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. 2008 May 20;336(7655):1227–1231. doi: 10.1136/bmj.39555.441944.BE

Table 4.

 Characteristics of included observational studies on hormone replacement therapy that reported venous thromboembolism

Reference Route of oestrogen administration Clinical end point Oestrogen type Definition for current users* No of exposed cases Adjusted risk ratio of venous thromboembolism (95% CI)
Boston CDSP 1974w21 Oral First episode of idiopathic venous thromboembolism Mainly conjugated equine oestrogen Not available 3 1.9 (1.4 to 7.8)
Daly 1996w1 Oral; transdermal First episode of idiopathic venous thromboembolism Estradiol (or estradiol valerate) or conjugated equine oestrogen; estradiol or estradiol valerate <1 37; 5 4.6 (2.1 to 10.1); 2.0 (0.5 to 7.6)
Jick 1996w3 Oral First episode of idiopathic venous thromboembolism Conjugated equine oestrogen or esterified oestrogen <6 21 3.6 (1.6 to 7.8)
Nurses’ health study 1996w4 Oral First episode of pulmonary embolism Mainly conjugated equine oestrogen Not available 68 2.1 (1.2 to 3.8)
Perez-Gutthann 1997w5 Oral; transdermal First episode of idiopathic venous thromboembolism Estradiol (or estradiol valerate) or conjugated equine oestrogen; estradiol or estradiol valerate <6 20; 7 2.1 (1.3 to 3.6); 2.1 (0.9 to 4.6)
Smith 2004w9 Oral First episode of venous thromboembolism Conjugated equine oestrogen; esterified oestrogen Not available 121; 86 1.7 (1.2 to 2.2); 0.9 (0.7 to 1.2)
Douketis 2005w10 Oral; transdermal First episode of idiopathic venous thromboembolism Not available; not available <1 36; 3 1.9 (1.2 to 3.2); 0.8 (0.3 to 2.8)
ESTHER 2007w11 Oral; transdermal First episode of idiopathic venous thromboembolism Estradiol (or estradiol valerate) or conjugated equine oestrogen; estradiol or estradiol valerate <3 57; 67 4.5 (2.6 to 7.5); 1.1 (0.8 to 1.7)

*Duration (months) between oestrogen use and venous thromboembolism.