Evidence map›Paper›PMID 41393611›Full record

ArticleCureus2025

Patients' Concerns for Hormone-Replacement Therapy for Menopause.

Kyle R Distler, Denae Kappers, Joshua C Hollingsworth

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Kyle R DistlerInternal Medicine, HCA Florida Orange Park Hospital, Orange Park, USA.
Denae KappersFamily Medicine, HCA Florida Orange Park Hospital, Orange Park, USA.
Joshua C HollingsworthPharmacology, VCOM-Auburn, Auburn, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile most women experience significant perimenopausal symptoms, only a percentage utilize hormone-replacement therapy (HRT). Despite the publicized risks, HRT provides benefits beyond perimenopausal symptom improvement, including decreased risk of cardiovascular disease, stroke, osteoporosis, and affective disorders, and quality of life.

methodsSubjects were recruited randomly in four clinics. The survey data is uploaded to a survey platform. Data were analyzed to identify reasons for HRT refusal, and to see what associations exist between menopause severity and use of HRT.

results71 subjects in total completed the survey. 25 (35%) have never used HRT, and 46 (65%) have used it before. 17 (24%) individuals stated that concerns regarding cancer were central to decision-making on whether they opted to utilize HRT. Possible cancer risk was the most common concern (34, 48%) among the entire study population. The difference between the two groups was not significant regarding specific concerns and reasons as to why they did or did not receive this treatment for menopause. For the Menopause Rating Scale (MRS), the non-HRT group (Group 1) mean was 7.79, and the HRT group (Group 2) mean was 15.07. This difference was significant (two-tailed p = 0.0009).  Conclusions: Findings from this study show there is still a large proportion of women concerned about risks of HRT especially regarding cancer. Future studies aimed at addressing significance in HRT's effect on osteoporosis, cardiovascular disease, and more that impact the morbidity and mortality of menopausal women could be vital to finding a unified stance on this topic.

Indexed as

hormone replacement and cancerhormone replacement therapyhormone therapy and menopausemenopause managementpublic healthrisk of hormone therapysurvey study

Identifiers

PMID41393611
PMCPMC12701761

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.