Evidence map›Paper›PMID 31755543›Full record

ReviewObstetrical & gynecological survey2019

Cardiometabolic Risk Factors and Benign Gynecologic Disorders.

Abdelrahman AlAshqar, Kristin Patzkowsky, Sadia Afrin, Robert Wild, Hugh S Taylor, Mostafa A Borahay

Open access · greenAbstract readReview
In one paragraph

Review in Obstetrical & gynecological survey, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 7% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
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  17. Endometriosis promotes atherosclerosis in a murine model.American journal of obstetrics and gynecology · 2022
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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

6 authors at 5 institutions in 2 countries.

Abdelrahman AlAshqarVisitor, Department of Gynecology and Obstetrics, Johns Hopkins University, Baltimore, MD; Physician, Department of Obstetrics and Gynecology, Kuwait University, Kuwait City, Kuwait.
Kristin PatzkowskyAssistant Professor.
Sadia AfrinPostdoctoral Fellow, Department of Gynecology and Obstetrics, Johns Hopkins University, Baltimore, MD.
Robert WildProfessor, Department of Obstetrics and Gynecology, Oklahoma University, Oklahoma City, OK.
Hugh S TaylorProfessor, Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University, New Haven, CT.
Mostafa A BorahayAssociate Professor, Department of Gynecology and Obstetrics, Johns Hopkins University, Baltimore, MD.
Johns Hopkins University · USKuwait University · KWMarymount University · USOklahoma City University · USYale University · 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
Mechanisms of actions(s) of simvastatin in uterine leiomyomaR01HD094380 · NICHD · JOHNS HOPKINS UNIVERSITY · PI BORAHAY, MOSTAFA A. · 2018 to 2022
$4.0M
NCATS NIH HHS UL1 TR001863NICHD NIH HHS R01 HD094380
6 · The paper itself

Abstract

importanceWhile it has long been known that polycystic ovarian syndrome is associated with cardiometabolic risk factors (CMRFs), there is emerging evidence that other benign gynecologic conditions, such as uterine leiomyomas, endometriosis, and even hysterectomy without oophorectomy, can be associated with CMRFs. Understanding the evidence and mechanisms of these associations can lead to novel preventive and therapeutic interventions.

objectiveThis article discusses the evidence and the potential mechanisms mediating the association between CMRFs and benign gynecologic disorders. EVIDENCE ACQUISITION: We reviewed PubMed, EMBASE, Scopus, and Google Scholar databases to obtain plausible clinical and biological evidence, including hormonal, immunologic, inflammatory, growth factor-related, genetic, epigenetic, atherogenic, vitamin D-related, and dietary factors.

resultsCardiometabolic risk factors appear to contribute to uterine leiomyoma pathogenesis. For example, obesity can modulate leiomyomatous cellular proliferation and extracellular matrix deposition through hyperestrogenic states, chronic inflammation, insulin resistance, and adipokines. On the other hand, endometriosis has been shown to induce systemic inflammation, thereby increasing cardiometabolic risks, for example, through inducing atherosclerotic changes. CONCLUSION AND RELEVANCE: Clinical implications of these associations are 2-fold. First, screening and early modification of CMRFs can be part of a preventive strategy for uterine leiomyomas and hysterectomy. Second, patients diagnosed with uterine leiomyomas or endometriosis can be screened and closely followed for CMRFs and cardiovascular disease.

Indexed as

Cardiovascular DiseasesGenital Diseases, FemalePreventive Health ServicesCorrelation of DataFemaleHumansRisk Factors

Identifiers

PMID31755543
PMCPMC6986276
OpenAlexW2987202641

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.