Table 4.
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.