Evidence map›Paper›PMID 39309657›Full record

ArticleJACC. Advances2024

Impact of Gender-Affirming Hormonal Therapy on Cardiovascular Risk Factors in Transgender Health: An Updated Meta-Analysis.

Saad Ur Rahman, Nouraldeen Manasrah, Nomesh Kumar, Mohammad Hamza, Aakanksha Sharma, Neel Patel, Bansari Patel, Masooma Naseem, Saman Razzaq, Seemab Imtiaz Gill and 6 more

Abstract read
In one paragraph

Article in JACC. Advances, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. 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

16 authors.

Saad Ur RahmanDivision of Cardiovascular Medicine, Lahey Hospital and Medical Center, Burlington, Massachusetts, USA.
Nouraldeen ManasrahDivision of Cardiovascular Medicine, Medical College of Georgia, Augusta University, Augusta, Georgia, USA.
Nomesh KumarDepartment of Internal Medicine, Wayne State University School of Medicine, Detroit Medical Center, Detroit, Michigan, USA.
Mohammad HamzaDepartment of Internal Medicine, Guthrie Medical Group, New York, USA.
Aakanksha SharmaDepartment of Cardiovascular Medicine, Yale University School of Medicine New Haven, Connecticut, USA.
Neel PatelDepartment of Internal Medicine, New York Medical College/Landmark Medical Center, Woonsocket, Rhode Island, USA.
Bansari PatelDepartment of Internal Medicine, West Virginia University, Morgantown, West Virginia, USA.
Masooma NaseemZiauddin Medical College, Ziauddin University, Karachi, Pakistan.
Saman RazzaqDepartment of Internal Medicine, Wayne State University/Detroit Medical Center, Detroit, Michigan, USA.
Seemab Imtiaz GillDepartment of Internal Medicine, Carle Foundation Hospital/Carle Health, Urbana, Illinois, USA.
Hamza NaveedHCA Houston Kingwood/University of Houston, Texas, USA.
Khaled M HarmouchDepartment of Internal Medicine, Wayne State University School of Medicine, Detroit Medical Center, Detroit, Michigan, USA.
Yasemin BaharWayne State University, Detroit, Michigan, USA.
Muhammad AamirDivision of Cardiovascular Medicine, Lehigh Valley Health Network, Pennsylvania, USA.
Yasar SattarDepartment of Cardiology, West Virginia University, Morgantown, West Virginia, USA.
M Chadi AlraiesCardiovascular Institute, Detroit Medical Center, DMC Heart Hospital, Detroit, Michigan, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Gender-affirming hormone therapy (GAHT) is common among transgender individuals, but its impact on lipid profile and cardiovascular health is not well studied. Objectives: The authors performed a systematic review and meta-analysis of existing literature to assess the impact of GAHT on lipid profiles and metabolic cardiovascular risk factors in transgender individuals. Methods: Online databases including MEDLINE/PubMed, Embase, and Cochrane Central registry were searched to find studies on lipid profile changes in women who are transgender, also referred to as transfeminine (TF), and men who are transgender, also referred to as transmasculine (TM) before and after GAHT. Baseline comorbidities were analyzed using descriptive statistics, and R-statistical software was used to analyze the mean difference in lipid profile change between the two cohorts (pre- and post-GAHT therapy) including transgender patients. Results: Overall, 1,241 TM and 992 TF patients were included from 12 observational studies and 12 randomized controlled trials. The mean age among TM and TF was 28 years and 30 years, respectively. The mean follow-up duration (including pre- and post-GAHT therapy) was 28 months in TM patients and 39 months in TF patients. When compared to baseline measures, TM patients had a significant increase in low-density lipoprotein, triglyceride levels, and total cholesterol while high-density lipoprotein levels decreased. In TF patients, there was a significant increase in triglyceride levels. Conclusions: GAHT affects lipid profiles in transgender patients; however, additional studies are needed to determine how these changes impact clinical outcomes.

Indexed as

dyslipidemiagender-affirming hormonal therapy GAHThyperlipidemialipid profiletrans feminine TFtrans masculine TM

Identifiers

PMID39309657
PMCPMC11414688

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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.