article Open AccessTop 1% cited
Risks and Benefits of Estrogen Plus Progestin in Healthy Postmenopausal Women: Principal Results From the Women's Health Initiative Randomized Controlled Trial
JAMA · 2002 · Vol. 288(3) · pp. 321–333
Jacques E. Rossouw✉(Women's Health Initiative)
Abstract
Overall health risks exceeded benefits from use of combined estrogen plus progestin for an average 5.2-year follow-up among healthy postmenopausal US women. All-cause mortality was not affected during the trial. The risk-benefit profile found in this trial is not consistent with the requirements for a viable intervention for primary prevention of chronic diseases, and the results indicate that this regimen should not be initiated or continued for primary prevention of CHD.
Menopause: Health Impacts and TreatmentsEstrogen and related hormone effectsCancer Risks and FactorsMedicineWomen's Health InitiativeMedroxyprogesterone acetateHazard ratioRandomized controlled trialPlaceboHormone therapyGynecologyEndometrial cancerAdverse effect
MeSH terms
AgedBreast NeoplasmsCoronary DiseaseEstrogens, Conjugated (USP)FemaleHumansMiddle AgedMyocardial InfarctionPulmonary EmbolismRiskThrombosisColorectal NeoplasmsEstrogen Replacement TherapyProportional Hazards ModelsSurvival Analysis
Funding
- Pfizer
Citations
15,739
FWCI
600.74
field-weighted impact
References
55
Percentile
100%
vs. same field & year
Citations per year
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References
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JAMA · 1998 · 6,246 citations
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Preventive Medicine · 1991 · 1,607 citations
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JNCI Journal of the National Cancer Institute · 1989 · 3,355 citations
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