Evidence map›Paper›PMID 39530312›Full record

ArticleThe journal of obstetrics and gynaecology research2025

Pilot study of the effect of surgical menopause on bone mineral density and quality in patients with gynecological malignancies.

Kanae Matsuno, Kazu Ueda, Mitsuru Saito, Misato Kamii, Akina Tsuda, Ayako Kawabata, Asuka Morikawa, Aikou Okamoto

Abstract read
In one paragraph

Article in The journal of obstetrics and gynaecology research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Bone Health for Gynaecologists.Medicina (Kaunas, Lithuania) · 2025
    Review
  3. 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

8 authors.

Kanae MatsunoDepartment of Gynecology and Obstetrics, The Jikei University School of Medicine, Minato-ku, Tokyo, Japan.ORCID https://orcid.org/0009-0004-7525-3042
Kazu UedaDepartment of Gynecology, International University of Health and Welfare, Mita Hospital, Minato-ku, Tokyo, Japan.ORCID https://orcid.org/0000-0002-0324-7282
Mitsuru SaitoDepartment of Orthopedic Surgery, The Jikei University School of Medicine, Tokyo, Japan.
Misato KamiiDepartment of Gynecology and Obstetrics, The Jikei University School of Medicine, Minato-ku, Tokyo, Japan.ORCID https://orcid.org/0000-0003-3357-6711
Akina TsudaDepartment of Gynecology and Obstetrics, The Jikei University School of Medicine, Minato-ku, Tokyo, Japan.
Ayako KawabataDepartment of Gynecology and Obstetrics, The Jikei University School of Medicine, Minato-ku, Tokyo, Japan.
Asuka MorikawaDepartment of Gynecology and Obstetrics, The Jikei University School of Medicine, Minato-ku, Tokyo, Japan.
Aikou OkamotoDepartment of Gynecology and Obstetrics, The Jikei University School of Medicine, Minato-ku, Tokyo, Japan.ORCID https://orcid.org/0000-0002-5079-0464

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo investigate the effects of surgical menopause on bone mineral density and bone quality because bilateral salpingo-oophorectomy for the treatment of gynecological malignancies is common even in premenopausal patients. This study is prospective one of bone mineral density and quality measurements after surgery for perimenopausal gynecologic malignancies.

methodsIn 50 women who underwent surgical menopause for a diagnosis of gynecological malignancies, bone mineral density (BMD), blood levels of tartrate-resistant acid phosphatase 5b (TRACP-5b) and bone-specific alkaline phosphatase (BAP) as bone metabolism markers, and urinary pentosidine level as bone quality marker were measured before surgery and at multiple points up to 24 months after surgery.

resultsIn a group of 22 patients who did not undergo hormone replacement therapy (HRT) (HRT- group), BMD of the lumbar spine and total hip continued to decrease significantly from 6 months postoperatively. Percentages of changes in BMD progressively increased over time after surgery. TRACP-5b and urinary pentosidine levels significantly increased 6 months postoperatively compared with preoperative levels. Comparisons between 10 patients who underwent HRT (HRT+ group) and the HRT- group revealed significant reductions in the percentage of change in lumbar spine BMD only and TRACP-5b and urinary pentosidine levels 12 months postoperatively in the former group.

conclusionsIn this pilot study, we showed that BMD and bone-related markers are altered in patients with surgical menopause. It also suggested that HRT may reduce these influences on bone metabolism.

Indexed as

Bone DensityGenital Neoplasms, FemaleAdultAlkaline PhosphataseArginineFemaleHumansMenopauseMiddle AgedOvariectomyPilot ProjectsProspective StudiesTartrate-Resistant Acid PhosphataseAlkaline PhosphataseArginineTartrate-Resistant Acid Phosphatasebone mineral densitygynecological malignancyhormone replacement therapypentosidinesurgical menopause

Identifiers

PMID39530312
PMCPMC11635186

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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.