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. 2019 Apr 29;2019(4):CD012191. doi: 10.1002/14651858.CD012191.pub2

2. Adverse events: aromatase inhibitors versus placebo.

Goss 2011
Adverse event Exemestanea Placeboa RR (95% CI)
Non‐breast cancer 19.19 16.90 1.13 (0.71 to 1.81)
Cardiovascular events 47.32 49.3 0.96 (0.72 to 1.27)
Bone fracture 66.51 63.61 1.04 (0.82 to 1.33)
Hot flashes (grade 3–4) 29.91 19.12 1.56 (1.04 to 2.36)b
Arthritis (grade 3–4) 14.28 7.56 1.89 (1.01 to 3.63)b
Diarrhea (grade 3–4) 4.01 0.44 9.03 (1.24 to 395)b
Any (grade 3–4) 253.57 207.74 1.22 (1.06 to 1.40)b
Cuzick 2014
Adverse event Anastrozolea Placeboa RR (95% CI)
Endometrial cancer 1.56 2.57 0.61 (0.09 to 3.12)
Non‐breast cancer 20.83 36.01 0.58 (0.38 to 0.87)b
Other cardiovascularc 5.73 7.71 0.74 (0.31 to 1.73)
Thromboembolism 9.89 8.74 1.13 (0.59 to 2.17)
Bone fractures 85.41 76.64 1.11 (0.90 to 1.38)
Cataract 46.87 48.86 0.96 (0.72 to 1.27)
Hot flashes 567.71 494.34 1.15 (1.08 to 1.22)b
Arthritis 506.25 459.87 1.10 (1.03 to 1.18)b
Total deaths 9.37 8.74 1.07 (0.52 to 2.22)

aRates per 1000 participants of adverse events reported in two randomized controlled trials comparing two aromatase inhibitors (exemestane and anastrozole) with placebo.
 bStatistically significant difference.
 cMyocardial infarction, heart failure or cerebrovascular accident.
 CI: confidence interval; RR: risk ratio.