Evidence map›Paper›PMID 39173088›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2024

Menopausal Hormone Therapy and Ovarian and Endometrial Cancers: Long-Term Follow-Up of the Women's Health Initiative Randomized Trials.

Rowan T Chlebowski, Aaron K Aragaki, Kathy Pan, Reina Haque, Thomas E Rohan, Mihae Song, Jean Wactawski-Wende, Dorothy S Lane, Holly R Harris, Howard Strickler and 2 more

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Then and Now: What We Have Learned From the WHI.The Journal of clinical endocrinology and metabolism · 2026
    Review
  8. Dienogest use and the risk of breast and gynecologic cancers: A nationwide population-based study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Rowan T ChlebowskiThe Lundquist Institute, Torrance, CA.ORCID 0000-0002-4212-6184
Aaron K AragakiDivision of Public Health Sciences, Fred Hutchinson Cancer Center, Seattle, WA.
Kathy PanKaiser Permanente Southern California, Downey, CA.ORCID 0000-0003-3546-2566
Reina HaqueDepartment of Health Systems Science, Kaiser Permanente Bernard J Tyson School of Medicine, Pasadena, CA.ORCID 0000-0001-8563-3330
Thomas E RohanDepartment of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY.
Mihae SongDivision of Gynecologic Oncology, Department of Surgery, City of Hope National Medical Center, Duarte, CA.ORCID 0000-0001-6457-6023
Jean Wactawski-WendeDepartment of Epidemiology and Environmental Health, University at Buffalo, Buffalo, NY.ORCID 0000-0003-3096-9595
Dorothy S LaneDepartment of Epidemiology and Environmental Health, University at Buffalo, Buffalo, NY.
Holly R HarrisDivision of Public Health Sciences, Fred Hutchinson Cancer Center, Seattle, WA.ORCID 0000-0002-2572-6727
Howard StricklerDepartment of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY.
Andrew M KauntizDepartment of Obstetrics & Gynecology, University of Florida College of Medicine-Jacksonville, Jacksonville, FL.
Carolyn D RunowiczFlorida International University Herbert Wertheim College of Medicine, Miami, FL.ORCID 0000-0002-6246-3743

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMenopausal hormone therapy's influence on ovarian and endometrial cancers remains unsettled. Therefore, we assessed the long-term influence of conjugated equine estrogen (CEE) plus medroxyprogesterone acetate (MPA) and CEE-alone on ovarian and endometrial cancer incidence and mortality in the Women's Health Initiative randomized, placebo-controlled clinical trials. MATERIALS AND

methodsPostmenopausal women, age 50-79 years, were entered on two randomized clinical trials evaluating different menopausal hormone therapy regimens. In 16,608 women with a uterus, 8,506 were randomly assigned to once daily 0.625 mg of CEE plus 2.5 mg once daily of MPA and 8,102 placebo. In 10,739 women with previous hysterectomy, 5,310 were randomly assigned to once daily 0.625 mg of CEE-alone and 5,429 placebo. Intervention was stopped for cause before planned 8.5-year intervention after 5.6 years (CEE plus MPA) and after 7.2 years (CEE-alone). Outcomes include incidence and mortality from ovarian and endometrial cancers and deaths after these cancers.

resultsAfter 20-year follow-up, CEE-alone, versus placebo, significantly increased ovarian cancer incidence (35 cases [0.041%]

conclusionIn randomized clinical trials, CEE-alone increased ovarian cancer incidence and ovarian cancer mortality, while CEE plus MPA did not. By contrast, CEE plus MPA significantly reduced endometrial cancer incidence.

Indexed as

Endometrial NeoplasmsEstrogen Replacement TherapyWomen's HealthAgedEstrogens, Conjugated (USP)FemaleFollow-Up StudiesHumansIncidenceMedroxyprogesterone AcetateMiddle AgedOvarian NeoplasmsPostmenopauseEstrogens, Conjugated (USP)Medroxyprogesterone Acetate

Identifiers

PMID39173088

What OpenQuestion holds

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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.