Breast cancer with different prognostic characteristics developing in Danish women using hormone replacement therapy
2004

Breast Cancer and Hormone Replacement Therapy in Danish Women

Sample size: 10874 publication 10 minutes Evidence: moderate

Author Information

Author(s): Stahlberg C, Pedersen A T, Andersen Z J, Keiding N, Hundrup Y A, Obel E B, Møller S, Rank F, Ottesen B, Lynge E

Primary Institution: University of Copenhagen, Denmark

Hypothesis

Does the current use of different hormone replacement therapy (HRT) types and regimens influence the risk of developing breast cancers with various prognostic characteristics?

Conclusion

Current use of hormone replacement therapy increases the risk of being diagnosed with both favorable and unfavorable breast cancers.

Supporting Evidence

  • 25.1% of women in the cohort were current users of HRT.
  • 244 women developed invasive breast cancer during the observation period.
  • Current HRT users had a multivariate relative risk of 2.49 for invasive ductal carcinoma compared to never users.

Takeaway

Women using hormone replacement therapy have a higher chance of getting breast cancer, but the type of cancer can vary.

Methodology

The study analyzed data from the Danish nurse cohort, focusing on breast cancer cases among postmenopausal women and their HRT usage.

Potential Biases

Potential detection bias due to increased surveillance in HRT users.

Limitations

The study may have biases related to detection and surveillance, and it lacks updated exposure information over time.

Participant Demographics

Natural postmenopausal women, primarily Danish nurses.

Statistical Information

P-Value

0.013

Confidence Interval

1.76–3.51

Statistical Significance

p=0.013

Digital Object Identifier (DOI)

10.1038/sj.bjc.6601996

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