Evidence map›Paper›PMID 38501109›Full record

SynthesisFrontiers in endocrinology2024

Systematic review and meta-analysis of the effects of menopause hormone therapy on cognition.

Caroline Andy, Matilde Nerattini, Steven Jett, Caroline Carlton, Camila Zarate, Camila Boneu, Francesca Fauci, Trisha Ajila, Michael Battista, Silky Pahlajani and 5 more

Registry-linked trialOpen access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Frontiers in endocrinology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07021664 (Santé, Imagerie et Cognition à Travers la Transition ménopausique), which is not on this map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
19.0field-weighted citation impact, top 1% 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.

NCT07021664 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Santé, Imagerie et Cognition à Travers la Transition ménopausique

TypeobservationalSponsorUniversité de SherbrookeRan2025 to 2026Enrolled45ConditionsMenopause
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Trial
  4. Hormone therapy (HT) in women with premature ovarian insufficiency or early menopause: Time to think of a new paradigm for healthy aging. A joint FIGO and IMS position paper.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Article
  5. Article
  6. The influence of sex on cognition in psychosis.Schizophrenia research. Cognition · 2026
    Article
  7. Cognition in menopausal women.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Loss of ovarian function and estrogen therapy remodel the brain's synaptic and metabolic proteome.American journal of physiology. Regulatory, integrative and comparative physiology · 2026
    Article
  14. Article
  15. Women's midlife: the front line of Alzheimer prevention.The Journal of clinical investigation · 2026
    Review
  16. Article
  17. Review
  18. Article
  19. Review
  20. 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

15 authors at 3 institutions in 1 country.

Caroline AndyDepartment of Population Health Sciences, Weill Cornell Medicine, New York, NY, United States.
Matilde NerattiniDepartment of Neurology, Weill Cornell Medicine, New York, NY, United States.
Steven JettDepartment of Neurology, Weill Cornell Medicine, New York, NY, United States.
Caroline CarltonDepartment of Neurology, Weill Cornell Medicine, New York, NY, United States.
Camila ZarateDepartment of Neurology, Weill Cornell Medicine, New York, NY, United States.
Camila BoneuDepartment of Neurology, Weill Cornell Medicine, New York, NY, United States.
Francesca FauciDepartment of Neurology, Weill Cornell Medicine, New York, NY, United States.
Trisha AjilaDepartment of Neurology, Weill Cornell Medicine, New York, NY, United States.
Michael BattistaDepartment of Neurology, Weill Cornell Medicine, New York, NY, United States.
Silky PahlajaniDepartment of Neurology, Weill Cornell Medicine, New York, NY, United States.
Paul ChristosDepartment of Population Health Sciences, Weill Cornell Medicine, New York, NY, United States.
Matthew E FinkDepartment of Neurology, Weill Cornell Medicine, New York, NY, United States.
Schantel WilliamsDepartment of Neurology, Weill Cornell Medicine, New York, NY, United States.
Roberta Diaz BrintonDepartment of Neurology and Pharmacology, University of Arizona, Tucson, AZ, United States.
Lisa MosconiDepartment of Neurology, Weill Cornell Medicine, New York, NY, United States.
Cornell University · USWeill Cornell Medicine · USUniversity of Arizona · US

Funding

Timing of Menopausal Hormone Therapy across Perimenopause to Menopause Transition: Neuroimmune System in BrainP01AG026572 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Fei Yin · 2006 to 2026
$53.7M
Research Education ComponentP30AG019610 · NIA · SUN HEALTH RESEARCH INSTITUTE · PI REIMAN, ERIC MICHAEL · 2001 to 2020
$32.5M
Research Education ComponentP30AG072980 · NIA · BANNER HEALTH · PI ALIREZA ATRI · 2021 to 2026
$24.9M
PhytoSERM Efficacy to Prevent Menopause Associated Decline in Brain Metabolism and Cognition: A Double-Blind, Randomized, Placebo-Controlled Phase 2 Clinical TrialR01AG075122 · NIA · UNIVERSITY OF ARIZONA · PI ROBERTA EILEEN BRINTON, Gerson David Hernandez · 2022 to 2026
$7.6M
Sex Differences in the Molecular Determinants of Alzheimer's Disease Risk: Prodromal EndophenotypeR01AG057931 · NIA · UNIVERSITY OF ARIZONA · PI BRINTON, ROBERTA EILEEN, CHANG, RUI · 2018 to 2022
$6.0M
NIA NIH HHS P01 AG026572NIA NIH HHS P30 AG019610NIA NIH HHS P30 AG072980NIA NIH HHS R01 AG057931NIA NIH HHS R01 AG075122
6 · The paper itself

Abstract

Introduction: Despite evidence from preclinical studies suggesting estrogen's neuroprotective effects, the use of menopausal hormone therapy (MHT) to support cognitive function remains controversial. Methods: We used random-effect meta-analysis and multi-level meta-regression to derive pooled standardized mean difference (SMD) and 95% confidence intervals (C.I.) from 34 randomized controlled trials, including 14,914 treated and 12,679 placebo participants. Results: Associations between MHT and cognitive function in some domains and tests of interest varied by formulation and treatment timing. While MHT had no overall effects on cognitive domain scores, treatment for surgical menopause, mostly estrogen-only therapy, improved global cognition (SMD=1.575, 95% CI 0.228, 2.921; Discussion: These findings suggest time-dependent effects of MHT on certain aspects of cognition, with variations based on formulation and timing of initiation, underscoring the need for further research with larger samples and more homogeneous study designs.

Indexed as

CognitionHormone Replacement TherapyEstrogen Replacement TherapyEstrogensFemaleHumansProgestinsEstrogensProgestinsAlzheimer diseasecognitionHRT (hormone replacement therapy)menopausemeta-analysis

Identifiers

PMID38501109
PMCPMC10944893
OpenAlexW4392372703

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.