Evidence map›Paper›PMID 30926125›Full record

Trial reportFertility and sterility2019

Lower prevalence of non-cavity-distorting uterine fibroids in patients with polycystic ovary syndrome than in those with unexplained infertility.

Hao Huang, Hongying Kuang, Fangbai Sun, Michael P Diamond, Richard S Legro, Christos Coutifaris, Ruben Alvero, Randal D Robinson, Peter R Casson, Gregory M Christman and 5 more

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Fertility and sterility, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 25% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Functional and Structural Uterine Changes in PCOS.International journal of molecular sciences · 2025
    Review
  4. Article
  5. 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

15 authors at 11 institutions in 2 countries.

Hao HuangDepartment of Biostatistics, Yale University School of Public Health, New Haven, Connecticut.
Hongying KuangDepartment of Obstetrics and Gynecology, First Affiliated Hospital, Heilongjiang University of Chinese Medicine, Harbin, People's Republic of China.
Fangbai SunDepartment of Biostatistics, Yale University School of Public Health, New Haven, Connecticut.
Michael P DiamondDepartment of Obstetrics and Gynecology, Augusta University, Augusta, Georgia.
Richard S LegroDepartment of Obstetrics and Gynecology, Pennsylvania State University, Hershey, Pennsylvania.
Christos CoutifarisDepartment of Obstetrics and Gynecology, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania.
Ruben AlveroDepartment of Obstetrics and Gynecology, University of Colorado, Denver, Colorado.
Randal D RobinsonDepartment of Obstetrics and Gynecology, University of Texas Health Science Center at San Antonio, San Antonio, Texas.
Peter R CassonDepartment of Obstetrics and Gynecology, University of Vermont, Burlington, Vermont.
Gregory M ChristmanDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan.
Karl R HansenUniversity of Oklahoma College of Medicine, Oklahoma City, Oklahoma.
Nanette SantoroDepartment of Obstetrics and Gynecology, University of Colorado, Denver, Colorado.
Esther EisenbergFertility and Infertility Branch, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Rockville, Maryland.
Heping ZhangDepartment of Biostatistics, Yale University School of Public Health, New Haven, Connecticut. Electronic address: heping.zhang@yale.edu.
Eunice Kennedy Shriver National Institute of Child Health and Human Development Reproductive Medicine Network
Yale University · USUniversity of Colorado Denver · USAugusta University · USEunice Kennedy Shriver Center · USFirst Affiliated Hospital of Heilongjiang University of Chinese Medicine · CNPennsylvania State University · USThe University of Texas Health Science Center at San Antonio · USUniversity of Michigan · USUniversity of Oklahoma · USUniversity of Pennsylvania · USUniversity of Vermont · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Data Coordination Center for the RMNU10HD055925 · NICHD · YALE UNIVERSITY · PI ZHANG, HEPING · 2007 to 2019
$39.2M
Penn State Clinical and Translational Science InstituteUL1TR002014 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI KRASCHNEWSKI, JENNIFER L. · 2016 to 2025
$33.7M
Penn State Clinical and Translational Science InstituteUL1TR000127 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI SINOWAY, LAWRENCE I · 2012 to 2015
$17.1M
COOPERATIVE MULTICENTER REPRODUCTIVE MEDICINE NETWORKU10HD027049 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI COUTIFARIS, CHRISTOS · 1990 to 2017
$5.2M
GHSU/WSU Cooperative Reproductive Medicine NetworkU10HD039005 · NICHD · WAYNE STATE UNIVERSITY · PI DIAMOND, MICHAEL PETER · 2000 to 2017
$5.2M
Data Management, Statistics, and informatics CoreU01HD050062 · NICHD · YALE UNIVERSITY · PI ZHANG, HEPING · 2005 to 2010
$5.1M
COOPERATIVE MULTICENTER REPRODUCTIVE MEDICINE NETWORKU10HD038992 · NICHD · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI LEGRO, RICHARD S. · 2000 to 2017
$5.0M
COOPERATIVE MULTICENTER REPRODUCTIVE MEDICINE NETWORKU10HD038998 · NICHD · UNIVERSITY OF COLORADO DENVER · PI POLOTSKY, ALEX JOEL · 2000 to 2015
$2.6M
The Clinical Research/Reproductive Scientist Training Program (CREST)R25HD075737 · NICHD · UNIVERSITY OF COLORADO DENVER · PI Nanette F. Santoro · 2013 to 2026
$2.3M
Cooperative Multicenter Reproductive Medicine Network (U10)U10HD055936 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SMITH, YOLANDA R · 2007 to 2014
$2.1M
The Utility of Empiric Medical Treatment of Infertile Oligo-asthenospermic MenU10HD055944 · NICHD · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI MCGEE, ELIZABETH A · 2007 to 2013
$2.1M
NCATS NIH HHS UL1 TR000127NCATS NIH HHS UL1 TR001863NCATS NIH HHS UL1 TR002014NICHD NIH HHS R01 HD029834NICHD NIH HHS R25 HD075737NICHD NIH HHS U01 HD050062NICHD NIH HHS U10 HD027049NICHD NIH HHS U10 HD038992NICHD NIH HHS U10 HD038998NICHD NIH HHS U10 HD039005NICHD NIH HHS U10 HD055925NICHD NIH HHS U10 HD055936NICHD NIH HHS U10 HD055942NICHD NIH HHS U10 HD055944NICHD NIH HHS U10 HD077680
6 · The paper itself

Abstract

objectiveTo study whether there is a difference in the prevalence of non-cavity-distorting uterine fibroids between infertile patients with polycystic ovary syndrome (PCOS) and those with unexplained infertility (UI).

designA secondary analysis of data from three randomized clinical trials.

settingAcademic health centers. PATIENT(S): A total of 2,249 patients with normal uterine cavities. INTERVENTIONS(S): None. MAIN OUTCOME MEASURE(S): The presence or absence of non-cavity-distorting fibroids. RESULT(S): Compared with women with UI, those with PCOS were younger, had a higher body mass index, and were more likely to be Hispanic or African American, with a lower percentage of previous conception and live birth, a higher percentage of current smokers, a lower percentage of current alcohol users, and higher total testosterone, fasting insulin, and homeostasis-model-assessment insulin resistance. The prevalence of women with non-cavity-distorting uterine fibroids was lower in women with PCOS than in those with UI (6.7% vs. 12.4%); this result held after patients were divided into Black and non-Black or into three different body mass index groups. After adjustment for all the other variables in the final model, patients with PCOS had a significantly lower prevalence of fibroids than those with UI (odds ratio 0.54). No differences in the prevalence of non-cavity-distorting fibroids with any dimensions ≥4 cm or the volume of the largest fibroid was found between the two groups. CONCLUSION(S): A lower prevalence of non-cavity-distorting uterine fibroids was found in infertile women with PCOS than in those with UI.

Indexed as

AdultBlack or African AmericanBlack PeopleDouble-Blind MethodFemaleHumansInfertility, FemaleLeiomyomaPolycystic Ovary SyndromePrevalencenon–cavity-distorting fibroidsPCOSrisk factorunexplained infertility

Identifiers

PMID30926125
PMCPMC6487215
OpenAlexW2924836804

What OpenQuestion holds

Textmetadata
LicenceTDM
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.