Evidence map›Paper›PMID 34034234›Full record

ReviewReproduction (Cambridge, England)2021

Vascular biology of uterine fibroids: connecting fibroids and vascular disorders.

Gregory W Kirschen, Abdelrahman AlAshqar, Mariko Miyashita-Ishiwata, Lauren Reschke, Malak El Sabeh, Mostafa A Borahay

Open access · bronzeAbstract readReview
In one paragraph

Review in Reproduction (Cambridge, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 2 pooled it
6.0field-weighted citation impact, top 3% 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

47 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.

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  20. Establishment of a Predictive Model for the Efficacy of High-Intensity Focused Ultrasound in the Treatment of Uterine Fibroids.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2025
    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

6 authors at 1 institution in 2 countries.

Gregory W KirschenDepartment of Gynecology and Obstetrics, Johns Hopkins University, Baltimore, Maryland, USA.
Abdelrahman AlAshqarDepartment of Gynecology and Obstetrics, Johns Hopkins University, Baltimore, Maryland, USA.
Mariko Miyashita-IshiwataDepartment of Gynecology and Obstetrics, Johns Hopkins University, Baltimore, Maryland, USA.
Lauren ReschkeDepartment of Gynecology and Obstetrics, Johns Hopkins University, Baltimore, Maryland, USA.
Malak El SabehDepartment of Gynecology and Obstetrics, Johns Hopkins University, Baltimore, Maryland, USA.
Mostafa A BorahayDepartment of Gynecology and Obstetrics, Johns Hopkins University, Baltimore, Maryland, USA.ORCID 0000-0002-0554-132X
Johns Hopkins University · US

Funding

Mechanisms of actions(s) of simvastatin in uterine leiomyomaR01HD094380 · NICHD · JOHNS HOPKINS UNIVERSITY · PI BORAHAY, MOSTAFA A. · 2018 to 2022
$4.0M
NICHD NIH HHS R01 HD094380
6 · The paper itself

Abstract

Fibroids are benign tumors caused by the proliferation of myometrial smooth muscle cells in the uterus that can lead to symptoms such as abdominal pain, constipation, urinary retention, and infertility. While traditionally thought of as a disease process intrinsic to the uterus, accumulating evidence suggests that fibroid growth may be linked with the systemic vasculature system, although cell-intrinsic factors are certainly of principal importance in their inception. Fibroids are associated with essential hypertension and preeclampsia, as well as atherosclerosis, for reasons that are becoming increasingly elucidated. Factors such as the renin-angiotensin-aldosterone system, estrogen, and endothelial dysfunction all likely play a role in fibroid pathogenesis. In this review, we lay out a framework for reconceptualizing fibroids as a systemic vascular disorder, and discuss how pharmaceutical agents and other interventions targeting the vasculature may aid in the novel treatment of fibroids.

Indexed as

AnimalsFemaleHumansLeiomyomaPregnancyVascular Diseases

Identifiers

PMID34034234
PMCPMC8320308
OpenAlexW3164499698

What Socratic holds

Textmetadata
LicenceTDM
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.