0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editor's Correspondence |

Alternatives for Menopause

Edzard Ernst, MD, PhD; Francesca Borrelli, PhD
Arch Intern Med. 2007;167(5):515-516. doi:10.1001/archinte.167.5.515-a.
Text Size: A A A
Published online

Extract

The “systematic” review by Nedrow et al1 seems less than reliable. The authors claim that they included all relevant randomized controlled trials and meta-analyses published in English. However, the exclusion of non-English articles seems not very systematic, particularly in areas that are dominated by investigators from non–English-speaking countries. Even accounting for this factor, we fail to understand why the authors only included 4 randomized controlled trials of black cohosh. Our systematic review published in 2002 (not mentioned by Nedrow et al1) already included 4 randomized controlled trials.2 It is now outdated, since several new studies have emerged. To make matters worse, the “Adverse Effects” subsection in the article by Nedrow et al1 is woefully incomplete. Virtually none of the numerous treatments reviewed by Nedrow et al1 is free of adverse effects.3 Yet the authors only mention those of soy, black cohosh, and kava. When Nedrow et al1 conclude that “data are insufficient,” we should perhaps take this with a pinch of salt.

Topics

menopause

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles
Jobs
JAMAevidence.com

Users' Guides to the Medical Literature
Table 9.2-3 Refuted Evidence From Observational Studiesa

The Rational Clinical Examination
Make the Diagnosis: Menopause

brightcove.createExperiences();