Evidence map›Paper›PMID 40374878›Full record

ArticleCommunications medicine2025

A phenome-wide association study of uterine fibroids reveals a marked burden of comorbidities.

Elizabeth A Jasper, Brian S Mautz, Jacklyn N Hellwege, Jacqueline A Piekos, Sarah H Jones, Yanfei Zhang, Eric S Torstenson, Sarah A Pendergrass, Ming Ta Michael Lee, Todd L Edwards and 1 more

Abstract read
In one paragraph

Article in Communications medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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

11 authors.

Elizabeth A Jasper *Division of Quantitative and Clinical Sciences, Department of Obstetrics and Gynecology, Vanderbilt University Medical Center, Nashville, TN, USA.
Brian S Mautz *Population Analytics, Analytics & Insights, Data Sciences, Janssen Research & Development, Spring House, PA, USA.ORCID http://orcid.org/0000-0003-3870-2932
Jacklyn N HellwegeVanderbilt Genetics Institute, Vanderbilt University, Nashville, TN, USA.ORCID http://orcid.org/0000-0001-7479-0920
Jacqueline A PiekosVanderbilt Genetics Institute, Vanderbilt University, Nashville, TN, USA.
Sarah H JonesInstitute for Medicine and Public Health, Vanderbilt University Medical Center, Nashville, TN, USA.
Yanfei ZhangGenomic Medicine Institute, Geisinger Health Systems, Danville, PA, USA.
Eric S TorstensonVanderbilt Genetics Institute, Vanderbilt University, Nashville, TN, USA.
Sarah A PendergrassGenentech, South San Francisco, CA, USA.
Ming Ta Michael LeeGenomic Medicine Institute, Geisinger Health Systems, Danville, PA, USA.
Todd L EdwardsInstitute for Medicine and Public Health, Vanderbilt University Medical Center, Nashville, TN, USA.ORCID http://orcid.org/0000-0003-4318-6119
Digna R Velez EdwardsDivision of Quantitative and Clinical Sciences, Department of Obstetrics and Gynecology, Vanderbilt University Medical Center, Nashville, TN, USA. digna.r.velez.edwards@vumc.org.ORCID http://orcid.org/0000-0001-5293-0056

Funding

Building Interdisciplinary Research Careers in Women's HealthK12HD043483 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HARTMANN, KATHERINE E, MAJOR, AMY S · 2002 to 2023
$10.3M
Vanderbilt Training Program in Molecular and Genetic Epidemiology of CancerT32CA160056 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Xiao-Ou Shu · 2017 to 2026
$3.8M
Large-scale studies in eMERGE to discover the genetic determinants of uterine fibroidsR01HD093671 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI EDWARDS, TODD L, VELEZ EDWARDS, DIGNA R · 2017 to 2021
$3.3M
The Vanderbilt Institute for Clinical and Translational Research (VICTR) KL2KL2RR024977 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$3.0M
Understanding the genetic risk underlying racial disparities in uterine fibroids - Diversity SupplementR01HD074711 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI VELEZ EDWARDS, DIGNA R · 2013 to 2017
$2.9M
Evaluating the impact of altered gene expression on uterine fibroid risk in African ancestry populationsR01HD112169 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Todd L Edwards, Digna R Velez Edwards · 2024 to 2026
$2.1M
Using the Exome to Discover Genetic Determinants of Fibroids in African AmericansR03HD078567 · NICHD · VANDERBILT UNIVERSITY · PI VELEZ EDWARDS, DIGNA R · 2014 to 2015
$155k
NCI NIH HHS T32 CA160056NCRR NIH HHS KL2 RR024977NICHD NIH HHS K12 HD043483NICHD NIH HHS R01 HD074711NICHD NIH HHS R01 HD093671NICHD NIH HHS R01 HD112169NICHD NIH HHS R03 HD078567U.S. Department of Health & Human Services | National Institutes of Health (NIH) 1R01HD112169-01A1U.S. Department of Health & Human Services | National Institutes of Health (NIH) K12HD043483U.S. Department of Health & Human Services | National Institutes of Health (NIH) R01HD074711U.S. Department of Health & Human Services | National Institutes of Health (NIH) R01HD093671U.S. Department of Health & Human Services | National Institutes of Health (NIH) R03HD078567U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) T32CA160056U.S. Department of Health & Human Services | NIH | National Center for Advancing Translational Sciences (NCATS) 5KL2-RR024977Vanderbilt Institute for Clinical and Translational Research (VICTR) 5KL2-RR024977
6 · The paper itself

Abstract

backgroundThe burden of comorbidities in those with uterine fibroids compared to those without fibroids is understudied. We performed a phenome-wide association study to systematically assess the association between fibroids and other conditions.

methodsVanderbilt University Medical Center's Synthetic Derivative and Geisinger Health System Database, two electronic health record databases, were used for discovery and validation. Non-Hispanic Black and White females were included. Fibroid cases were identified through a previously validated algorithm. Race-stratified and multi-population phenome-wide association analyses, adjusting for age and body mass index, were performed before statistically significant, validated results were meta-analyzed.

resultsThere were 52,295 and 26,918 (9022 and 10,232 fibroid cases) females included in discovery and validation analyses. In multi-population meta-analysis, 389 conditions were associated with fibroid risk, with evidence of enrichment of circulatory, dermatologic, genitourinary, musculoskeletal, and sense organ conditions. The strongest associations within and across racial groups included conditions previously associated with fibroids. Numerous novel diagnoses, including cancers in female genital organs, were tied to fibroid status.

conclusionsOverall, individuals with fibroids have a marked increase in comorbidities compared to those without fibroids. This approach to evaluate the health context of fibroids highlights the potential to understand fibroid etiology through studying the common biology of comorbid diagnoses and through disease networks.

Identifiers

PMID40374878
PMCPMC12081880

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