Evidence map›Paper›PMID 32880220›Full record

Trial reportClimacteric : the journal of the International Menopause Society2021

Lessons from KEEPS: the Kronos Early Estrogen Prevention Study.

V M Miller, H S Taylor, F Naftolin, J E Manson, C E Gleason, E A Brinton, J M Kling, M I Cedars, N M Dowling, K Kantarci and 1 more

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Climacteric : the journal of the International Menopause Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.1field-weighted citation impact, top 20% 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

9 citing papers in PubMed, 23 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

11 authors at 10 institutions in 1 country.

V M MillerDepartment of Surgery, Mayo Clinic College of Medicine, Rochester, MN, USA.
H S TaylorDepartment of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven, CT, USA.
F NaftolinDepartment of Obstetrics and Gynecology, New York University Grossman School of Medicine, New York, NY, USA.
J E MansonBrigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
C E GleasonDivision of Geriatrics, Department of Medicine, Wisconsin Alzheimer's Disease Research Center, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
E A BrintonUtah Lipid Center, Salt Lake City, UT, USA.
J M KlingDepartment of Internal Medicine, Division of Women's Health Internal Medicine, Mayo Clinic, AZ, USA.
M I CedarsDepartment of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, San Francisco, CA, USA.
N M DowlingDepartment of Acute & Chronic Care, School of Nursing, Department of Epidemiology & Biostatistics, Milken Institute School of Public Health, The George Washington University, Washington DC, USA.
K KantarciDepartment of Radiology, Mayo Clinic College of Medicine, Rochester, MN, USA.
S M HarmanKronos Longevity Research Institute, Phoenix, AZ, USA.
Mayo Clinic · USBrigham and Women's Hospital · USGeorge Washington University · USKronos Longevity Research Institute · USLouisville Metabolic and Atherosclerosis Research Center · USMayo Clinic in Florida · USNew York University · USUniversity of California, San Francisco · USUniversity of Wisconsin–Madison · USYale University · US

Funding

UCSF CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTEUL1RR024131 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHNSTON, S. CLAIBORNE · 2006 to 2011
$111.2M
Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
MAYO CLINIC CENTER FOR TRANSLATIONAL SCIENCE ACTIVITIESUL1RR024150 · NCRR · MAYO CLINIC ROCHESTER · PI RIZZA, ROBERT A. · 2006 to 2011
$66.4M
YALE UNIVERSITY CLINICAL AND TRANSLATIONAL SCIENCE AWARD PROGRAMUL1RR024139 · NCRR · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2006 to 2011
$56.8M
Prevention of Alzheimer's disease in women: risks and benefits of hormone therapyRF1AG057547 · NIA · MAYO CLINIC ROCHESTER · PI GLEASON, CAREY E, KANTARCI, KEJAL · 2017 to 2020
$11.1M
Sex-Specific Effects of Endocrine Disruption on Aging and Alzheimer's DiseaseU54AG044170 · NIA · MAYO CLINIC ROCHESTER · PI KAPOOR, EKTA · 2018 to 2022
$7.7M
Sex-specific Risk for Vascular Dysfunction and Cognitive DeclineP50AG044170 · NIA · MAYO CLINIC ROCHESTER · PI MILLER, VIRGINIA M · 2012 to 2017
$6.1M
Estrogen, Platelets, and ArtherosclerosisR01HL090639 · NHLBI · MAYO CLINIC ROCHESTER · PI BAILEY, KENT R, MILLER, VIRGINIA M · 2008 to 2012
$1.9M
Effects of estrogen on brain morphology and neuronal integrity in early menopauseR21NS066147 · NINDS · MAYO CLINIC ROCHESTER · PI KANTARCI, KEJAL · 2010 to 2011
$405k
NCATS NIH HHS UL1 TR001863NCRR NIH HHS UL1 RR024131NCRR NIH HHS UL1 RR024139NCRR NIH HHS UL1 RR024150NHLBI NIH HHS R01 HL090639NIA NIH HHS P50 AG044170NIA NIH HHS RF1 AG057547NIA NIH HHS U54 AG044170NINDS NIH HHS R21 NS066147
6 · The paper itself

Abstract

The Kronos Early Estrogen Prevention Study (KEEPS) was a randomized, double-blind, placebo-controlled trial designed to determine the effects of hormone treatments (menopausal hormone treatments [MHTs]) on the progression of carotid intima-medial thickness (CIMT) in recently menopausal women. Participants less than 3 years from menopause and without a history of overt cardiovascular disease (CVD), defined as no clinical CVD events and coronary artery calcium < 50 Agatston units, received either oral conjugated equine estrogens (0.45 mg/day) or transdermal 17β-estradiol (50 µg/day), both with progesterone (200 mg/day for 12 days/month), or placebo pills and patches for 4 years. Although MHT did not decrease the age-related increase in CIMT, KEEPS provided other important insights about MHT effects. Both MHTs versus placebo reduced the severity of menopausal symptoms and maintained bone density, but differed in efficacy regarding mood/anxiety, sleep, sexual function, and deposition of β-amyloid in the brain. Additionally, genetic variants in enzymes for metabolism and uptake of estrogen affected the efficacy of MHT for some aspects of symptom relief. KEEPS provides important information for use of MHT in clinical practice, including type, dose, and mode of delivery of MHT recently after menopause, and how genetic variants in hormone metabolism may affect MHT efficacy on specific outcomes.

Indexed as

Carotid Intima-Media ThicknessAdministration, CutaneousAdministration, OralCardiovascular DiseasesCoronary VesselsDouble-Blind MethodEstradiolEstrogen Replacement TherapyEstrogensEstrogens, Conjugated (USP)FemaleHumansMenopauseMiddle AgedProgesteroneTreatment OutcomeEstradiolEstrogensEstrogens, Conjugated (USP)ProgesteroneConjugated equine estrogensestradiolhormone treatmentsmenopause

Identifiers

PMID32880220
PMCPMC8108428
OpenAlexW3083655604

What OpenQuestion holds

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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.