Date of download: 6/2/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Menopausal Hormone Therapy and Health Outcomes During.

Slides:



Advertisements
Similar presentations
Women's Health Initiative
Advertisements

Slide Source: Lipids Online Slide Library Heart and Estrogen/progestin Replacement Study (HERS) and HERS II: Secondary Prevention.
Effects of Conjugated Equine Estrogen in Postmenopausal Women with Hysterectomy The Women’s Health Initiative Randomized Controlled Trial JAMA 2004;291:
COURAGE: Clinical Outcomes Utilizing Revascularization and Aggressive Drug Evaluation Purpose To compare the efficacy of optimal medical therapy (OMT)
1 Health Risks and Benefits 3 Years After Stopping Randomized Treatment With Estrogen and Progestin The WHI Investigators.
Slide Source: Lipids Online Slide Library Women’s Health Initiative: Trial of Estrogen plus Progestin 16,608 women randomized 16,608.
The Women’s Health Initiative Hormone Trials The Estrogen Only (women with a hysterectomy at baseline) and the Estrogen + Progestin (women with a uterus)
Breast Cancer in the Women’s Health Initiative Trial of Estrogen Plus Progestin For the WHI Investigators Rowan T Chlebowski, MD., Ph.D.
Date of download: 5/28/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Long-term Risk of Mortality and End-Stage Renal Disease.
Date of download: 5/28/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Quality of Life After PCI vs CABG Among Patients.
Date of download: 5/29/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Adjuvant Chemotherapy With Gemcitabine and Long-term.
Date of download: 5/30/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Aspirin for the Prevention of Cardiovascular Events.
Date of download: 5/30/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Elective Intra-aortic Balloon Counterpulsation During.
Date of download: 5/31/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Estrogen Plus Progestin and Breast Cancer Incidence.
Date of download: 6/1/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Bacterial Coinfection in Influenza: A Grand Rounds.
Date of download: 6/1/2016 Copyright © The American College of Cardiology. All rights reserved. From: Early and long-term clinical outcomes associated.
Date of download: 6/2/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Varespladib and Cardiovascular Events in Patients.
Date of download: 6/2/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Effect of Clopidogrel Pretreatment Before Percutaneous.
Date of download: 6/3/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Diagnoses and Timing of 30-Day Readmissions After.
Date of download: 6/3/2016 Copyright © The American College of Cardiology. All rights reserved. From: Survival of patients with diabetes and multivessel.
Date of download: 6/10/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Effects of Homocysteine-Lowering With Folic Acid.
Date of download: 6/21/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Low-Dose Aspirin for Primary Prevention of Cardiovascular.
Date of download: 6/21/2016 Copyright © The American College of Cardiology. All rights reserved. From: Frequency and Practice-Level Variation in Inappropriate.
Date of download: 6/21/2016 Copyright © The American College of Cardiology. All rights reserved. From: Smoking Is Associated With Adverse Clinical Outcomes.
Date of download: 6/22/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Association Between Influenza Vaccination and Cardiovascular.
Date of download: 6/24/2016 Copyright © The American College of Cardiology. All rights reserved. From: The Year in Cardiovascular Surgery J Am Coll Cardiol.
Date of download: 6/24/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Association Between Time to Initiation of Adjuvant.
Date of download: 6/25/2016 Copyright © The American College of Cardiology. All rights reserved. From: Medical Therapy With Versus Without Revascularization.
Date of download: 6/27/2016 Copyright © The American College of Cardiology. All rights reserved. From: Percutaneous Coronary Intervention Complications.
Date of download: 6/28/2016 Copyright © The American College of Cardiology. All rights reserved. From: Nuisance Bleeding With Prolonged Dual Antiplatelet.
Date of download: 7/1/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Decline in Estimated Glomerular Filtration Rate and.
Date of download: 7/1/2016 Copyright © The American College of Cardiology. All rights reserved. From: The Scope of Coronary Heart Disease in Patients With.
Date of download: 7/5/2016 From: Validation of the Appropriate Use Criteria for Coronary Angiography: A Cohort Study Ann Intern Med. 2015;162(8):
Date of download: 7/6/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Prognostic Importance of Physical Examination for.
Date of download: 7/8/2016 Copyright © The American College of Cardiology. All rights reserved. From: Fractional Flow Reserve Versus Angiography for Guiding.
Date of download: 7/8/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Reduced-Function CYP2C19 Genotype and Risk of Adverse.
Date of download: 7/8/2016 Copyright © The American College of Cardiology. All rights reserved. From: Procedural Outcomes of Chronic Total Occlusion Percutaneous.
Date of download: 7/8/2016 Copyright © 2016 American Medical Association. All rights reserved. From: The TIMI Risk Score for Unstable Angina/Non–ST Elevation.
Date of download: 7/9/2016 Copyright © The American College of Cardiology. All rights reserved. From: Making Sense of Statistics in Clinical Trial Reports:
From: Contemporary Mortality Risk Prediction for Percutaneous Coronary Intervention: Results From 588,398 Procedures in the National Cardiovascular Data.
Date of download: 9/18/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Effect of Structured Physical Activity on Prevention.
Date of download: 9/18/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Randomized Trial of Estrogen Plus Progestin for Secondary.
Date of download: 9/19/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Association Between Endoscopic vs Open Vein-Graft.
Date of download: 9/19/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Association of Public Reporting for Percutaneous.
Date of download: 9/19/2016 Copyright © The American College of Cardiology. All rights reserved. From: Characteristics and Long-Term Outcomes of Percutaneous.
Date of download: 11/12/2016 Copyright © The American College of Cardiology. All rights reserved. From: Efficacy and Safety of Dual Antiplatelet Therapy.
Date of download: 11/13/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Stereotactic Radiosurgery Plus Whole-Brain Radiation.
Copyright © 2014 American Medical Association. All rights reserved.
Copyright © 2006 American Medical Association. All rights reserved.
Copyright © 2012 American Medical Association. All rights reserved.
Copyright © 2010 American Medical Association. All rights reserved.
Copyright © 2001 American Medical Association. All rights reserved.
Copyright © 2003 American Medical Association. All rights reserved.
Copyright © 2004 American Medical Association. All rights reserved.
Copyright © 2011 American Medical Association. All rights reserved.
Copyright © 2013 American Medical Association. All rights reserved.
Copyright © 2000 American Medical Association. All rights reserved.
Copyright © 2005 American Medical Association. All rights reserved.
Copyright © 2004 American Medical Association. All rights reserved.
Copyright © 2006 American Medical Association. All rights reserved.
Copyright © 2007 American Medical Association. All rights reserved.
Copyright © 2007 American Medical Association. All rights reserved.
Copyright © 2007 American Medical Association. All rights reserved.
Copyright © 2011 American Medical Association. All rights reserved.
Copyright © 2012 American Medical Association. All rights reserved.
Cyrus J. Parsa, MD, Linda K. Shaw, MS, J. Scott Rankin, MD, Mani A
Why surgery won the SYNTAX trial and why it matters
A decade after the Surgical Treatment for Ischemic Heart Failure (STICH) trial: Weaving firm clinical recommendations from lessons learned  Robert E.
Perspectives on hormone replacement therapy: the Women's Health Initiative and new observational studies sampling the overall population  Richard L. Tannen,
Estrogen and progestogen therapy in postmenopausal women
Presentation transcript:

Date of download: 6/2/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Menopausal Hormone Therapy and Health Outcomes During the Intervention and Extended Poststopping Phases of the Women’s Health Initiative Randomized Trials JAMA. 2013;310(13): doi: /jama Women’s Health Initiative Trials of Menopausal Hormone Therapy Through Extended Follow-upThere were women who were ineligible or unwilling to participate in the hormone therapy trials. The postintervention phase began on the day after participants were instructed to stop study medication use and continued through the original trial completion date. During the extension phase, there was follow-up for those who provided additional consent (conjugated equine estrogens plus medroxyprogesterone acetate or placebo trial: 83% of those eligible and 2.8% dropped out; conjugated equine estrogens alone or placebo trial: 78% of those eligible and 3.0% dropped out). Figure Legend:

Date of download: 6/2/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Menopausal Hormone Therapy and Health Outcomes During the Intervention and Extended Poststopping Phases of the Women’s Health Initiative Randomized Trials JAMA. 2013;310(13): doi: /jama Health Outcomes in the Overall Study Population in the Women’s Health Initiative Hormone Therapy Trials During the Intervention PhaseCABG indicates coronary artery bypass graft; CEE, conjugated equine estrogens; HR, hazard ratio; MI, myocardial infarction; MPA, medroxyprogesterone acetate; NA, not applicable due to hysterectomy; NR, not reported due to small numbers; PCI, percutaneous coronary intervention; PY, person-years. a Percentages are annualized. b Difference in estimated absolute excess risks (hormone therapy minus placebo). c Indicates CEE alone or CEE plus MPA. d Excludes non–melanoma skin cancer. e In women aged 65 years or older. f In women not reporting condition at baseline. g Collected at year 1. h In symptomatic women aged 50 to 54 years. Figure Legend:

Date of download: 6/2/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Menopausal Hormone Therapy and Health Outcomes During the Intervention and Extended Poststopping Phases of the Women’s Health Initiative Randomized Trials JAMA. 2013;310(13): doi: /jama Absolute Risks of Health Outcomes by 10-Year Age Groups in the Women’s Health Initiative Hormone Therapy Trials During the Intervention PhaseNone of the age interactions were statistically significant (at the P <.05 level), except for colorectal cancer, all- cause mortality, myocardial infarction, and the global index in the CEE alone trial (details appear in Figure 5). CEE indicates conjugated equine estrogens; MPA, medroxyprogesterone acetate. Figure Legend:

Date of download: 6/2/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Menopausal Hormone Therapy and Health Outcomes During the Intervention and Extended Poststopping Phases of the Women’s Health Initiative Randomized Trials JAMA. 2013;310(13): doi: /jama Postintervention Health Outcomes and Overall Combined Outcomes (Cumulative Follow-up) in the Overall Study Population in the Women’s Health Initiative Hormone Therapy TrialsThe all cardiovascular events outcome is defined in the Results section. CABG indicates coronary artery bypass graft; CEE, conjugated equine estrogens; HR, hazard ratio; MI, myocardial infarction; MPA, medroxyprogesterone acetate; NA, not applicable because women have had hysterectomy; NR, not reported due to small numbers; PCI, percutaneous coronary intervention; PY, person-years. a The percentages are annualized. b Difference in estimated absolute excess risks (CEE plus MPA or CEE alone minus placebo). c Indicates CEE alone or CEE plus MPA. d Excludes non–melanoma skin cancer. e Includes participants who did not report a prevalent condition at baseline. Figure Legend:

Date of download: 6/2/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Menopausal Hormone Therapy and Health Outcomes During the Intervention and Extended Poststopping Phases of the Women’s Health Initiative Randomized Trials JAMA. 2013;310(13): doi: /jama Health Outcomes in the Women’s Health Initiative Hormone Therapy Trials During the Intervention Phase According to 10-Year Age Groups at RandomizationCABG indicates coronary artery bypass graft; CEE, conjugated equine estrogens; HR, hazard ratio; MI, myocardial infarction; MPA, medroxyprogesterone acetate; NA, not applicable because women have had hysterectomy; PCI, percutaneous coronary intervention; PY, person-years. a The percentages are annualized. b Difference in estimated absolute excess risks (CEE plus MPA or CEE alone minus placebo). c For trend by age group. d Indicates CEE alone or CEE plus MPA. e Excludes non–melanoma skin cancer. Figure Legend:

Date of download: 6/2/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Menopausal Hormone Therapy and Health Outcomes During the Intervention and Extended Poststopping Phases of the Women’s Health Initiative Randomized Trials JAMA. 2013;310(13): doi: /jama Health Outcomes in the Women’s Health Initiative Hormone Therapy Trials for the Overall Combined Phases (Cumulative Follow- up) According to 10-Year Age Groups at RandomizationCABG indicates coronary artery bypass graft; CEE, conjugated equine estrogens; HR, hazard ratio; MI, myocardial infarction; MPA, medroxyprogesterone acetate; NA, not applicable because women have had hysterectomy; PCI, percutaneous coronary intervention; PY, person-years. a The percentages are annualized. b Difference in estimated absolute excess risks (CEE plus MPA or CEE alone minus placebo). c For trend by age group. d Indicates CEE alone or CEE plus MPA. e Excludes non–melanoma skin cancer. Figure Legend: