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Incidence of cardiovascular disease, cancer and death in postmenopausal women affirming use of hormone replacement therapy.

Hedblad, Bo LU ; Merlo, Juan LU orcid ; Manjer, Jonas LU ; Engström, Gunnar LU ; Berglund, Göran LU and Janzon, Lars LU (2002) In Scandinavian Journal of Public Health 30(1). p.12-19
Abstract
AIM: The goal of this study was to evaluate the incidence of myocardial infarction, cancer and death in relation to use of hormone replacement therapy (HRT). METHODS: Nine years' follow up of an urban cohort of peri-/postmenopausal women was undertaken. Local and national registers were used for retrieval of events. RESULTS: The incidence of myocardial infarction per 1.000 person-years in users and non-users was 0.61 (5/962) and 2.20 (92/4759) respectively, adjusted relative risk (RR) 0.37; 95% confidence interval 0.15-0.90. Rates of mortality from cardiovascular disease and cancer were 0.36 and 1.10, p= 0.058, and 2.60 and 2.09, p=0.360 respectively. In terms of all-cause mortality the adjusted RR was 1.02; 0.69-1.52, incidence of cancer... (More)
AIM: The goal of this study was to evaluate the incidence of myocardial infarction, cancer and death in relation to use of hormone replacement therapy (HRT). METHODS: Nine years' follow up of an urban cohort of peri-/postmenopausal women was undertaken. Local and national registers were used for retrieval of events. RESULTS: The incidence of myocardial infarction per 1.000 person-years in users and non-users was 0.61 (5/962) and 2.20 (92/4759) respectively, adjusted relative risk (RR) 0.37; 95% confidence interval 0.15-0.90. Rates of mortality from cardiovascular disease and cancer were 0.36 and 1.10, p= 0.058, and 2.60 and 2.09, p=0.360 respectively. In terms of all-cause mortality the adjusted RR was 1.02; 0.69-1.52, incidence of cancer 1.28; 1.01-1.64, breast cancer 1.52; 1.01-2.28 and endometrial cancer 3.61; 1.54-8.46. CONCLUSIONS: Women affirming use of HRT had a lower incidence of myocardial infarction. Further studies are needed to assess whether the absence of effect on total mortality may be accounted for by an increased cancer risk. (Less)
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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Scandinavian Journal of Public Health
volume
30
issue
1
pages
12 - 19
publisher
SAGE Publications
external identifiers
  • pmid:11928828
  • wos:000174640600003
  • scopus:84993741923
ISSN
1651-1905
DOI
10.1080/140349401753481538
language
English
LU publication?
yes
id
cecfb669-41d4-4eb3-bbba-5611c587e9d4 (old id 107366)
date added to LUP
2016-04-01 16:26:06
date last changed
2022-02-27 21:13:22
@article{cecfb669-41d4-4eb3-bbba-5611c587e9d4,
  abstract     = {{AIM: The goal of this study was to evaluate the incidence of myocardial infarction, cancer and death in relation to use of hormone replacement therapy (HRT). METHODS: Nine years' follow up of an urban cohort of peri-/postmenopausal women was undertaken. Local and national registers were used for retrieval of events. RESULTS: The incidence of myocardial infarction per 1.000 person-years in users and non-users was 0.61 (5/962) and 2.20 (92/4759) respectively, adjusted relative risk (RR) 0.37; 95% confidence interval 0.15-0.90. Rates of mortality from cardiovascular disease and cancer were 0.36 and 1.10, p= 0.058, and 2.60 and 2.09, p=0.360 respectively. In terms of all-cause mortality the adjusted RR was 1.02; 0.69-1.52, incidence of cancer 1.28; 1.01-1.64, breast cancer 1.52; 1.01-2.28 and endometrial cancer 3.61; 1.54-8.46. CONCLUSIONS: Women affirming use of HRT had a lower incidence of myocardial infarction. Further studies are needed to assess whether the absence of effect on total mortality may be accounted for by an increased cancer risk.}},
  author       = {{Hedblad, Bo and Merlo, Juan and Manjer, Jonas and Engström, Gunnar and Berglund, Göran and Janzon, Lars}},
  issn         = {{1651-1905}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{12--19}},
  publisher    = {{SAGE Publications}},
  series       = {{Scandinavian Journal of Public Health}},
  title        = {{Incidence of cardiovascular disease, cancer and death in postmenopausal women affirming use of hormone replacement therapy.}},
  url          = {{http://dx.doi.org/10.1080/140349401753481538}},
  doi          = {{10.1080/140349401753481538}},
  volume       = {{30}},
  year         = {{2002}},
}