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Table 3 Risk of colon cancer associated with different categories of HRT formulation or administration.

From: Colon cancer risk and different HRT formulations: a case-control study

 

e-case/e-ctrl

Adj. OR (95% CI)

Route of administration

  

   ORAL

  

Ever

99/381

0.76 (0.54–1.08)

1–4 years

17/108

0.54 (0.30–1.00)

5–9 years

27/125

0.61 (0.36–1.04)

10+ years

38/103

1.14 (0.68–1.92)

   TRANSDERMAL

  

Ever

24/99

1.17 (0.63–2.16)

1–4 years

6/29

0.98 (0.34–2.86)

5–9 years

5/32

0.87 (0.30–2.51)

10+ years

10/27

2.16 (0.73–6.36)

   OTHER

  

Ever

11/48

0.96 (0.40–2.31)

1–4 years

1/11

n.d.

5–9 years

2/11

n.d.

10+ years

5/19

1.15 (0.30–4.35)

Form of combination

  

   SEQUENTIAL FORMULATIONS

  

Ever

46/191

0.80 (0.51–1.20)

1–4 years

5/49

0.47 (0.17–1.31)

5–9 years

14/66

0.66 (0.32–1.35)

10+ years

22/50

1.45 (0.70–3.04)

   CONTINUOUS-COMBINED

  

Ever

40/176

0.80 (0.50–1.29)

1–4 years

8/53

0.66 (0.26–1.66)

5–9 years

12/52

0.56 (0.25–1.20)

10+ years

9/47

0.65 (0.26–1.67)

   ANY COMBINATION

  

Ever

78/324

0.85 (0.59–1.21)

1–4 years

13/94

0.56 (0.28–1.12)

5–9 years

23/104

0.71 (0.40–1.24)

10+ years

28/83

1.21 (0.67–2.21)

CEE/MPA combinations

  

   CEE + MPA

  

Ever

3/27

n.d

1–4 years

0/9

n.d.

5–9 years

1/7

n.d.

10+ years

1/10

n.d.

   CEE or MPA

  

Ever

42/142

0.64 (0.38–1.10)

1–4 years

6/36

0.44 (0.16–1.20)

5–9 years

13/46

0.63 (0.26–1.52)

10+ years

20/45

1.10 (0.49–2.47)

   No CEE, no MPA

  

Ever

80/306

0.95 (0.66–1.37)

1–4 years

19/89

0.87 (0.48–1.59)

5–9 years

21/104

0.78 (0.44–1.38)

10+ years

21/73

1.11 (0.58–2.13)

Formulation content

  

ONLY – HRTS

  

   ESTROGEN ONLY

  

Ever

55/189

0.81 (0.51–1.28)

1–4 years

8/46

0.50 (0.20–1.24)

5–9 years

14/66

0.98 (0.47–2.06)

10+ years

25/60

1.07 (0.52–2.19)

   PROGESTAGEN ONLY

  

Ever

9/35

0.48 (0.17–1.37)

1–4 years

1/10

n.d.

5–9 years

2/9

n.d.

10+ years

6/12

0.57 (0.13–2.48)

Estrogen type

  

   ESTRADIOL (E2)

  

Ever

80/350

0.86 (0.60–1.22)

1–4 years

16/99

0.73 (0.39–1.36)

5–9 years

22/112

0.89 (0.52–1.54)

10+ years

28/92

1.10 (0.62–1.91)

   CONJUGATED EQUINE ESTROGENS (CEE)

  

Ever

40/141

0.70 (0.41–1.19)

1–4 years

5/35

0.44 (0.16–1.25)

5–9 years

12/47

0.61 (0.25–1.49)

10+ years

19/49

1.30 (0.57–2.73)

Progestin type

  

   NORETISTERONE ACETATE (NETA)

  

Ever

42/193

0.78 (0.48–1.25)

1–4 years

7/57

0.54 (0.20–1.44)

5–9 years

13/61

0.73 (0.35–1.53)

10+ years

14/49

0.90 (0.42–1.94)

   LNG

  

Ever

22/83

0.88 (0.46–1.68)

1–4 years

2/21

0.45 (0.10–2.08)

5–9 years

6/35

0.53 (0.19–1.49)

10+ years

9/19

1.64 (0.51–5.30)

   MEDROXYPROGESTERONE ACETATE (MPA)

  

Ever

8/55

0.42 (0.16–1.10)

1–4 years

1/19

n.d.

5–9 years

3/13

n.d.

10+ years

3/16

n.d.

   MEDROGESTONE

  

Ever

18/65

0.87 (0.43–1.73)

1–4 years

3/17

n.d.

5–9 years

4/23

n.d.

10+ years

10/19

1.81 (0.62–5.28)

   TIBOLONE

  

Ever

5/14

0.91 (0.26–3.23)

1–4 years

2/6

n.d.

5–9 years

0/3

n.d.

10+ years

3/4

n.d.

  1. The categories are not mutually exclusive – (see text). Ever use and three categories of duration of use in years are presented.
  2. Conditional logistic regression: Odds ratios (OR) and 95% confidence intervals (95% CI); adjusted for age and region. No OR was calculated if the frequency of exposed cases or controls was fewer than 5 women. The only index date shown in this table is 0.5 years.
  3. e-case/e-ctrl = number of exposed cases and controls, respectively