Evidence map›Paper›PMID 33110042›Full record

Trial reportMenopause (New York, N.Y.)2020

The severity of vasomotor symptoms and number of menopausal symptoms in postmenopausal women and select clinical health outcomes in the Women's Health Initiative Calcium and Vitamin D randomized clinical trial.

Matthew Nudy, Xuezhi Jiang, Aaron K Aragaki, JoAnn E Manson, Aladdin H Shadyab, Andrew J Foy, Jonathan Buerger, Anita M Kelsey, Erin S LeBlanc, Robert A Wild and 4 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Menopause (New York, N.Y.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 18% 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, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. The association of vasomotor symptoms with fracture risk and bone mineral density in postmenopausal women: a systematic review and meta-analysis of observational studies.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024
    Pooled it
  2. Trial
  3. Article
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  6. Review
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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

14 authors at 12 institutions in 1 country.

Matthew NudyDepartments of Cardiology, Penn State College of Medicine, Hershey, PA.
Xuezhi JiangDepartments of ObGyn, Reading Hospital/Tower Health, Reading, PA.
Aaron K AragakiDivision of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, Washington.
JoAnn E MansonBrigham and Women's Hospital/Harvard Medical School, Division of Preventive Medicine, Boston, MA.
Aladdin H ShadyabDepartment of Family Medicine and Public Health, School of Medicine, University of California San Diego, La Jolla, CA.
Andrew J FoyDepartments of Cardiology, Penn State College of Medicine, Hershey, PA.
Jonathan BuergerDepartments of ObGyn, Reading Hospital/Tower Health, Reading, PA.
Anita M KelseyDepartment of Cardiology, Duke University, Durham, NC.
Erin S LeBlancCenter for Health Research NW, Kaiser Permanente, Portland, Oregon.
Robert A WildColleges of Medicine and Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
Jean Wactawski-WendeDepartment of Epidemiology and Environmental Health, University at Buffalo, SUNY, Buffalo NY.
Marcia L StefanickStanford University School of Medicine, Stanford, CA.
John A RobbinsUC Davis Medical Center, Sacramento, CA.
Peter F SchnatzDepartments of ObGyn, Reading Hospital/Tower Health, Reading, PA.
Penn State Milton S. Hershey Medical Center · USThomas Jefferson University · USBrigham and Women's Hospital · USDuke University · USFred Hutch Cancer Center · USKaiser Permanente Center for Health Research · USReading Hospital · USStanford University · USUniversity at Buffalo, State University of New York · USUniversity of California Davis Medical Center · USUniversity of California San Diego · USUniversity of Oklahoma Health Sciences Center · US

Funding

Biochemical Heterogeneity in Morbidly Obese Women in the WHI Observational StudyR01HL083326 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MACKEY, RACHEL HART · 2006 to 2008
$870k
NHLBI NIH HHS HHSN268201600001CNHLBI NIH HHS HHSN268201600002CNHLBI NIH HHS HHSN268201600003CNHLBI NIH HHS HHSN268201600004CNHLBI NIH HHS HHSN268201600018CNHLBI NIH HHS R01 HL083326
6 · The paper itself

Abstract

objectiveThis study evaluated whether vasomotor symptom (VMS) severity and number of moderate/severe menopausal symptoms (nMS) were associated with health outcomes, and whether calcium and vitamin D (CaD) modified the risks.

methodsThe Women's Health Initiative CaD study was a double blind, randomized, placebo-controlled trial, which tested 400 IU of 25-hydroxyvitamin-D and 1,000 mg of calcium per day in women aged 50 to 79 years. This study included 20,050 women (median follow-up of 7 y). The outcomes included hip fracture, colorectal cancer, invasive breast cancer, all-cause mortality, coronary heart disease, stroke, cardiovascular death, and total cardiovascular disease (CVD). MS included: hot flashes, night sweats, dizziness, heart racing, tremors, feeling restless, feeling tired, difficulty concentrating, forgetfulness, mood swings, vaginal dryness, breast tenderness, migraine, and waking up several times at night. Associations between VMS severity and nMS with outcomes were tested.

resultsNo association between VMS severity and any outcome were found. In contrast, nMS was associated with higher stroke (hazard ratio [HR] 1.40 95% confidence interval [CI] 1.04-1.89 for ≥ 2 MS vs none; HR 1.20 95% CI 0.89-1.63 for 1 MS vs none, P trend = 0.03) and total CVD (HR 1.35, 95% CI, 1.18-1.54 for ≥ 2 MS vs none; HR 0.99, 95% CI, 0.87-1.14 for 1 MS vs none P trend < 0.001). CaD did not modify any association.

conclusionSeverity of VMS was not associated with any outcome. Having ≥2 moderate or severe MS was associated with an increased risk for CVD. The number of moderate/severe MS may be a marker for higher CVD risk. : Video Summary:http://links.lww.com/MENO/A669.

Indexed as

CalciumPostmenopauseAgedFemaleHot FlashesHumansMenopauseMiddle AgedOutcome Assessment, Health CareVitamin DWomen's HealthCalciumVitamin D

Identifiers

PMID33110042
PMCPMC13634125
OpenAlexW3094332931

What OpenQuestion holds

Textmetadata
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.