Evidence map›Paper›PMID 41523660›Full record

ReviewJB & JS open access

Musculoskeletal Manifestations of Perimenopause: A Systematic Review and Meta-Analysis of 93,021 Women.

Colin Kruse, Tyler McKechnie, Joshua Dworsky-Fried, Aariz Sardar, Georgia Hacker, Sahaar Rattansi, Evan Fang, Sheila Sprague, Alison K Shea, Mohit Bhandari

Abstract readReview
In one paragraph

Review in JB & JS open access. 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. Menopause and Muscle: Closer to Answers, but Significant Questions Remain.Journal of cachexia, sarcopenia and muscle · 2026
    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

10 authors.

Colin KruseDivision of Orthopedic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.ORCID https://orcid.org/0000-0002-3871-1567
Tyler McKechnieDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada.ORCID https://orcid.org/0000-0002-7668-4096
Joshua Dworsky-FriedDivision of Orthopedic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.
Aariz SardarDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada.ORCID https://orcid.org/0009-0003-3992-0242
Georgia HackerMichael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada.
Sahaar RattansiDivision of General Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.ORCID https://orcid.org/0009-0008-1898-0787
Evan FangDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada.ORCID https://orcid.org/0000-0003-0034-0753
Sheila SpragueDivision of Orthopedic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.ORCID https://orcid.org/0000-0003-1466-8063
Alison K SheaDepartment of Obstetrics and Gynecology, McMaster University, Hamilton, Ontario, Canada.
Mohit BhandariDivision of Orthopedic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.ORCID https://orcid.org/0000-0003-3556-9179

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The prevalence and characterization of specific types of musculoskeletal (MSK) conditions associated with menopausal transition remains unclear and is often underreported. Our objectives were twofold: (1) to systematically review, and conduct meta-analysis whenever appropriate, to compare the prevalence of MSK symptoms across the different stages of menopause and (2) to characterize the specific MSK conditions associated with transition to menopause. Methods: We searched Medline, EMBASE, CENTRAL, and PubMed from inception to May 2024. Articles were eligible for inclusion if they included perimenopausal women and reported any primary data on MSK symptoms or pathology. The outcomes we aimed to find included muscle and joint pain, back pain, and the prevalence of various MSK conditions. A pairwise meta-analysis was performed using a DerSimonian-Laird random-effects model for all comparative data, and subgroup analyses were used to explore heterogeneity. Results: After screening 5,556 relevant records, 37 observational studies across 22 countries enrolling 93,021 women were included in the quantitative analysis. Four in 10 women experienced muscle or joint pain during the premenopausal phase (40% [95% confidence interval {CI}: 32%-49%]). Whereas over half of perimenopausal women (57% [95% CI: 48%-65%]) and postmenopausal women (59% [95% CI: 50%-67%]) experienced muscle or joint pain, representing a 1.35-fold increased risk (risk ratio [RR] 1.35, 95% CI: 1.25-1.46, p < 0.001, I Conclusion: Women transitioning to menopause appear to be at increased risk of developing muscle or joint pain. However, as these findings are based on observational studies, specific causes of MSK pain are underreported, and there is significant heterogeneity. Further high-quality research is needed to confirm and clarify this association. Level of Evidence: Diagnostic Level IV. See Instructions for Authors for a complete description of levels of evidence.

Identifiers

PMID41523660
PMCPMC12784006

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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.