Evidence map›Paper›PMID 41310987›Full record

SynthesisActa obstetricia et gynecologica Scandinavica2026

Risk of cardiovascular disease and mortality among women with endometriosis: A systematic review and meta-analysis.

Iphigénie Cavadias, Lorraine Maitrot-Mantelet, Sandrine Perol, Mathilde Bourdon, Pietro Santulli, Louis Marcellin, Charles Chapron, Geneviève Plu-Bureau

Abstract readSystematic ReviewMeta-AnalysisReview
In one paragraph

Synthesis in Acta obstetricia et gynecologica Scandinavica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. 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.

Iphigénie CavadiasFaculty of Medicine, Université Paris Cité, Paris, France.ORCID 0000-0002-4599-4729
Lorraine Maitrot-ManteletAssistance Publique-Hôpitaux de Paris (AP-HP), Paris, France.ORCID 0000-0001-9449-1696
Sandrine PerolAssistance Publique-Hôpitaux de Paris (AP-HP), Paris, France.ORCID 0009-0009-3815-4025
Mathilde BourdonFaculty of Medicine, Université Paris Cité, Paris, France.ORCID 0000-0002-3922-3493
Pietro SantulliFaculty of Medicine, Université Paris Cité, Paris, France.ORCID 0000-0002-4985-7326
Louis MarcellinFaculty of Medicine, Université Paris Cité, Paris, France.ORCID 0000-0003-4482-9710
Charles ChapronFaculty of Medicine, Université Paris Cité, Paris, France.ORCID 0000-0003-2578-3163
Geneviève Plu-BureauFaculty of Medicine, Université Paris Cité, Paris, France.ORCID 0000-0002-1020-8142

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEndometriosis is a chronic and estrogen-dependent disorder that affects about 10% of women of reproductive age worldwide. Endometriosis has been associated with chronic inflammation and an atherogenic lipid profile, two conditions that increase the risk of atherothrombotic cardiovascular diseases. MATERIAL AND

methodsA literature search for relevant studies published from the earliest record to 31 March 2025 was conducted in MEDLINE and EMBASE databases. The following MESH terms were searched: "stroke," "cerebrovascular disease," "cardiovascular disease," "coronary heart disease," "ischemic heart disease," "mortality," and "endometriosis." The results of each study were pooled, and an overall estimate of relative risk was obtained with a random-effect model. Homogeneity between studies was analyzed using I

resultsTen studies were eligible for inclusion in this meta-analysis. Five studies reported an increased risk of stroke with endometriosis, with a pooled risk of 1.18 (95% confidence intervals [95% CI] [1.13-1.22]). Four studies reported an increased risk of coronary heart disease with endometriosis, with a pooled risk of 1.36 (95% CI [1.32-1.40]). Four studies reported an increased risk of composite cardiovascular disease with endometriosis, with a pooled risk of 1.16 (95% CI [1.12-1.20]). Although the homogeneity is high in results, the confounding factors considered in the different studies vary. Thus, these results must be interpreted with caution.

conclusionsEndometriosis is associated with an increased risk of cardiovascular disease. Further research is required to confirm these findings. However, these results highlight the importance of considering primary cardiovascular prevention strategies for women with endometriosis.

Indexed as

Cardiovascular DiseasesEndometriosisFemaleHumansRisk Factorscardiovascular diseasecardiovascular mortalitycoronary heart diseaseendometriosismeta‐analysisstroke

Identifiers

PMID41310987
PMCPMC12856704

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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.