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Coronary heart disease mortality after 5 years of adjuvant tamoxifen therapy: Results from a randomized trial

Nordenskjold, B ; Rosell, J ; Rutqvist, L E ; Malmström, Per LU ; Bergh, J ; Bengtsson, N O ; Hatschek, T ; Wallgren, A and Carstensen, J (2005) In Journal of the National Cancer Institute 97(21). p.1609-1610
Abstract
From January 1, 1983, through December 31, 1992, a total of 4610 patients entered a randomized trial that compared mortality among patients receiving 2 years of adjuvant tamoxifen therapy with that in patients receiving 5 years of adjuvant tamoxifen therapy, 4175 of whom were recurrence free after 2 years of tamoxifen therapy. Among the 2046 patients randomly assigned to the 5-year group all-cause mortality, breast cancer-specific mortality, and the incidence of contralateral breast cancer were reduced, compared with those among 2129 patients randomized in the 2-year group, but the incidence of endometrial cancer was increased. In addition, mortality from coronary heart disease was statistically significantly reduced in the 5-year group,... (More)
From January 1, 1983, through December 31, 1992, a total of 4610 patients entered a randomized trial that compared mortality among patients receiving 2 years of adjuvant tamoxifen therapy with that in patients receiving 5 years of adjuvant tamoxifen therapy, 4175 of whom were recurrence free after 2 years of tamoxifen therapy. Among the 2046 patients randomly assigned to the 5-year group all-cause mortality, breast cancer-specific mortality, and the incidence of contralateral breast cancer were reduced, compared with those among 2129 patients randomized in the 2-year group, but the incidence of endometrial cancer was increased. In addition, mortality from coronary heart disease was statistically significantly reduced in the 5-year group, compared with that in the 2-year group (hazard ratio = 0.67, 95% confidence interval = 0.47 to 0.94; P = .022 [two-sided Wald test]). Ten years after surgery, 2.1% of the patients in the 5-year group and 3.5% of those in the 2-year group a died from coronary heart disease. No statistically significant increases in mortality from other heart diseases, cerebrovascular diseases, or other vascular diseases were observed. (Less)
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author
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organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of the National Cancer Institute
volume
97
issue
21
pages
1609 - 1610
publisher
Oxford University Press
external identifiers
  • wos:000233117600012
  • pmid:16264181
  • scopus:27944460410
  • pmid:16264181
ISSN
1460-2105
DOI
10.1093/jnci/dji342
language
English
LU publication?
yes
id
798c4479-eeca-40ab-ba17-a3c5cfbff08a (old id 213816)
date added to LUP
2016-04-01 15:59:16
date last changed
2022-04-15 01:22:39
@article{798c4479-eeca-40ab-ba17-a3c5cfbff08a,
  abstract     = {{From January 1, 1983, through December 31, 1992, a total of 4610 patients entered a randomized trial that compared mortality among patients receiving 2 years of adjuvant tamoxifen therapy with that in patients receiving 5 years of adjuvant tamoxifen therapy, 4175 of whom were recurrence free after 2 years of tamoxifen therapy. Among the 2046 patients randomly assigned to the 5-year group all-cause mortality, breast cancer-specific mortality, and the incidence of contralateral breast cancer were reduced, compared with those among 2129 patients randomized in the 2-year group, but the incidence of endometrial cancer was increased. In addition, mortality from coronary heart disease was statistically significantly reduced in the 5-year group, compared with that in the 2-year group (hazard ratio = 0.67, 95% confidence interval = 0.47 to 0.94; P = .022 [two-sided Wald test]). Ten years after surgery, 2.1% of the patients in the 5-year group and 3.5% of those in the 2-year group a died from coronary heart disease. No statistically significant increases in mortality from other heart diseases, cerebrovascular diseases, or other vascular diseases were observed.}},
  author       = {{Nordenskjold, B and Rosell, J and Rutqvist, L E and Malmström, Per and Bergh, J and Bengtsson, N O and Hatschek, T and Wallgren, A and Carstensen, J}},
  issn         = {{1460-2105}},
  language     = {{eng}},
  number       = {{21}},
  pages        = {{1609--1610}},
  publisher    = {{Oxford University Press}},
  series       = {{Journal of the National Cancer Institute}},
  title        = {{Coronary heart disease mortality after 5 years of adjuvant tamoxifen therapy: Results from a randomized trial}},
  url          = {{http://dx.doi.org/10.1093/jnci/dji342}},
  doi          = {{10.1093/jnci/dji342}},
  volume       = {{97}},
  year         = {{2005}},
}