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Experts Weigh in on Hormone Therapy

Risks & Benefits of Postmenopausal Use of Hormones

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VOLUME 2, ISSUE 8
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Gallbladder Disease


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The table below summarizes the available evidence on the risks and benefits of hormone therapy. Included are all randomized trials and meta-analyses looking at disease incidence or mortality. Inclusion of observational trials was dependent on size: case-control studies with 500 or more cases of the disease and cohort studies with at least 2,000 women are included here.

The year noted is when the study results were published. The name following the title of the study is the last name of the first author on the publication.

E = estrogen; P = progestin

Year

Study

Study Type

Participants

Hormones

Results

Other Notes

1998

Heart and Estrogen/progestin Replacement Study (HERS), Hulley

Randomized

2,763

E + P

39% increase in biliary tract surgery

Average follow-up 4.1 years

2000

Mamdani

Cohort

800,000

E, E + P

90% increase in gall bladder surgery

No distinction between E and E + P

2002

Heart and Estrogen/progestin Replacement Study (HERS) II, Hulley

Randomized

2,321

E + P

44% increase in billiary tract surgery

2.7 year extension of HERS with subset of participants from original study; 6.8 years total follow-up


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