Evidence map›Paper›PMID 30412447›Full record

ArticleJournal of women's health (2002)2019

Uterine Fibroids and the Risk of Cardiovascular Disease in the Coronary Artery Risk Development in Young Adult Women's Study.

Shannon K Laughlin-Tommaso, Erika L Fuchs, Melissa F Wellons, Cora E Lewis, Ronit Calderon-Margalit, Elizabeth A Stewart, Pamela J Schreiner

Abstract read
In one paragraph

Article in Journal of women's health (2002), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 17% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Cardiovascular outcomes after hysterectomy: a systematic review and meta-analysis.Proceedings (Baylor University. Medical Center) · 2026
    Pooled it
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  7. Tailoring cardiovascular risk prediction to females.The Journal of endocrinology · 2025
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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

7 authors at 5 institutions in 2 countries.

Shannon K Laughlin-Tommaso1 Division of Gynecology, Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, Minnesota.
Erika L Fuchs3 Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, Texas.
Melissa F Wellons4 Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
Cora E Lewis5 Division of Preventive Medicine, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
Ronit Calderon-Margalit6 Hadassah-Hebrew University Braun School of Public Health, Jerusalem, Israel .
Elizabeth A Stewart2 Department of Surgery, Mayo Clinic, Rochester, Minnesota.
Pamela J Schreiner8 Division of Epidemiology & Community Health, University of Minnesota, Minneapolis, Minnesota.
Mayo Clinic · USHebrew University of Jerusalem · ILThe University of Texas Medical Branch at Galveston · USUniversity of Alabama at Birmingham · USVanderbilt University Medical Center · US

Funding

UTMB WOMEN'S HEALTH RESEARCH SCHOLARS PROGRAMK12HD052023 · NICHD · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI BERENSON, ABBEY B · 2005 to 2023
$8.1M
Mayo Clinic Interdisciplinary Women's Health Research ProgramK12HD065987 · NICHD · MAYO CLINIC ROCHESTER · PI KANTARCI, KEJAL · 2010 to 2023
$6.7M
The FIRSTT Trial: Assessing Outcomes of Minimally Invasive Leiomyoma TherapiesR01HD060503 · NICHD · MAYO CLINIC ROCHESTER · PI STEWART, ELIZABETH A · 2010 to 2014
$2.6M
Interdisciplinary Women's Reproductive Health Fellowship (RHF)T32HD055163 · NICHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI BERENSON, ABBEY B · 2008 to 2017
$1.7M
REGULATION OF MUCIN GENE EXPRESSION BY ELASTASER01HL065611 · NHLBI · DUKE UNIVERSITY · PI VOYNOW, JUDITH A · 2000 to 2003
$1.1M
NHLBI NIH HHS HHSN268200900041CNHLBI NIH HHS HHSN268201300025CNHLBI NIH HHS HHSN268201300026CNHLBI NIH HHS HHSN268201300027CNHLBI NIH HHS HHSN268201300028CNHLBI NIH HHS HHSN268201300029CNHLBI NIH HHS R01 HL065611NICHD NIH HHS K12 HD052023NICHD NIH HHS K12 HD065987NICHD NIH HHS R01 HD060503NICHD NIH HHS T32 HD055163
6 · The paper itself

Abstract

backgroundUterine fibroids, the most common reproductive tract tumor in women, have been associated with hypertension and atherosclerotic cardiovascular disease (CVD). Prior studies of fibroids and CVD have examined the subset of women with symptomatic fibroids who undergo hysterectomy, itself a risk factor for CVD. We aimed to study the risk of subclinical CVD, as determined by coronary artery calcification (CAC), carotid intima media thickness (CIMT), and left ventricular (LV) mass, in women with ultrasound-diagnosed uterine fibroids. MATERIALS AND

methodsParticipants were 972 women from the Coronary Artery Risk Development in Young Adults (CARDIA) study, a cohort recruited in 1985-1986. CARDIA screened black and white women aged 35-49 years by ultrasound for fibroids at 16 years of follow-up (2002-2004). Demographics and CVD risk factors were collected in 2000-2001 at 15 years of follow-up (baseline for this analysis). Women were tested at years 15, 20, and 25 for CAC, at year 20 for CIMT, and at year 25 for echocardiographic LV mass. Multivariable logistic regression was used to estimate the odds of CAC, CIMT, and LV mass.

resultsFifty-two percent of women had fibroids (61.7% in black, 38.3% in white women). Most CVD risk factors were more common in women with fibroids. Adjusted odds of subclinical CVD, such as elevated CIMT and elevated LV mass, were not different for women with fibroids compared with those without (CIMT odds ratio [OR] = 1.03; confidence interval [95% CI] 0.7-1.5 and LV mass OR = 1.14; 95% CI 0.77-1.68), when adjusted for confounders.

conclusionsAlthough women with fibroids had more CVD risk factors, presence of fibroids was not associated with subclinical CVD.

Indexed as

Black or African AmericanCardiovascular DiseasesCarotid Intima-Media ThicknessCoronary VesselsLeiomyomaVascular CalcificationAdultCross-Sectional StudiesFemaleHumansMiddle AgedUltrasonographyWhitecardiovascular diseasecarotid intima media thicknesscoronary artery calcificationfibroidshysterectomy

Identifiers

PMID30412447
PMCPMC6343187
OpenAlexW2900399984

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.