Hormone therapy in the WHI era

The announcement in July 2002 in the media of the results of the combined continuous hormone treatment arm of the Women's Health Initiative (WHI) had a profound effect on perceptions about hormone therapy among the lay public and the medical profession. Careful scrutiny of the announcement and...

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Veröffentlicht in:Australian & New Zealand journal of obstetrics & gynaecology 2006-04, Vol.46 (2), p.84-91
1. Verfasser: BURGER, Henry G.
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container_title Australian & New Zealand journal of obstetrics & gynaecology
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creator BURGER, Henry G.
description The announcement in July 2002 in the media of the results of the combined continuous hormone treatment arm of the Women's Health Initiative (WHI) had a profound effect on perceptions about hormone therapy among the lay public and the medical profession. Careful scrutiny of the announcement and the subsequent publications leads to the conclusion that the widespread fear of hormone therapy that was generated was not supported by the facts. WHI was not designed to be, nor can it be, interpreted as a randomised controlled trial of menopausal hormone therapy – rather, it was a trial of chronic disease prevention, particularly aimed at the possible cardiovascular benefits of a specific combination hormone therapy in postmenopausal women. The results, which were consistent with existing data, did not and do not warrant any major change in the previously established guidelines for the use of hormone therapy. Tibolone has emerged as an alternative treatment for menopausal symptoms, but its long‐term benefits and risks have yet to be documented.
doi_str_mv 10.1111/j.1479-828X.2006.00533.x
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1479-828X
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subjects Aged
breast cancer
cardiovascular disease
Cardiovascular Diseases - prevention & control
Estrogen Replacement Therapy - standards
Estrogen Replacement Therapy - trends
Female
Forecasting
hormone therapy
Humans
menopause
Menopause - drug effects
Menopause - physiology
Middle Aged
Norpregnenes - therapeutic use
osteoporosis
Osteoporosis, Postmenopausal - prevention & control
Randomized Controlled Trials as Topic
Risk Assessment
Thromboembolism - prevention & control
venous thromboembolism
Victoria
Women's Health
title Hormone therapy in the WHI era
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