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Risks and Benefits of Estrogen Plus Progestin in Healthy Postmenopausal Women: Principal Results From the Women's Health Initiative Randomized Controlled Trial

JAMA · 2002 · Vol. 288(3) · pp. 321–333
Jacques E. Rossouw

Abstract

Overall health risks exceeded benefits from use of combined estrogen plus progestin for an average 5.2-year follow-up among healthy postmenopausal US women. All-cause mortality was not affected during the trial. The risk-benefit profile found in this trial is not consistent with the requirements for a viable intervention for primary prevention of chronic diseases, and the results indicate that this regimen should not be initiated or continued for primary prevention of CHD.

Menopause: Health Impacts and TreatmentsEstrogen and related hormone effectsCancer Risks and FactorsMedicineWomen's Health InitiativeMedroxyprogesterone acetateHazard ratioRandomized controlled trialPlaceboHormone therapyGynecologyEndometrial cancerAdverse effect

MeSH terms

AgedBreast NeoplasmsCoronary DiseaseEstrogens, Conjugated (USP)FemaleHumansMiddle AgedMyocardial InfarctionPulmonary EmbolismRiskThrombosisColorectal NeoplasmsEstrogen Replacement TherapyProportional Hazards ModelsSurvival Analysis

Funding

  • Pfizer
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FWCI
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