Evidence map›Paper›PMID 34643282›Full record

SynthesisNeurourology and urodynamics2022

The effects of oestrogen on vaginal wound healing: A systematic review and meta-analysis.

Eva V Vodegel, Arnoud W Kastelein, Charlotte H J R Jansen, Jacqueline Limpens, Sandra E Zwolsman, Jan-Paul W R Roovers, Carlijn R Hooijmans, Zeliha Guler

Open access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Neurourology and urodynamics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
2.9field-weighted citation impact, top 9% 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

12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. The use of topical vaginal estrogens in postpartum women: A systematic review.Acta obstetricia et gynecologica Scandinavica · 2026
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  6. Review
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  10. Observational
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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 3 institutions in 1 country.

Eva V VodegelDepartment of Obstetrics and Gynaecology, Amsterdam Reproduction & Development Research Institute, Amsterdam UMC-Location AMC, University of Amsterdam, Amsterdam, The Netherlands.
Arnoud W KasteleinDepartment of Obstetrics and Gynaecology, Amsterdam Reproduction & Development Research Institute, Amsterdam UMC-Location AMC, University of Amsterdam, Amsterdam, The Netherlands.
Charlotte H J R JansenDepartment of Obstetrics and Gynaecology, Amsterdam Reproduction & Development Research Institute, Amsterdam UMC-Location AMC, University of Amsterdam, Amsterdam, The Netherlands.
Jacqueline LimpensDepartment of Research Support, Medical Library, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Sandra E ZwolsmanDepartment of Obstetrics and Gynaecology, Amsterdam Reproduction & Development Research Institute, Amsterdam UMC-Location AMC, University of Amsterdam, Amsterdam, The Netherlands.
Jan-Paul W R RooversDepartment of Obstetrics and Gynaecology, Amsterdam Reproduction & Development Research Institute, Amsterdam UMC-Location AMC, University of Amsterdam, Amsterdam, The Netherlands.
Carlijn R HooijmansDepartment of Health Evidence, Systematic Review Centre for Laboratory Animal Experimentation (SYRCLE), Radboud University Medical Center, Nijmegen, The Netherlands.
Zeliha GulerDepartment of Obstetrics and Gynaecology, Amsterdam Reproduction & Development Research Institute, Amsterdam UMC-Location AMC, University of Amsterdam, Amsterdam, The Netherlands.
Amsterdam University Medical Centers · NLUniversity of Amsterdam · NLRadboud University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo determine the effects of oestrogen or oestrogen deprivation on vaginal wound healing. Impaired wound healing following prolapse surgery may increase the risk of recurrent prolapse in the future. Vaginal oestrogen therapy may improve wound healing, hereby possibly improving surgical outcomes.

methodsA systematic search of OVID MEDLINE, OVID Embase, and Web of Science was conducted up to January 28, 2020. We included original studies comparing wound healing-related outcomes of oestrogen exposed subjects (female animals and women) to hypo-oestrogenic subjects after vaginal surgery. Data on wound healing-related outcome measures were extracted. For each individual comparison, the standardised mean difference (Hedges' g; SMD) and 95% confidence interval (CI) were calculated.

resultsOf the 1474 studies reviewed, 14 studies were included for review, and 11 provided data for meta-analysis. Oestrogen improves neovascularisation (SMD: 1.13, 95% CI: 0.67-1.60), microscopic wound closure (SMD: 0.98, 95% CI: 0.66-1.29), collagen synthesis (SMD: 1.08, 95% CI: 0.42-1.74), and tissue strength (SMD: 1.26, 95% CI: 0.53-1.99) in animals. Oestrogen increases granulation (SMD: 1.67, 95% CI: 0.54-2.79) and accelerates macroscopic wound closure (SMD: 1.82, 95% CI: 1.22-2.42) in women and animals. Oestrogen decreases the inflammatory response (SMD: -0.58, 95% CI: -1.14 to -0.02) in women and animals and reduces levels of transforming growth factor (TGF)-β1 (SMD: -1.68, 95% CI: -2.52 to -0.83) in animals. All results were statistically significant.

conclusionsOestrogen therapy has a positive effect on vaginal wound healing. Future studies should determine whether oestrogen therapy has the potential to improve surgical outcomes.

Indexed as

EstrogensWound HealingAnimalsFemaleHumansVaginaEstrogenscollagen synthesisgranulationinflammatory responseneovascularisationoestrogenpelvic organ prolapsere-epithelialisationTGF-β1tissue strengthvaginal surgerywound contractionwound healing

Identifiers

PMID34643282
PMCPMC9293291
OpenAlexW3205779192

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.