptoms.

conclusionsThis systematic review compared the effects of several therapeutic agents on symptoms of AV through a network meta-analysis. This study provides objective evidence for clinical treatment and efficacy management in AV.

Indexed as

Atrophic vaginitisNetwork meta-analysisPostmenopauseTherapeuticsVagina

Identifiers

PMID29765921
PMCPMC5949302
OpenAlexW2802499644

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.