Table 2:
Risk of acute pancreatitis associated with use of postmenopausal HRT (1997–2010)
HRT | No. of women | No. of cases/person-years | Age-adjusted RR (95% CI) | Multivariable RR (95% CI)* |
---|---|---|---|---|
Never users | 14 721 | 98/178 430 | 1.00 (ref) | 1.00 (ref) |
Ever users | 16 773 | 139/211 026 | 1.41 (1.08–1.83) | 1.57 (1.20–2.05) |
Current use | ||||
No | 3 660 | 36/45 144 | 1.49 (1.01–2.18) | 1.58 (1.07–2.32) |
Yes | 13 113 | 103/165 882 | 1.38 (1.04–1.83) | 1.56 (1.17–2.09) |
Duration of use, yr† | ||||
< 5 | 5 937 | 46/75 238 | 1.45 (1.01–2.07) | 1.59 (1.10–2.29) |
5–10 | 3 463 | 32/43 797 | 1.53 (1.02–2.29) | 1.73 (1.14–2.61) |
>10 | 1 372 | 17/16 648 | 1.62 (0.97–2.71) | 1.87 (1.11–3.17) |
Type of therapy used‡ | ||||
Local | 4 307 | 38/53 099 | 1.21 (0.83–1.76) | 1.37 (0.94–2.00) |
Systemic | 9 115 | 75/116 419 | 1.66 (1.21–2.28) | 1.92 (1.38–2.66) |
Note: CI = confidence interval, HRT = hormone replacement therapy, ref = reference group, RR = relative risk.
Derived from a Cox proportional hazards model with age as time scale and with adjustment for age at menopause (< 51 or ≥ 51 yr), education (less than high school, high school or university), smoking status (never, past [as < 10 or ≥ 10 pack-years] or current [as < 20 or ≥ 20 pack-years]), body mass index (< 25, 25–29 or ≥ 30), alcohol intake (quartiles [g/d]) and vegetable consumption (quartiles [servings/d]).
Sum of categories is less than the total of 16 773 women who were ever users because data on duration of use were missing for 6001 women (including 44 cases).
Categories refer to women who were exposed exclusively to either systemic therapy or local therapy. In addition, 3351 women (including 26 cases) reported having ever used both types of therapy.