Evidence map›Paper›PMID 30254953›Full record

ArticleGynecology and minimally invasive therapy

Efficacy of Hormonal Therapies for Decreasing Uterine Volume in Patients with Adenomyosis.

Takashi Matsushima, Shigeo Akira, Takehiko Fukami, Koichi Yoneyama, Toshiyuki Takeshita

Open access · diamondAbstract read
In one paragraph

Article in Gynecology and minimally invasive therapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 9% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Uterine Adenomyosis: From Disease Pathogenesis to a New Medical Approach Using GnRH Antagonists.International journal of environmental research and public health · 2021
    Review
  12. Article
  13. Adenomyosis and Infertility-Review of Medical and Surgical Approaches.International journal of environmental research and public health · 2021
    Review
  14. Article
  15. Observational
  16. [Progress on medical treatment in the management of adenomyosis].Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2019
    Article
  17. The Art of Managing Infertile Patients with Adenomyosis.Gynecology and minimally invasive therapy
    Article
  18. Article
  19. 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

5 authors at 1 institution in 1 country.

Takashi MatsushimaDepartment of Obstetrics and Gynecology, Nippon Medical School Musashikosugi Hospital, Kawasaki, Japan.
Shigeo AkiraDepartment of Obstetrics and Gynecology, Nippon Medical School, Tokyo, Japan.
Takehiko FukamiDepartment of Obstetrics and Gynecology, Nippon Medical School Musashikosugi Hospital, Kawasaki, Japan.
Koichi YoneyamaDepartment of Obstetrics and Gynecology, Nippon Medical School Musashikosugi Hospital, Kawasaki, Japan.
Toshiyuki TakeshitaDepartment of Obstetrics and Gynecology, Nippon Medical School, Tokyo, Japan.
Nippon Medical School · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectiveThe aim of this study is to evaluate the efficacy of hormonal therapies for inhibiting an increase in uterine volume in patients with adenomyosis.

designThis was retrospective cohort study.

settingThis study was conducted at Nippon Medical School Musashikosugi Hospital. PATIENTS: A total of 28 women diagnosed with adenomyosis using magnetic resonance imaging.

methodsAfter providing informed consent, patients were treated with gonadotropin-releasing hormone agonist (GnRHa group), a low-dose estrogen and progestin combination (LEP group), or dienogest (DNG group) for ≥16 weeks. Uterine volume was assessed using the formula for an ovoid; uterine volumes before and after 16 weeks of treatment were compared. A <5% increase in uterine volume at 16 weeks was considered to reflect inhibition of uterine volume increase and efficacy of the medication. We compared the efficacy rate among the groups.

resultsIn the GnRHa group, a significant reduction in uterine volume was noted, from 307.4 ± 230.1 to 177.9 ± 142.1 cm

conclusionWe conclude that the efficacy of GnRHa in reducing uterine volume should be considered when prescribing hormone therapy for adenomyosis.

Indexed as

Adenomyosisdienogestethinyl estradiolferrous fumarate drug combinationgonadotropin-releasing hormonenorethindrone acetate

Identifiers

PMID30254953
PMCPMC6135169
OpenAlexW2888669310

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.