Evidence mapPaperPMID 42264524Full record

Observational studyBMJ open2026

Menopause age and hypercholesterolemia comorbidities: a region-wide retrospective cohort study in Andalusia, Spain (2016-2022).

Alberto Esteban-Medina, Víctor de la Oliva, Patricia Fernández Del Valle, Ana Sánchez, M Belen Susin, Carlos Loucera, Guillermo Antiñolo, Joaquín Dopazo

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMJ open, 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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0cells of the map it votes in
0citing papers in PubMed
field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Alberto Esteban-MedinaAndalusian Platform for Computational Medicine, Fundación Pública Andaluza Progreso y Salud MP, Seville, Spain.
Víctor de la OlivaAndalusian Platform for Computational Medicine, Fundación Pública Andaluza Progreso y Salud MP, Seville, Spain.
Patricia Fernández Del ValleAndalusian Platform for Computational Medicine, Fundación Pública Andaluza Progreso y Salud MP, Seville, Spain.
Ana SánchezAndalusian Platform for Computational Medicine, Fundación Pública Andaluza Progreso y Salud MP, Seville, Spain.
M Belen SusinAndalusian Platform for Computational Medicine, Fundación Pública Andaluza Progreso y Salud MP, Seville, Spain.
Carlos LouceraAndalusian Platform for Computational Medicine, Fundación Pública Andaluza Progreso y Salud MP, Seville, Spain.
Guillermo AntiñoloCSIC/University of Sevilla, Instituto de Biomedicina de Sevilla, Hospital Universitario Virgen del Rocío, Seville, Spain.
Joaquín DopazoAndalusian Platform for Computational Medicine, Fundación Pública Andaluza Progreso y Salud MP, Seville, Spain jdopazo@barcelonabeta.org.ORCID http://orcid.org/0000-0003-3318-120X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo quantify sex- and age-related differences in hypercholesterolaemia diagnosis and associated comorbidities around the menopausal transition, using a population-based real-world dataset.

designRetrospective, multicentre, non-interventional observational cohort study.

settingRegion-wide public healthcare system data (primary and secondary care) from Andalusia (Spain), 2016-2022.

participantsAll adult patients meeting inclusion criteria with a recorded diagnosis of hypercholesterolaemia between 1 January 2016 and 31 December 2022 (n=557 034; 227 834 men and 329 200 women).

interventionsNone. PRIMARY AND SECONDARY OUTCOME MEASURES: Primary outcomes were age- and sex-stratified patterns of hypercholesterolaemia diagnosis and comorbidity burden before and after age 50 years (proxy for post-menopausal age). Secondary outcomes included comorbidity-specific comparisons between sexes across age strata and trajectory-based analyses (OR trajectories and incidence-ratio summaries).

resultsWomen were diagnosed later than men (mean age 59.1 vs 56.0 years; mean difference 3.1 years, 95% CI 3.03 to 3.17). Hypercholesterolaemia diagnoses in women rose sharply around ages 50-55 and remained higher than in men at older ages. Comorbidity patterns differed by sex across age strata: compared with men, women aged ≥50 years had higher frequencies of osteoporosis (42 255 vs 2623), anxiety disorder (94 916 vs 31 374) and hypertension (147 538 vs 91 532), with statistically significant differences for these comparisons (p<0.001).

conclusionsMenopause age is a pivotal period associated with a shift towards higher hypercholesterolaemia diagnosis rates and a greater burden of specific comorbidities in women. These findings support sex-specific prevention and management strategies, particularly targeting the menopausal transition and early post-menopause.

Indexed as

HypercholesterolemiaMenopauseAdultAgedAge FactorsComorbidityFemaleHumansMaleMiddle AgedRetrospective StudiesSex FactorsSpainEPIDEMIOLOGIC STUDIESEPIDEMIOLOGYPUBLIC HEALTHSEXUAL MEDICINE

Identifiers

PMID42264524
PMCPMC13264955

What Socratic holds

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Registered trials

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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 Socratic graph.