Evidence map›Paper›PMID 33986013›Full record

ArticleBMJ case reports2021

Development of endometrial cancer after long-term usage of the levonorgestrel-releasing intrauterine system.

Alexander Steshenko, Leila Hanna, Damian Collins

Open access · hybridAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 48% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Review
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 1 institution in 1 country.

Alexander SteshenkoObstetrics and Gynaecology, Queen Elizabeth Hospital, London, London, UK asteshenko@nhs.net.ORCID http://orcid.org/0000-0003-0734-6234
Leila HannaObstetrics and Gynaecology, Queen Elizabeth Hospital, London, London, UK.
Damian CollinsPathology, Queen Elizabeth Hospital, London, London, UK.
Queen Elizabeth Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 52-year-old long-term user of the levonorgestrel-releasing intrauterine system (LNG-IUS) presented with vaginal bleeding. Endometrial biopsy was performed and revealed endometrioid adenocarcinoma. The patient had a laparoscopic hysterectomy and bilateral salpingo-oophorectomy. Endometrial cancer is rare in women with LNG-IUS as only seven cases have been published in the literature. Although scientific evidence shows LNG-IUS has a protective effect on the endometrium from developing cancer, our report highlights the importance of clinicians to be vigilant in cases of women with LNG-IUS who develop intermittent vaginal bleeding.

Indexed as

Contraceptive Agents, FemaleEndometrial NeoplasmsIntrauterine Devices, MedicatedEndometriumFemaleHumansLevonorgestrelMiddle AgedUterine HemorrhageContraceptive Agents, FemaleLevonorgestrelcancer - see oncologycontraceptionmenopause (including HRT)obstetrics and gynaecologyreproductive medicine

Identifiers

PMID33986013
PMCPMC8126283
OpenAlexW3160104764

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.