The HRT misuse and osteoporosis epidemic: a possible future scenario

被引:22
作者
Gambacciani, M. [1 ]
Ciaponi, M. [1 ]
Genazzani, A. R. [1 ]
机构
[1] Univ Pisa, Dept Obstet & Gynecol, I-56100 Pisa, Italy
关键词
hormone replacement therapy; osteoporosis;
D O I
10.1080/13697130701511277
中图分类号
R71 [妇产科学];
学科分类号
100211 [妇产科学];
摘要
Recent controversies with hormone replacement therapy (HRT) have caused much concern in women and their health-care providers. As a result, the number of HRT users in the USA has fallen dramatically. Consequently, the potential HRT-induced reduction in fracture risk is lost so that, in the next few years, we can expect an excess of 43 008 fractures per year in women aged 65-69 years. In addition, the recent evidence on the merits of early initiation of HRT on cardiovascular disease risk and neurocognitive function and the effect of type and combination of hormones on breast cancer risk now require an urgent review by the regulatory authorities of their recommendations about HRT.
引用
收藏
页码:273 / 275
页数:3
相关论文
共 25 条
[1]
Effects of conjugated, equine estrogen in postmenopausal women with hysterectomy - The women's health initiative randomized controlled trial [J].
Anderson, GL ;
Limacher, M ;
Assaf, AR ;
Bassford, T ;
Beresford, SAA ;
Black, H ;
Bonds, D ;
Brunner, R ;
Brzyski, R ;
Caan, B ;
Chlebowski, R ;
Curb, D ;
Gass, M ;
Hays, J ;
Heiss, G ;
Hendrix, S ;
Howard, BV ;
Hsia, J ;
Hubbell, A ;
Jackson, R ;
Johnson, KC ;
Judd, H ;
Kotchen, JM ;
Kuller, L ;
LaCroix, AZ ;
Lane, D ;
Langer, RD ;
Lasser, N ;
Lewis, CE ;
Manson, J ;
Margolis, K ;
Ockene, J ;
O'Sullivan, MJ ;
Phillips, L ;
Prentice, RL ;
Ritenbaugh, C ;
Robbins, J ;
Rossouw, JE ;
Sarto, G ;
Stefanick, ML ;
Van Horn, L ;
Wactawski-Wende, J ;
Wallace, R ;
Wassertheil-Smoller, S .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2004, 291 (14) :1701-1712
[2]
Early postmenopausal hormone therapy may prevent cognitive impairment later in life [J].
Bagger, YZ ;
Tankó, LB ;
Alexandersen, P ;
Qin, GR ;
Christiansen, C .
MENOPAUSE-THE JOURNAL OF THE NORTH AMERICAN MENOPAUSE SOCIETY, 2005, 12 (01) :12-17
[3]
Two to three years of hormone replacement treatment in healthy women have long-term preventive effects on bone mass and osteoporotic fractures:: the PERF study [J].
Bagger, YZ ;
Tankó, LB ;
Alexandersen, P ;
Hansen, HB ;
Mollgaard, A ;
Ravn, P ;
Qvist, P ;
Kanis, JA ;
Christiansen, C .
BONE, 2004, 34 (04) :728-735
[4]
Beral Valerie, 2003, Lancet, V362, P419, DOI 10.1016/S0140-6736(03)14065-2
[5]
Effects of estrogen plus progestin on risk of fracture and bone mineral density - The Women's Health Initiative randomized trial [J].
Cauley, JA ;
Robbins, J ;
Chen, Z ;
Cummings, SR ;
Jackson, RD ;
LaCroix, AZ ;
LeBoff, M ;
Lewis, CE ;
McGowan, J ;
Neuner, J ;
Pettinger, M ;
Stefanick, ML ;
Wactawski-Wende, J ;
Watts, NB .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2003, 290 (13) :1729-1738
[6]
*CDC NCHS, 2001, NHANES 3 HRT FACT AS
[7]
Effect of alendronate on risk of fracture in women with low bone density but without vertebral fractures - Results from the fracture intervention trial [J].
Cummings, SR ;
Black, DM ;
Thompson, DE ;
Applegate, WB ;
Barrett-Connor, E ;
Musliner, TA ;
Palermo, L ;
Prineas, R ;
Rubin, SM ;
Scott, JC ;
Vogt, T ;
Wallace, R ;
Yates, AJ ;
LaCroix, AZ .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1998, 280 (24) :2077-2082
[8]
Effects of ultralow-dose transdermal estradiol on bone mineral density: A randomized clinical trial [J].
Ettinger, B ;
Ensrud, KE ;
Wallace, R ;
Johnson, KC ;
Cummings, SR ;
Yankov, V ;
Vittinghoff, E ;
Grady, D .
OBSTETRICS AND GYNECOLOGY, 2004, 104 (03) :443-451
[9]
Reduction of vertebral fracture risk in postmenopausal women with osteoporosis treated with raloxifene -: Results from a 3-year randomized clinical trial [J].
Ettinger, B ;
Black, DM ;
Mitlak, BH ;
Knickerbocker, RK ;
Nickelsen, T ;
Genant, HK ;
Christiansen, C ;
Delmas, PD ;
Zanchetta, JR ;
Stakkestad, J ;
Glüer, CC ;
Krueger, K ;
Cohen, FJ ;
Eckert, S ;
Ensrud, KE ;
Avioli, LV ;
Lips, P ;
Cummings, SR .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1999, 282 (07) :637-645
[10]
The Xmas present for women's health: a strike to osteoporosis prevention [J].
Gambacciani, M ;
Genazzani, AR .
MATURITAS, 2004, 48 (01) :9-11