Evidence map›Paper›PMID 31308416›Full record

Observational studyScientific reports2019

Oral contraceptive use increases risk of inflammatory and coagulatory disorders in women with Polycystic Ovarian Syndrome: An observational study.

Saika Manzoor, Mohd Ashraf Ganie, Shajrul Amin, Zaffar A Shah, Imtiyaz A Bhat, S Douhath Yousuf, Humira Jeelani, Iram A Kawa, Qudsia Fatima, Fouzia Rashid

Full text readObservational Study
In one paragraph

Observational study in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

10 authors.

Saika ManzoorDepartment of Clinical Biochemistry/Biochemistry, University of Kashmir, Srinagar, J&K, India.
Mohd Ashraf GanieDepartment of Endocrinology and Metabolism, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, J&K, India.
Shajrul AminDepartment of Clinical Biochemistry/Biochemistry, University of Kashmir, Srinagar, J&K, India.
Zaffar A ShahDepartment of Immunology and Molecular Medicine, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, J&K, India.
Imtiyaz A BhatDepartment of Immunology and Molecular Medicine, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, J&K, India.
S Douhath YousufDepartment of Clinical Biochemistry/Biochemistry, University of Kashmir, Srinagar, J&K, India.
Humira JeelaniDepartment of Clinical Biochemistry/Biochemistry, University of Kashmir, Srinagar, J&K, India.
Iram A KawaDepartment of Clinical Biochemistry/Biochemistry, University of Kashmir, Srinagar, J&K, India.
Qudsia FatimaDepartment of Clinical Biochemistry/Biochemistry, University of Kashmir, Srinagar, J&K, India.
Fouzia RashidDepartment of Clinical Biochemistry/Biochemistry, University of Kashmir, Srinagar, J&K, India. rashid.fouzia@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Polycystic ovarian syndrome (PCOS) is a multispectral disorder requiring lifelong management. Its pathophysiology is still being explored which makes its treatment options restrained. Present study explores impact of oral contraceptive mode of treatment on metabolic, hormonal, inflammation and coagulation profile of PCOS women. 50 subjects diagnosed with Rotterdam criteria receiving no drug treatment served as controls whereas 50 subjects receiving only OCPs (Ethinyl estradiol 0.03 mg, Levonorgestrel 0.15 mg) as a mode of treatment at least for six-months served as cases. Ferriman-Gallwey score and hormonal profile improved on OCP treatment. However, parameters like weight, Body mass index, waist-hip ratio, Oral glucose tolerance test, lipid profile, insulin, HOMA-IR, adiponectin, interleukin1β, visfatin, resistin, tissue factor, PT and APTT showed considerable derangements in OCP group. All above parameters are associated with the risk of diabetes mellitus, dyslipidemia, coronary vascular disease, cancers, hypercoagulable state, venous thromboembolism and thrombotic events. Long-term use of OCPs needs to be considered carefully for PCOS patients who are already burdened with associated risk factors. This study was conducted in a region where women do not have much access to high-end screening and diagnostic facilities that further exacerbates their clinical outcomes. Large scale, long-term studies need to be designed to further evaluate safety use of OCPs in PCOS women.

Indexed as

AdultBody Mass IndexCoagulation Protein DisordersContraceptives, OralEthinyl EstradiolFemaleHumansIndiaInflammationInsulinInsulin ResistanceLevonorgestrelMetforminPolycystic Ovary SyndromeRisk FactorsWaist-Hip RatioContraceptives, OralEthinyl EstradiolInsulinLevonorgestrelMetformin

Identifiers

PMID31308416
PMCPMC6629878

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Registered trials

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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.