Evidence mapPaperPMID 15797965Full record

Trial reportThe Journal of clinical endocrinology and metabolism2005

Changes in glucose tolerance over time in women with polycystic ovary syndrome: a controlled study.

Richard S Legro, Carol L Gnatuk, Allen R Kunselman, Andrea Dunaif

Registry-linked trialAbstract readClinical TrialComparative StudyControlled Clinical Trial
PubMed Publisher
In one paragraph

Trial report in The Journal of clinical endocrinology and metabolism, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06064669 (Effect of Metformin on Healthy Live Birth After In-vitro Fertilization in Women With Prediabetes Mellitus), which is not on this map. Cited by 76 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 4 pooled it
24.8field-weighted citation impact, top 1% of its field
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.

NCT06064669 narecruitingstarted 2024, after this paper: background citation

Effect of Metformin on Healthy Live Birth After In-vitro Fertilization in Women With Prediabetes Mellitus: a Multicenter Double-blind Placebo Controlled Randomized Trial

Ran2024Enrolled988Registered outcomes26Posted comparisons0ConditionsIn-Vitro Fertilization, Metformin, PrediabetesArmsMetformin pretreatment before endometrial preparation for frozen embryo transfer, Metformin pretreatment before ovarian stimulation, Placebo pretreatment before endometrial preparation for frozen embryo transfer, Placebo pretreatment before ovarian stimulation
Open the trial in the graph
3 · Its place in the literature

Who cites it

76 citing papers in PubMed, 4 syntheses or guidelines pooled it, 308 citations in OpenAlex.

  1. Pooled it
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  3. Diagnosis and treatment of polycystic ovary syndrome: an Endocrine Society clinical practice guideline.The Journal of clinical endocrinology and metabolism · 2013 · on this map
    Guideline
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16 more citing papers are in PubMed but not listed here.

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

4 authors at 2 institutions in 1 country.

Richard S LegroDepartment of Obstetrics-Gynecology, 500 University Drive, Pennsylvania State University College of Medicine, M. S. Hershey Medical Center, Hershey, Pennsylvania 17033, USA. rsl1@psu.edu
Carol L Gnatuk
Allen R Kunselman
Andrea Dunaif
Northwestern University · USPenn State Milton S. Hershey Medical Center · US

Funding

WOMEN'S VACCINE RESPONSE STUDYM01RR010732 · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · 1995 to 2005
$15.9M
Phenoytypes of polycystic ovary syndrome (PCOS)U54HD034449 · VIRGINIA COMMONWEALTH UNIVERSITY · 1997 to 2005
$8.4M
GCRC RELOCATION AND EXPANSION PROJECTC06RR016499 · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · 2001 to 2001
$707k
INSULIN RESISTANCE IN PCOS--SEQUELAE AND TREATMENTK24HD001476 · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · 2001 to 2005
$675k
NCRR NIH HHS C06 RR016499NCRR NIH HHS MO1 RR 10732NICHD NIH HHS K24 HD01476NICHD NIH HHS U54 HD34449
6 · The paper itself

Abstract

We performed this study to access the changes in glucose tolerance over time in a group of women with polycystic ovary syndrome (PCOS) (n = 71) and control women (n = 23) with regular menstrual cycles and baseline normal glucose tolerance. Mean follow-up was between 2 and 3 yr for both groups (PCOS 2.5 +/- 1.7 yr; controls 2.9 +/- 2.1 yr). Based on World Health Organization glucose tolerance categories, there was no significant difference in the prevalence of glucose intolerance at follow-up in the PCOS group. In the PCOS group, 25 (37%) had impaired glucose tolerance (IGT) and seven (10%) had type 2 diabetes mellitus at baseline, compared with 30 (45%) and 10 (15%), respectively, at follow-up. There were also no differences within groups (PCOS or control) or between groups (PCOS vs. control) in the oral glucose tolerance test-derived measure of insulin sensitivity, but in the women with PCOS who converted to either IGT or type 2 diabetes mellitus, there was a significant decrease (P < 0.0001). At the follow-up visit, the mean glycohemoglobin level was 6.1 +/- 0.9% in women with PCOS vs. 5.3 +/- 0.7% in the control women (P < 0.001). Women with PCOS and baseline IGT had a low conversion risk of 6% to type 2 diabetes over approximately 3 yr, or 2% per year. The effect of PCOS, given normal glucose tolerance (NGT) at baseline, is more pronounced with 16% conversion to IGT per year. Our study supports that women with PCOS (especially with NGT) should be periodically rescreened for diabetes due to worsening glucose intolerance over time, but this interval may be over several years and not annually.

Indexed as

Glucose Tolerance TestAdultBlood GlucoseDiabetes Mellitus, Type 2DihydrotestosteroneFemaleFollicle Stimulating HormoneHumansLuteinizing HormoneMenstrual CyclePolycystic Ovary SyndromeReference ValuesSex Hormone-Binding GlobulinTestosteroneTime FactorsBlood GlucoseDihydrotestosteroneFollicle Stimulating HormoneLuteinizing HormoneSex Hormone-Binding GlobulinTestosterone

Identifiers

PMID15797965
OpenAlexW2055972547

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

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 Socratic graph.