Evidence map›Paper›PMID 31741221›Full record

ReviewCurrent osteoporosis reports2019

Update on Menopausal Hormone Therapy for Fracture Prevention.

Jan J Stepan, Hana Hruskova, Miloslav Kverka

Open access · hybridAbstract readReview
In one paragraph

Review in Current osteoporosis reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
4.5field-weighted citation impact, top 5% 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

29 citing papers in PubMed, 52 citations in OpenAlex.

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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

3 authors at 3 institutions in 1 country.

Jan J StepanInstitute of Rheumatology, Prague, Czech Republic. stepan@revma.cz.
Hana HruskovaDepartment of Obstetrics and Gynecology, First Faculty of Medicine, Prague, Czech Republic.
Miloslav KverkaInstitute of Microbiology of the Czech Academy of Sciences, v.v.i., Prague, Czech Republic.
Charles University · CZCzech Academy of Sciences · CZInstitute of Rheumatology · CZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewThe goal of the review is to assess the appropriateness of menopausal hormone therapy (MHT) for the primary prevention of bone loss in women at elevated risk in the early years after menopause. RECENT

findingsEstrogen alone or combined with progestin to protect the uterus from cancer significantly reduces the risk of osteoporosis-related fractures. MHT increases type 1 collagen production and osteoblast survival and maintains the equilibrium between bone resorption and bone formation by modulating osteoblast/osteocyte and T cell regulation of osteoclasts. Estrogens have positive effects on muscle and cartilage. Estrogen, but not antiresorptive therapies, can attenuate the inflammatory bone-microenvironment associated with estrogen deficiency. However, already on second year of administration, MHT is associated with excess breast cancer risk, increasing steadily with duration of use. MHT should be considered in women with premature estrogen deficiency and increased risk of bone loss and osteoporotic fractures. However, MHT use for the prevention of bone loss is hindered by increase in breast cancer risk even in women younger than 60 years old or who are within 10 years of menopause onset.

Indexed as

Bone and BonesBone ResorptionBreast NeoplasmsCollagen Type IEstrogen Replacement TherapyEstrogensFemaleHumansMiddle AgedOsteoblastsOsteoclastsOsteocytesOsteogenesisOsteoporosis, PostmenopausalOsteoporotic FracturesProgestinsCollagen Type IEstrogensProgestinsBone cellsEstrogensFracturePostmenopausal osteoporosisPrevention

Identifiers

PMID31741221
PMCPMC6944675
OpenAlexW2983472158

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.