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
|
|
1987
|
Framingham Heart Study, Kiel
|
Cohort
|
2,873
|
E
|
Ever-use reduces hip fractures 35%; use
within 2 years reduced hip fractures 66%
|
Majority of women used estrogen
|
|
1990
|
Naessen
|
Cohort
|
23,246
|
E, E+ P
|
21% reduction in hip fractures
|
No distinction between E and E + P
|
|
1999
|
Hoidrup
|
Cohort
|
6,159
|
E, E + P
|
Reduction in hip fractures, but not
statistically significant
|
Greater effect seen with E + P than E alone
|
|
1999
|
Grodstein (A)
|
Cohort
|
9,236
|
E, E + P
|
35% reduction in hip fractures with E alone; 36% reduction with E + P
|
|
|
2001
|
Torgerson
|
Meta-analysis of randomized trials
|
22 studies including 8,774 women
|
E, E + P
|
27% reduction in non-vertebral fractures
|
Greater effect (35% reduction) among
women beginning hormone use before age 60; No distinction made between E vs. E + P
|
|
2002
|
Women's Health Initiative
|
Randomized
|
16,608
|
E + P
|
33% reduction in hip fractures;
24% reduction in total fractures
|
Average follow-up 5.2 years
|
|