Evidence map›Paper›PMID 34773357›Full record

ArticleBJOG : an international journal of obstetrics and gynaecology2022

The effect of hormone replacement therapy on the survival of UK women: a retrospective cohort study 1984-2017.

N Akter, E Kulinskaya, N Steel, I Bakbergenuly

Open access · hybridAbstract read
In one paragraph

Article in BJOG : an international journal of obstetrics and gynaecology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-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

6 citing papers in PubMed, 12 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

4 authors at 1 institution in 1 country.

N AkterSchool of Computing Sciences, University of East Anglia, Norwich, UK.
E KulinskayaSchool of Computing Sciences, University of East Anglia, Norwich, UK.
N SteelNorwich Medical School, University of East Anglia, Norwich, UK.
I BakbergenulySchool of Computing Sciences, University of East Anglia, Norwich, UK.
University of East Anglia · GB

Funding

The Institute and Faculty of Actuaries
6 · The paper itself

Abstract

objectiveTo estimate the effect of estrogen-only and combined hormone replacement therapy (HRT) on the hazards of overall and age-specific all-cause mortality in healthy women aged 46-65 at first prescription.

designMatched cohort study.

settingElectronic primary care records from The Health Improvement Network (THIN) database, UK (1984-2017). POPULATION: 105 199 HRT users (cases) and 224 643 non-users (controls) matched on age and general practice.

methodsWeibull-Double-Cox regression models adjusted for age at first treatment, birth cohort, type 2 diabetes, hypertension and hypertension treatment, coronary heart disease, oophorectomy, hysterectomy, body mass index, smoking and deprivation status.

main outcome measuresAll-cause mortality.

resultsA total of 21 751 women died over an average of 13.5 years follow-up per participant, of whom 6329 were users and 15 422 non-users. The adjusted hazard ratio (HR) of overall all-cause mortality in combined HRT users was 0.91 (95% CI 0.88-0.94), and in estrogen-only users was 0.99 (0.93-1.07), compared with non-users. Age-specific adjusted HRs for participants aged 46-50, 51-55, 56-60 and 61-65 years at first treatment were 0.98 (0.92-1.04), 0.87 (0.82-0.92), 0.88 (0.82-0.93) and 0.92 (0.85-0.98) for combined HRT users compared with non-users, and 1.01 (0.84-1.21), 1.03 (0.89-1.18), 0.98 (0.86-1.12) and 0.93 (0.81-1.07) for estrogen-only users, respectively.

conclusionsCombined HRT was associated with a 9% lower risk of all-cause mortality and estrogen-only formulation was not associated with any significant changes. TWEETABLE ABSTRACT: Estrogen-only HRT is not associated with all-cause mortality and combined HRT reduces the risks.

Indexed as

Diabetes Mellitus, Type 2HypertensionCohort StudiesEstrogen Replacement TherapyEstrogensFemaleHormone Replacement TherapyHumansRetrospective StudiesUnited KingdomEstrogensHormone replacement therapymenopausemortalityprimary care recordsThe Health Improvement Network

Identifiers

PMID34773357
PMCPMC9298998
OpenAlexW3212512357

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LicenceCC BY
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Registered trials

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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.