Table 3.
The relation of ever use of menopausal hormone therapy to endometrial cancer tumour grade in postmenopausal women.
TUMOR GRADE^ |
||||
---|---|---|---|---|
Unadjusted OR (95% CI)∫ | Adjusted OR (95% CI)∫▲ | |||
Use of MHT| | 2 | 3 | 2 | 3 |
Any form of MHT¶ | ||||
No | ||||
Yes | 0.72 (0.49–1.05) | 0.48 (0.28–0.82) | 0.82 (0.47–1.45) | 0.52 (0.23–1.20) |
Any form of oestrogens¶†∞ | ||||
No | ||||
Yes | 0.76 (0.52–1.13) | 0.56 (0.33–0.96) | 0.74 (0.42–1.32) | 0.59 (0.27–1.31) |
Oestrogens and Progestins¶∞‡∫Ω | ||||
No | ||||
Yes | 0.89 (0.56–1.40) | 0.57 (0.29–1.12) | 0.89 (0.50–1.57) | 0.55 (0.22–1.33) |
Oestrogens with cyclic progestins¶∞∫Ω | ||||
No | ||||
Yes | 0.78 (0.47–1.28) | 0.41 (0.18–0.91) | 0.64 (0.34–1.18) | 0.23 (0.07–0.73) |
Low potency vaginal Oestrogens§ | ||||
No | ||||
Yes | 1.00 (0.60–1.65) | 1.18 (0.63–2.22) | 0.91 (0.50–1.64) | 1.00 (0.48–2.07) |
Low potency oral oestrogens~ | ||||
No | ||||
Yes | 0.82 (0.54–1.26) | 0.58 (0.32–1.05) | 0.74 (0.45–1.20) | 0.44 (0.21–0.91) |
Endometrioid carcinoma grades1–3 correspond to histological differentiation: well, moderate, and poor, respectively
Ever use of menopausal hormone therapies are not mutually exclusive
OR: odds ratio; CI: confidence interval; reference group: grade 1 endometrioid carcinoma and never users of each type of MHT
All MHT exposure models adjusted for age at diagnosis, parity, age at natural menopause, body mass index, use of oral contraceptives, age at last birth, and smoking; with additional adjustments for the following models:
Any form of MHT - duration of use of oestrogens only, duration of use of progestins only, and duration of use of low potency oral oestrogens
Any form of oestrogens - duration of use of oestrogens and progestins (cyclic and/or continuous), duration of use of progestins only, and duration of use of low potency oral oestrogens
Oestrogens and Progestins (cyclic and continuous) - duration of use of oestrogens only, duration of use of progestins only, duration of use of low potency oral oestrogens; and for the analyses of cyclic addition of progestins also adjusted for duration of use of continuous use of progestins, and vice versa
Low potency vaginal and oral oestrogens - duration of use of oestrogens only, duration of use of progestins only, and duration of use of oestrogens and progestins (cyclic and/or continuous)
Medium potency MHT
Ever use of oestrogens with or without progestins
Conjugated oestrogens; oestradiol; or other synthetic
Use of oestrogens and progestins, cyclic and/or continuous
Cyclic progestins: added to oestrogens for less than 16 days/cycle, mostly for 10–14 days; continuous progestins: added to oestrogens for 19 or more days per cycle, mostly daily
Progesterone-like progestins (17-hydroxy-progesterone derivatives); or testosterone-like progestins (19-nor-testosterone derivatives)
Oestriol 0.5 mg; dienoestrol 0.5 mg; oestradiol 0.25 μg. Daily applications during initial 2–3 weeks of treatment, followed by applications twice per week
1–2 mg daily