Source:http://linkedlifedata.com/resource/pubmed/id/10468418
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
1999-11-5
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pubmed:abstractText |
Postmenopausal estrogen use is associated with a reduced risk of heart disease and hip fracture; in observational studies, different behaviors among hormone users and nonusers may partially explain these results. We examined risk of cardiovascular disease and hip fracture with medium-potency compared with low-potency or short-term estrogen use, and the effect of added progestin, among 9,236 women in Uppsala, Sweden, who responded to a mailed questionnaire in 1987-1988. Using population registries, we identified 213 cases of myocardial infarction, 289 strokes, and 114 hip fractures from 1987-1995. We found a reduced risk of myocardial infarction for medium-potency compared with low-potency or short-term estrogen use (relative risk = 0.75, 95% confidence interval (CI) = 0.56-0.99), with a similar decrease in the subgroup that took estrogens with progestin (RR = 0.69, 95% CI = 0.45-0.90). There was no relation of medium-potency estrogen to stroke (RR = 0.91, 95% CI = 0.71-1.17, and RR = 0.81, 95% CI = 0.61-1.10 for the subgroup taking progestin), and no effect of duration on either heart disease or stroke. We observed a reduction in hip fractures for medium-potency use (RR = 0.65, 95% CI = 0.45-0.95), and for use of combined estrogen-progestin therapy (RR = 0.64, 95% CI = 0.41-1.00). These data support a decreased risk of heart disease and hip fracture for medium-potency estrogen use alone or with progestin; self-selection to hormone use cannot explain these reductions.
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pubmed:grant | |
pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
1044-3983
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
10
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
476-80
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:10468418-Cardiovascular Diseases,
pubmed-meshheading:10468418-Confidence Intervals,
pubmed-meshheading:10468418-Estrogen Replacement Therapy,
pubmed-meshheading:10468418-Female,
pubmed-meshheading:10468418-Follow-Up Studies,
pubmed-meshheading:10468418-Hip Fractures,
pubmed-meshheading:10468418-Humans,
pubmed-meshheading:10468418-Middle Aged,
pubmed-meshheading:10468418-Odds Ratio,
pubmed-meshheading:10468418-Progestins,
pubmed-meshheading:10468418-Proportional Hazards Models,
pubmed-meshheading:10468418-Risk Assessment,
pubmed-meshheading:10468418-Selection Bias,
pubmed-meshheading:10468418-Sweden
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pubmed:year |
1999
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pubmed:articleTitle |
Postmenopausal hormone therapy and risk of cardiovascular disease and hip fracture in a cohort of Swedish women.
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pubmed:affiliation |
Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, MA 02115, USA.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.,
Research Support, Non-U.S. Gov't
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