Evidence map›Paper›PMID 38497108›Full record

ArticleJournal of gynecologic oncology2024

Hormone replacement therapy in gynecological cancer survivors and BRCA mutation carriers: a MITO group survey.

Innocenza Palaia, Giuseppe Caruso, Violante Di Donato, Camilla Turetta, Antonella Savarese, Giorgia Perniola, Roberta Gallo, Andrea Giannini, Vanda Salutari, Giorgio Bogani and 7 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of gynecologic oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Hormone therapy use and cancer survivorship.Menopause (New York, N.Y.) · 2026
    Article
  2. Article
  3. Review
  4. Article
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

17 authors at 2 institutions in 1 country.

Innocenza PalaiaDepartment of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Rome, Italy.ORCID 0000-0003-2346-8696
Giuseppe CarusoDepartment of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Rome, Italy. g.caruso@uniroma1.it.ORCID 0000-0001-5501-1936
Violante Di DonatoDepartment of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Rome, Italy.ORCID 0000-0002-9254-5790
Camilla TurettaDepartment of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Rome, Italy.ORCID 0000-0002-9609-3816
Antonella SavareseDepartment of Oncology, Regina Elena National Cancer Institute, Rome, Italy.ORCID 0000-0003-0011-6276
Giorgia PerniolaDepartment of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Rome, Italy.ORCID 0000-0003-0321-9828
Roberta GalloDepartment of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Rome, Italy.ORCID 0000-0002-9959-4958
Andrea GianniniDepartment of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Rome, Italy.ORCID 0000-0002-4388-0082
Vanda SalutariDivision of Gynecologic Oncology, Department of Women and Child Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica, Rome, Italy.ORCID 0000-0002-9420-7146
Giorgio BoganiDepartment of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Rome, Italy.ORCID 0000-0001-8373-8569
Federica TomaoDepartment of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Rome, Italy.ORCID 0000-0002-9738-3102
Diana GiannarelliBiostatistic Unit, Regina Elena National Cancer Institute, Rome, Italy.ORCID 0000-0002-6085-1195
Gabriella GentileDepartment of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Rome, Italy.ORCID 0000-0002-5146-2729
Angela MusellaDepartment of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Rome, Italy.ORCID 0000-0002-7628-7824
Ludovico MuziiDepartment of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Rome, Italy.ORCID 0000-0001-7195-9583
Sandro PignataDepartment of Urology and Gynecology, Istituto Nazionale Tumori IRCCS Fondazione G. Pascale, Naples, Italy.ORCID 0000-0002-8836-2633
MITO group
Policlinico Umberto I · ITAgostino Gemelli University Polyclinic · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveEarly iatrogenic menopause in gynecological cancer survivors and BRCA mutation (BRCAm) carriers undergoing risk-reducing salpingo-oophorectomy (RRSO) is a major health concern. Hormone replacement therapy (HRT) is the most effective remedy, but remains underused in clinical practice. The Multicenter Italian Trials in Ovarian cancer and gynecologic malignancies (MITO) group promoted a national survey to investigate the knowledge and attitudes of healthcare professionals regarding the prescription of HRT.

methodsThe survey consisted of a self-administered, multiple-choice 45-item questionnaire, available online to all MITO members for 2 months starting from January 2022.

resultsA total of 61 participants completed the questionnaire (47 out of 180 MITO centers; compliance: 26.1%). Most respondents were female (73.8%), younger than 50 years (65.6%), and gynecologic oncologists (55.7%), working in public general hospitals (49.2%). An 84.4% of specialists actively discuss HRT with patients and 51.0% of patients ask the specialist for an opinion on HRT. The rate of specialists globally in favor of prescribing HRT was 22.9% for ovarian cancer, 49.1% for cervical cancer, and 8.2% for endometrial cancer patients. Most respondents (70.5%) believe HRT is safe for BRCA-mutated patients after RRSO. Nearly 70% of physicians prescribe systemic HRT, while 23.8% prefer local HRT. Most specialists recommend HRT for as long as there is a benefit and generally for up to 5 years.

conclusionReal-world data suggest that many healthcare professionals still do not easily prescribe HRT for gynecological cancer survivors and BRCA mutation carriers after RRSO. Further efforts are required to implement the use of HRT in clinical practice and to support both clinicians in recommending HRT and patients in accepting it.

Indexed as

Cancer SurvivorsGenital Neoplasms, FemaleHormone Replacement TherapyAdultAgedFemaleGenes, BRCA1Genes, BRCA2Health Knowledge, Attitudes, PracticeHeterozygoteHumansItalyMiddle AgedMutationOvarian NeoplasmsPractice Patterns, Physicians'Hormone Replacement TherapyMenopauseOvarian NeoplasmsSurgerySurvivorsUterine Neoplasms

Identifiers

PMID38497108
PMCPMC11107284
OpenAlexW4392763632

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.