Evidence mapPaperPMID 33334002Full record

ReviewInternational journal of molecular sciences2020

Pharmacological Approaches to Controlling Cardiometabolic Risk in Women with PCOS.

Andrea Cignarella, Roberto Mioni, Chiara Sabbadin, Francesca Dassie, Matteo Parolin, Roberto Vettor, Mattia Barbot, Carla Scaroni

Open access · goldAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% 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.

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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
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  4. Metformin Beyond Glycemic Control: Cardiovascular Protection and Diabetes Prevention.Journal of cardiovascular development and disease · 2026
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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 at 2 institutions in 1 country.

Andrea CignarellaDepartment of Medicine, University of Padova, 35128 Padova, Italy.ORCID 0000-0002-4820-4876
Roberto MioniDepartment of Medicine, University of Padova, 35128 Padova, Italy.
Chiara SabbadinDepartment of Medicine, University of Padova, 35128 Padova, Italy.
Francesca DassieDepartment of Medicine, University of Padova, 35128 Padova, Italy.
Matteo ParolinInternal Medicine 2, Ca' Foncello Hospital, ULSS2 Marca Trevigiana, 31100 Treviso, Italy.
Roberto VettorDepartment of Medicine, University of Padova, 35128 Padova, Italy.
Mattia BarbotDepartment of Medicine, University of Padova, 35128 Padova, Italy.ORCID 0000-0002-1081-5727
Carla ScaroniDepartment of Medicine, University of Padova, 35128 Padova, Italy.
University of Padua · ITCa' Foncello Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Polycystic ovary syndrome (PCOS) is characterized by elevated androgen production and subclinical changes in cardiovascular and metabolic risk markers. Total cholesterol, high-density lipoprotein (HDL) cholesterol, fasting glucose, and fasting insulin appear to increase specifically in PCOS compared with fertile women. PCOS also confers an increased risk of cardiometabolic disease in later life. Novel biomarkers such as serum's cholesterol efflux capacity and blood-derived macrophage activation profile may assist in more accurately defining the cardiometabolic risk profile in these women. Aldosterone antagonists, androgen receptor antagonists, 5α-reductase inhibitors, and synthetic progestogens are used to reduce hyperandrogenism. Because increased insulin secretion enhances ovarian androgen production, short-term treatment with metformin and other hypoglycemic agents results in significant weight loss, favorable metabolic changes, and testosterone reduction. The naturally occurring inositols display insulin-sensitizing effects and may be also used in this context because of their safety profile. Combined oral contraceptives represent the drug of choice for correction of androgen-related symptoms. Overall, PCOS management remains focused on specific targets including assessment and treatment of cardiometabolic risk, according to disease phenotypes. While new options are adding to established therapeutic approaches, a sometimes difficult balance between efficacy and safety of available medications has to be found in individual women.

Indexed as

ChemopreventionAdultAndrogen AntagonistsBiomarkersCardiovascular DiseasesContraceptives, OralDisease SusceptibilityFemaleHumansOutcome Assessment, Health CarePolycystic Ovary SyndromeRisk AssessmentRisk FactorsAndrogen AntagonistsBiomarkersContraceptives, Oralanti-androgensbiomarkerscombined oral contraceptiveshypoglycemic agentsstatins

Identifiers

PMID33334002
PMCPMC7765466
OpenAlexW3112398518

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.