Prevention & lipids

Non-malignant gynaecological disease and risk of cardiovascular or cerebrovascular disease: a systematic review and meta-analysis

HeartPublished systematic review and meta-analysis

Pooled result · Composite C/CVDResult — go to the resultSummary relative risk 1.28 95% CI 1.20–1.37

Authors' conclusion

We found an overall association between NMGD and C/CVD across all studies. However, estimates from individual studies varied substantially.

Study context

Population
Individuals with non-malignant gynaecological diseases (NMGD)28 studies included
Participants
3,271,242 individuals
Comparison
Association between NMGD and C/CVD
Outcome
Composite C/CVD
Methodological detailsrandom effects models, observational studies
  • Random effects models
  • Observational studies

Pooled result

As reported in the abstract

Summary relative risk

1.28

95% CI 1.20–1.37

NMGD
SRR 1.28 (95% CI 1.20–1.37)

Further pooled results

Ischaemic heart disease

SRR (95% CI)
NMGDn=21 studies, I 2 =73.7%1.41 (1.31–1.51)

Cerebrovascular disease

SRR (95% CI)
NMGDn=16 studies, I 2 =91.5%1.33 (1.18–1.51)

C/CVD and its components, NMGD-specific analyses

Risk greater among those with a history of endometriosis or polycystic ovary syndrome

Study selection and risk of bias

Studies screened
6639
Eligible for full-text review
59
Studies with 'serious'/'critical' risk of bias
53.5%

Original publication

Non-malignant gynaecological disease and risk of cardiovascular or cerebrovascular disease: a systematic review and meta-analysis. Heart. Published 24 February 2025. doi:10.1136/heartjnl-2024-324675

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