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. Author manuscript; available in PMC: 2023 Jan 1.
Published in final edited form as: Cancer J. 2022 May-Jun;28(3):208–223. doi: 10.1097/PPO.0000000000000591

Table 2.

Consistent Reduction in All-Cause Mortality in Women Initiating Hormone Replacement Therapy Before Age 60 years and/or Within 10 Years of Menopause Across Cumulated Data From Randomized Trials and Observational Studies

Studies Age; Time-Since-Menopause Therapy % Reduction (Risk Ratio; 95% Confidence Interval)
WHI-CEE (28) <60 y CEE alone ↓ 29% (0.71; 0.46–1.09)
WHI-CEE+MPA (28) <60 y CEE+MPA ↓ 33% (0.67; 0.43–1.04)
WHI-CEE/CEE+MPA Pooled Trials (28) <60 y CEE and CEE+MPA ↓ 31% (0.69; 0.51–0.94)
DOPS – 10-year follow-up (22) 50 y E2/E2+NE ↓ 43% (0.57; 0.30–1.08)
DOPS – 16-year follow-up (22) 50 y E2/E2+NE ↓ 34% (0.66; 0.41–1.08)
Salpeter meta-analysis, 2004 (24) 54 y HRT ↓ 39% (0.61; 0.39–0.95)
Salpeter meta-analysis, 2009 (29) 55 y HRT ↓ 27% (0.73; 0.52–0.96)
Cochrane meta-analysis (26) <60 y; <10 ysm HRT ↓ 30% (0.70; 0.52–0.95)
Observational studies (18,19) 30–55 y; <5 ysm HRT        ↓ 20–60%

CEE = conjugated equine estrogen alone; CEE+MPA = continuous combined conjugated equine estrogen plus medroxyprogesterone acetate; E2/E2+NE = estradiol with or without norethisterone acetate; HRT = hormone replacement therapy; y = years; ysm = years-sincemenopause