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
|
|
1995
|
MacLennan
|
Meta-analysis
(13 observational)
|
14 studies
|
E, E+P
|
No significant difference in relative risk of colorectal cancer in hormone
users
|
No distinction between E vs. E+P use, or between colon vs. rectal
cancer
|
1996
|
Persson
|
Cohort
|
22,597
|
E, E + P
|
Reduction in colon cancer risk by 40% with E + P
|
No effect with estrogen; 13 years of follow-up
|
|
1999
|
Grodstein (A)
|
Meta-analysis (17 observational; 1 randomized)
|
18 studies
|
E, E+P
|
Decreases colon cancer risk 20%; decreases rectal cancer risk 19%
|
No distinction between E vs. E+P use
|
|
1999
|
Nanda
|
Meta-analysis (24 observational, 1 randomized)
|
25 studies
|
E, E+P
|
33% reduction of risk in recent users (within year of study); ever-use
reduced risk 8%
|
No distinction between E vs. E+P use; rectal cancer not affected by
hormone use
|
|
2002
|
Women's Health Initiative
|
Randomized
|
16,608
|
E+P
|
37% reduction in colon cancer rates
|
Average follow-up 5.2 years
|
|