Evidence map›Paper›PMID 42880132›Full record

ArticleClinics (Sao Paulo, Brazil)2026

Progesterone receptor variants and hormone therapy use in postmenopausal endometrial polyps: a case-control study.

Milton Wajman, Marcos Tcherniakovsky, Marina Martinelli Sonnenfeld, Marta Maria Arcoverde Cavalcanti Meniconi, Marília Franco de Oliveira, Thomas Moscovitz, Rogers Camargo Mariano da Silva, César Eduardo Fernandes, Emerson de Oliveira

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Article in Clinics (Sao Paulo, Brazil), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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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

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Milton WajmanVideo Endoscopy and Endometriosis Section of The Gynecology Department, Centro Universitário Faculdade de Medicina do ABC, Santo André, SP, Brazil. Electronic address: milton@wajman.com.br.
Marcos TcherniakovskyVideo Endoscopy and Endometriosis Section of The Gynecology Department, Centro Universitário Faculdade de Medicina do ABC, Santo André, SP, Brazil.
Marina Martinelli SonnenfeldVideo Endoscopy and Endometriosis Section of The Gynecology Department, Centro Universitário Faculdade de Medicina do ABC, Santo André, SP, Brazil.
Marta Maria Arcoverde Cavalcanti MeniconiVideo Endoscopy and Endometriosis Section of The Gynecology Department, Centro Universitário Faculdade de Medicina do ABC, Santo André, SP, Brazil.
Marília Franco de OliveiraDepartment of Obstetrics and Gynecology, Centro Universitário Faculdade de Medicina do ABC, Santo André, SP, Brazil.
Thomas MoscovitzVideo Endoscopy and Endometriosis Section of The Gynecology Department, Centro Universitário Faculdade de Medicina do ABC, Santo André, SP, Brazil.
Rogers Camargo Mariano da SilvaVideo Endoscopy and Endometriosis Section of The Gynecology Department, Centro Universitário Faculdade de Medicina do ABC, Santo André, SP, Brazil.
César Eduardo FernandesGynecology Department, Centro Universitário Faculdade de Medicina do ABC, Santo André, SP, Brazil.
Emerson de OliveiraUrogynecology Section of The Gynecology Department, Centro Universitário Faculdade de Medicina do ABC, Santo André, SP, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate whether Progesterone Receptor (PGR) variants +331G/A (rs10895068) and V660L (rs1042838, a PROGINS proxy) are associated with Endometrial Polyps (EP) in postmenopausal women undergoing hysteroscopy.

methodsThis exploratory case-control study included 236 histopathologically confirmed EP cases and 73 hysteroscopy-negative controls from the same institution and period, unmatched. All eligible hysteroscopy-negative women during the study period were included, with no declinations. Genotyping of +331G/A and V660L was performed by PCR-HRM. Genetic comparisons used two-sided tests and multivariable logistic regression, with minimum detectable odds ratios estimated for 80% power at α = 0.05. Hormone Therapy (HT) and tamoxifen use were recorded as binary variables reflecting current use at hysteroscopy.

resultsGenotype distributions did not differ between groups for +331G/A (p = 0.245) or V660L (p = 0.435); call rates were 100% for both variants. Neither +331G/A nor V660L carrier status was significantly associated with EP after adjustment (aOR = 0.43, 95% CI 0.17-1.09, p = 0.074; and aOR = 0.59, 95% CI 0.31-1.11, p = 0.100, respectively). Current HT use was inversely associated with EP (aOR = 0.15, 95% CI 0.06-0.40; p < 0.001), though regimen data were unavailable. Genetic associations remained non-significant in the model excluding HT.

conclusionNeither PGR variant was significantly associated with EP. The sample could detect only relatively large effects, so smaller genetic associations cannot be excluded. The inverse association with binary HT exposure is hypothesis-generating rather than causal, given incomplete exposure characterization and the possibility of selection or residual confounding.

Indexed as

Endometrial polypsGynecologyHormone therapyPolymorphismRisk factor

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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.