Colon cancer risk and different HRT formulations: a case-control study
2007

Colon Cancer Risk and Hormone Replacement Therapy

Sample size: 1776 publication Evidence: moderate

Author Information

Author(s): Jürgen C. Dinger, Lothar A. J. Heinemann, Sabine Möhner, Do Minh Thai, Anita Assmann

Primary Institution: Centre for Epidemiology & Health Research Berlin

Hypothesis

What is the risk of colon cancer associated with different hormone replacement therapy (HRT) formulations?

Conclusion

Ever-use of HRT was not associated with an increased risk of colon cancer, and most risk estimates pointed toward a lower risk in HRT users.

Supporting Evidence

  • The study included 354 cases of colon cancer and 1422 matched controls.
  • The adjusted overall risk estimate for colon cancer associated with ever-use of HRT was 0.97.
  • No substantial difference in colon cancer risk was observed between different HRT formulations.

Takeaway

This study looked at whether using hormone replacement therapy makes women more likely to get colon cancer. It found that using HRT doesn't seem to increase the risk.

Methodology

A case-control study was performed with 354 colon cancer cases and 1422 matched controls, using conditional logistic regression analysis.

Potential Biases

Potential sources of bias include differential surveillance, self-selection, recall bias, and diagnostic suspicion bias.

Limitations

Small numbers in many sub-analyses limited the ability to detect significant differences in colon cancer risk according to different hormone preparations.

Participant Demographics

Women diagnosed with colon cancer between 2000 and 2004, matched with controls based on age and residency.

Statistical Information

Confidence Interval

0.71 to 1.32

Digital Object Identifier (DOI)

10.1186/1471-2407-7-76

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