Evidence map›Paper›PMID 30154502›Full record

Trial reportScientific reports2018

Risk of Hyperlipidemia in Women with Hysterectomy-A Retrospective Cohort Study in Taiwan.

Pei-Chen Li, I-Ju Tsai, Chung Y Hsu, Jen-Hung Wang, Shinn-Zong Lin, Dah-Ching Ding, Fung-Chang Sung

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

14 citing papers in PubMed, 35 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Article
  7. An audit of hysterectomy in a teaching hospital in India: Story of a decade.Journal of the Chinese Medical Association : JCMA · 2023
    Article
  8. Review
  9. Review
  10. Article
  11. Influenza-Like Illness is Associated with Increased Short-Term Risk of Cervical Artery Dissection.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2021
    Article
  12. Article
  13. Observational
  14. 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

7 authors at 5 institutions in 1 country.

Pei-Chen LiDepartment of Obstetrics and Gynecology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Foundation; Tzu Chi University, Hualien, Taiwan.
I-Ju TsaiManagement Office for Health Data, China Medical University Hospital, Taichung, Taiwan.
Chung Y HsuGraduate Institute of Clinical Medical Science, China Medical University, Taichung, Taiwan.
Jen-Hung WangDepartment of Research, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Foundation; Tzu Chi University, Hualien, Taiwan.
Shinn-Zong LinDepartment of Neurosurgery, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Foundation; Tzu Chi University, Hualien, Taiwan.
Dah-Ching DingDepartment of Obstetrics and Gynecology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Foundation; Tzu Chi University, Hualien, Taiwan. dah1003@yahoo.com.tw.
Fung-Chang SungCollege of Medicine, China Medical University, Taichung, Taiwan. fcsung1008@yahoo.com.
Tzu Chi Foundation · TWChina Medical University · TWChina Medical University Hospital · TWNational Yang Ming Chiao Tung University · TWTzu Chi University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hysterectomy has been associated with metabolic change and cardiovascular risk for women after removing the uterus, but inconclusive. This large retrospective cohort study evaluated the hyperlipidemia risk for women with a hysterectomy and/or oophorectomy. From claims data of one million people in the National Health Insurance (NHI) database of Taiwan, we established a cohort consisting of 5887 women newly received a surgery of hysterectomy from 2000-2013, 563 women had a hysterectomy and a oophorectomy, and 556 women had a oophorectomy. From the claims data, 28024 women without any of the surgeries were identified to form the comparison cohort, frequency matched by birth year and surgery year of the women with hysterectomy. By the end of 2013, the incidence of hyperlipidemia was 1.3 times greater in women with a hysterectomy than in comparison women (3.43 vs. 2.65 per 100 person-years), with an adjusted hazard ratio (aHR) of 1.27 (95% CI = 1.19-1.35) for hysterectomy women after controlling for age, oophorectomy, hormone therapy and comorbidities. The incidence of hyperlipidemia increased to 4.93 per 100 person-years in women with both a hysterectomy and an oophorectomy. The relative risk of hyperlipidemia was higher for young women than the elderly women with the surgery. Women with comorbidity of obesity, hypertension or diabetes had a higher incidence of hyperlipidemia. In conclusion, the risk of developing hyperlipidemia could be elevated for women who had a hysterectomy and/or an oophorectomy. Women with hysterectomy should routinely monitor their metabolic status, particularly for young women and those with comorbidity of metabolic symptoms.

Indexed as

AdultAge FactorsFemaleHumansHyperlipidemiasHysterectomyIncidenceMiddle AgedOvariectomyPostoperative ComplicationsRetrospective StudiesRisk FactorsTaiwan

Identifiers

PMID30154502
PMCPMC6113310
OpenAlexW2888084362

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.