Cochrane · systematic review · CD004143

Long‐term hormone therapy for perimenopausal and postmenopausal women

Marjoribanks, J, Farquhar, C, Roberts, H, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

Gynaecology and Fertility2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
14
current version
GRADE rated
14
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 14 · 100%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Show all 2 versions

Combined continuous hormone therapy (HT) compared with placebo for postmenopausal women

Population: relatively healthy postmenopausal women
7 questions
OutcomeEffectEvidenceStatus / GRADE
Coronary events (MI or cardiac death)
Combined continuous hormone therapy (HT) vs placebo
RR 1.89 [1.15, 3.1]2 studies · 20993 participantsModerate
Downgraded: indirectness
Stroke
Combined continuous hormone therapy (HT) vs placebo
RR 146 [1.02, 2.09]2 studies · 17585 participantsModerate
Downgraded: indirectness
Venous thromboembolism (DVT or PE)
Combined continuous hormone therapy (HT) vs placebo
RR 4.28 [2.49, 7.34]2 studies · 20993 participantsModerate
Downgraded: indirectness
Breast cancer
Combined continuous hormone therapy (HT) vs placebo
RR 1.27 [1.03, 1.56]1 study · 16608 participantsModerate
Downgraded: indirectness
Death from lung cancer
Combined continuous hormone therapy (HT) vs placebo
RR 1.74 [1.18, 2.55]1 study · 16608 participantsModerate
Downgraded: indirectness
Gallbladder disease
Combined continuous hormone therapy (HT) vs placebo
RR 1.64 [1.3, 2.06]1 study · 14203 participantsModerate
Downgraded: indirectness
All clinical fractures
Combined continuous hormone therapy (HT) vs placebo
RR 0.78 [0.71, 0.86]1 study · 16608 participantsModerate
Downgraded: indirectness

Oestrogen‐only hormone therapy (HT) compared with placebo for postmenopausal women

Population: relatively healthy postmenopausal women
7 questions
OutcomeEffectEvidenceStatus / GRADE
Coronary events (MI or cardiac death)
Oestrogen‐only hormone therapy (HT) vs placebo
RR 0.94 [0.78, 1.13]1 study · 10739 participantsModerate
Downgraded: indirectness
Stroke
Oestrogen‐only hormone therapy (HT) vs placebo
RR 1.33 [1.06, 1.67]1 study · 10739 participantsModerate
Downgraded: indirectness
Venous thromboembolism (DVT or PE)
Oestrogen‐only hormone therapy (HT) vs placebo
RR 2.22 [1.12, 4.39]1 study · 10739 participantsModerate
Downgraded: indirectness
Venous thromboembolism (DVT or PE): CEE 0.625 mg (moderate dose)
Oestrogen‐only hormone therapy (HT) vs placebo
RR 1.32 [1, 1.74]1 study · 10739 participantsModerate
Downgraded: indirectness
Breast cancer
Oestrogen‐only hormone therapy (HT) vs placebo
RR 0.79 [0.61, 1.01]1 study · 10739 participantsModerate
Downgraded: indirectness
Gallbladder disease
Oestrogen‐only hormone therapy (HT) vs placebo
RR 1.78 [1.42, 2.24]1 study · 8376 participantsModerate
Downgraded: indirectness
All clinical fractures
Oestrogen‐only hormone therapy (HT) vs placebo
RR 0.73 [0.65, 0.8]1 study · 10739 participantsModerate
Downgraded: indirectness