JAMA:雌激素和孕激素与绝经后女性乳腺癌发病率和死亡率的研究

2011-05-06 MedSci原创 MedSci原创

出处:JAMA. 2010 Oct 20; 304(15):1684-92 作者:Chlebowski RT, Anderson GL, Gass M, Lane DS译者: F1000因子:10 评级:必读       背景:妇女健康倡议(Women's Health Initiative)是一项雌激素和孕激素的随机、安慰剂对照研究,平均干预时间为5.

出处:JAMA. 2010 Oct 20; 304(15):1684-92 作者:Chlebowski RT, Anderson GL, Gass M, Lane DS译者: F1000因子:10 评级:必读       背景:妇女健康倡议(Women's Health Initiative)是一项雌激素和孕激素的随机、安慰剂对照研究,平均干预时间为5.6年(标准差 SD,1.3)(范围3.7-8.6年),平均随访7.9年(SD 1.4),结果发现接受联合激素治疗的女性乳腺癌发病率增加。试验参与者的乳腺癌死亡率尚未报告。       目的:确定截止2009年8月14日共计平均随访11.0年(SD 2.7年)雌激素加孕激素治疗对乳腺癌累积发病率和死亡率的影响。设计、地点和受试者:美国40个临床中心共16,608名50至79岁既往未行子宫切除术的绝经后妇女,随机服用马结合雌激素 0.625mg/d和甲羟孕酮 2.5mg/d或服用安慰剂。在初始研究结束后(2005年3月31日),就继续随访乳腺癌的发病率

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    2011-05-08 zxxiang