30-Second Takeaway
- HRT gives a small, probably clinically modest reduction in perimenopausal depressive symptoms (SMD **-0.23**).
- EMR-integrated family-history tools can identify many guideline-eligible patients but counseling uptake is low.
Latest - Week ending May 2, 2026
Concise evidence briefs for endocrine practice: AI policy, HRT for perimenopausal depression, GDM education, BQG adjuncts, and EMR genetic-risk screening
Endocrinology journals mention AI but lack standardized reporting and reproducibility safeguards
Among the top 100 endocrinology journals, 84% mention AI in author instructions and 79% require disclosure of AI use. No journal allowed AI authorship, and only 64% permitted AI use in manuscript writing. Only 1% required AI-specific reporting guidelines and few endorsed IMCJE or COPE statements. Implication: editors and authors should expect variable journal requirements and prioritize transparent reporting and protocol registration.
Meta-analysis: HRT yields a small reduction in perimenopausal depressive symptoms
Twelve randomized trials showed HRT reduced depressive symptom severity versus placebo with SMD -0.23 (95% CI -0.43 to -0.03). Subgroup signals favored tibolone or selective tissue estrogenic activity regulator regimens but lacked statistical confirmation. Adverse events were generally mild to moderate across trials. Implication: consider HRT for symptomatic perimenopausal depression only after discussing modest benefit and low-certainty evidence.
Cluster RCT: culturally tailored educational films did not lower GDM-related adverse perinatal outcomes
In parallel trials in Uganda and India, a film-based package did not change the composite adverse perinatal outcome (pooled PR 1.03, 95% CI 0.97–1.10). Country-specific PRs were neutral: Uganda PR 1.00 (95% CI 0.87–1.14); India PR 1.04 (95% CI 0.96–1.11). High participation but variable loss to follow-up suggests implementation feasibility without clinical benefit. Implication: educational films alone are insufficient; pair with more intensive care or system changes to affect outcomes.
References
Numbered in order of appearance. Click any reference to view details.
Additional Reads
Optional additional studies from this edition.