Jump to content

RiskofNeverTakingHRT/Data: Difference between revisions

From RiskiPedia
Rischi (talk | contribs)
Risk of Never Taking HRT for Menopause / Data
Rischi (talk | contribs)
Risk of Never Taking HRT For Menopause / Data
Line 7: Line 7:
</head>
</head>
<row>
<row>
“7.1 years—oestrogen‑only HT: 92–113 per 1000; placebo: 141 per 1000”
7.1 years—oestrogen-only | 92–113 per 1000 | 141 per 1000
</row>
</row>
<row>
<row>
“5.6 years—combined HT: 79–96 per 1000; placebo: 111 per 1000”
5.6 years—combined HRT | 79–96 per 1000 | 111 per 1000
</row>
</row>
</datatable2>
</datatable2>


*Explanation:* Long‑term HRT—either estrogen‑only or combined—was associated with lower fracture incidence compared to placebo. Estrogen‑only: fracture incidence decreased from 141 to 92–113 per 1000 over ~7.1 years; combined HT: from 111 to 79–96 per 1000 over ~5.6 years.   
*Explanation:*
- Source: WHI/IARC data on HRT fracture outcomes :contentReference[oaicite:0]{index=0}.
Long-term HRT—either estrogen-only or combined—was associated with lower fracture incidence compared to placebo. Estrogen-only: fracture incidence decreased from 141 to 92–113 per 1000 over ~7.1 years; combined HRT: from 111 to 79–96 per 1000 over ~5.6 years.   
- Source: [PubMed](https://pubmed.ncbi.nlm.nih.gov/28093732/?utm_source=chatgpt.com)


<RiskModel FractureRiskModel>
<RiskModel name="FractureRiskModel">
RiskWithoutHRT = ColumnFractureWithoutHRT
FractureWithoutHRT = ColumnFractureWithoutHRT
RiskWithHRT = ColumnFractureWithHRT
FractureWithHRT = ColumnFractureWithHRT
RiskDifference = RiskWithoutHRT – RiskWithHRT
FractureRiskReduction = FractureWithoutHRT - FractureWithHRT 
</RiskModel>
</RiskModel>


Line 29: Line 30:
</head>
</head>
<row>
<row>
“Estrogen‑progestin: +25 coronary events per 10 000 person‑years (157 vs 132)”
Coronary heart disease | 157 per 10,000 | 132 per 10,000
</row>
</row>
<row>
<row>
“Estrogen‑only: +12 strokes per 10 000 person‑years”
Stroke | 44 per 10,000 | 32 per 10,000
</row>
</row>
<row>
<row>
“Estrogen‑only: +7 thromboembolic events per 10 000 person‑years”
Venous thromboembolism (VTE) | 34 per 10,000 | 16 per 10,000
</row>
</row>
</datatable2>
</datatable2>


*Explanation:* In the estrogen‑progestin arm, coronary events increased by 25 per 10,000 person‑years. In the estrogen‑only arm, there were 12 additional strokes and 7 additional venous thromboembolic events per 10,000 person‑years.   
*Explanation:*
- Source: WHI data summarized by Canadian Task Force :contentReference[oaicite:1]{index=1}.
In WHI data, estrogen-progestin therapy was associated with small increases in cardiovascular events: CHD (25 more per 10,000), stroke (12 more), and VTE (18 more).   
- Source: [CMAJ](https://www.cmaj.ca/content/170/10/1535?utm_source=chatgpt.com)


<RiskModel CardiovascularRiskModel>
<RiskModel name="CardiovascularRiskModel">
RiskWithoutHRT_CHD = baseline (not in table)
CHD_WithHRT = ColumnWithHRT[Coronary heart disease]
RiskWithHRT_CHD = baseline + 25 per 10 000
CHD_WithoutHRT = ColumnWithoutHRT[Coronary heart disease]
RiskWithoutHRT_Stroke = baseline
Stroke_Wi_
RiskWithHRT_Stroke = baseline + 12 per 10 000
RiskWithoutHRT_VTE = baseline
RiskWithHRT_VTE = baseline + 7 per 10 000
</RiskModel>
 
== Breast Cancer Data ==
<datatable2 name="CancerRiskTable">
<head>
ColumnWithHRT | ColumnExtraBreastCancerPer
</head>
<row>
“9 additional breast cancers per 10 000 women with estrogen‑progestin for ≥5 years”
</row>
</datatable2>
 
*Explanation:* Long‑term combined estrogen‑progestin HRT was associated with ~9 extra breast cancer cases per 10,000 women over 5 years. 
- Source: WHI breast cancer risk data :contentReference[oaicite:2]{index=2}.
 
<RiskModel CancerRiskModel>
BaselineBreastRisk = baseline (not in table)
BreastRiskWithHRT = BaselineBreastRisk + ColumnExtraBreastCancerPer
Difference = BreastRiskWithHRT – BaselineBreastRisk
</RiskModel>
 
== Dementia Data ==
<datatable2 name="DementiaRiskTable">
<head>
ColumnOutcome | ColumnWithHRT | ColumnWithoutHRT
</head>
<row>
“Dementia (≥65 yrs, combined HT 4 yrs): 11 vs 9 per 1000”
</row>
</datatable2>
 
*Explanation:* Among women aged 65 and older, combined HRT for ~4 years raised dementia incidence from 9 to 11 per 1000 per year—i.e., ~2 additional cases per 1000 per year. 
- Source: WHI dementia outcomes :contentReference[oaicite:3]{index=3}.
 
<RiskModel DementiaRiskModel>
RiskWithoutHRT_Dementia = ColumnWithoutHRT
RiskWithHRT_Dementia = ColumnWithHRT
RiskDifference = RiskWithHRT_Dementia – RiskWithoutHRT_Dementia
</RiskModel>
 
== Uncertainty Note ==
Risks are based on population averages. Individual outcomes may vary depending on age, health status, type/formulation of HRT, and geographic or demographic factors.
 
Generated by an AI assistant.

Revision as of 00:11, 8 September 2025

Data for RiskOfNeverTakingHRTForMenopause

Fracture Data

<datatable2 name="FractureRiskTable"> <head> ColumnDuration | ColumnFractureWithHRT | ColumnFractureWithoutHRT </head> <row> 7.1 years—oestrogen-only | 92–113 per 1000 | 141 per 1000 </row> <row> 5.6 years—combined HRT | 79–96 per 1000 | 111 per 1000 </row> </datatable2>

  • Explanation:*

Long-term HRT—either estrogen-only or combined—was associated with lower fracture incidence compared to placebo. Estrogen-only: fracture incidence decreased from 141 to 92–113 per 1000 over ~7.1 years; combined HRT: from 111 to 79–96 per 1000 over ~5.6 years. - Source: [PubMed](https://pubmed.ncbi.nlm.nih.gov/28093732/?utm_source=chatgpt.com)

  RiskModel: RiskofNeverTakingHRT/Data:FractureRiskModel
    Content: 
FractureWithoutHRT = ColumnFractureWithoutHRT  
FractureWithHRT = ColumnFractureWithHRT  
FractureRiskReduction = FractureWithoutHRT - FractureWithHRT  

Cardiovascular, Stroke, and VTE Data

<datatable2 name="CardiovascularRiskTable"> <head> ColumnCondition | ColumnWithHRT | ColumnWithoutHRT </head> <row> Coronary heart disease | 157 per 10,000 | 132 per 10,000 </row> <row> Stroke | 44 per 10,000 | 32 per 10,000 </row> <row> Venous thromboembolism (VTE) | 34 per 10,000 | 16 per 10,000 </row> </datatable2>

  • Explanation:*

In WHI data, estrogen-progestin therapy was associated with small increases in cardiovascular events: CHD (25 more per 10,000), stroke (12 more), and VTE (18 more). - Source: [CMAJ](https://www.cmaj.ca/content/170/10/1535?utm_source=chatgpt.com)

<RiskModel name="CardiovascularRiskModel"> CHD_WithHRT = ColumnWithHRT[Coronary heart disease] CHD_WithoutHRT = ColumnWithoutHRT[Coronary heart disease] Stroke_Wi_