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Estrogen plus progestin may increase incidence of dementia
PRACTICE RECOMMENDATIONS

Estrogen plus progestin does not decrease— and may actually increase—the incidence of dementia, mild cognitive impairment, and cognitive dysfunction in elderly postmenopausal women. The effect of unopposed estrogen on these outcomes is still unknown. With these new findings and the recently reported results of the Women’s Health Initiative, for most women the benefits of estrogen plus progestin do not outweigh the risks.

 
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Practice Recommendations from Key Studies

Shumaker SA, Legault C, Rapp SR, et al. Estrogen plus progestin and the incidence of dementia and mild cognitive impairment in postmenopausal women. The Women’s Health Initiative Memory Study: a randomized controlled trial. JAMA 2003; 289:2651–2662.

Nicole S. Culhane, PharmD, BCPS
Wilkes University, Nesbitt School of Pharmacy, Wyoming Valley Family Practice Residency, Wilkes-Barre, Pa. sparano@wilkes.edu.

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The Journal of Family Practice - 52(10)
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747-769
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Practice Recommendations from Key Studies

Shumaker SA, Legault C, Rapp SR, et al. Estrogen plus progestin and the incidence of dementia and mild cognitive impairment in postmenopausal women. The Women’s Health Initiative Memory Study: a randomized controlled trial. JAMA 2003; 289:2651–2662.

Nicole S. Culhane, PharmD, BCPS
Wilkes University, Nesbitt School of Pharmacy, Wyoming Valley Family Practice Residency, Wilkes-Barre, Pa. sparano@wilkes.edu.

Author and Disclosure Information

Practice Recommendations from Key Studies

Shumaker SA, Legault C, Rapp SR, et al. Estrogen plus progestin and the incidence of dementia and mild cognitive impairment in postmenopausal women. The Women’s Health Initiative Memory Study: a randomized controlled trial. JAMA 2003; 289:2651–2662.

Nicole S. Culhane, PharmD, BCPS
Wilkes University, Nesbitt School of Pharmacy, Wyoming Valley Family Practice Residency, Wilkes-Barre, Pa. sparano@wilkes.edu.

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Article PDF
PRACTICE RECOMMENDATIONS

Estrogen plus progestin does not decrease— and may actually increase—the incidence of dementia, mild cognitive impairment, and cognitive dysfunction in elderly postmenopausal women. The effect of unopposed estrogen on these outcomes is still unknown. With these new findings and the recently reported results of the Women’s Health Initiative, for most women the benefits of estrogen plus progestin do not outweigh the risks.

 
PRACTICE RECOMMENDATIONS

Estrogen plus progestin does not decrease— and may actually increase—the incidence of dementia, mild cognitive impairment, and cognitive dysfunction in elderly postmenopausal women. The effect of unopposed estrogen on these outcomes is still unknown. With these new findings and the recently reported results of the Women’s Health Initiative, for most women the benefits of estrogen plus progestin do not outweigh the risks.

 
Issue
The Journal of Family Practice - 52(10)
Issue
The Journal of Family Practice - 52(10)
Page Number
747-769
Page Number
747-769
Publications
Publications
Topics
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Estrogen plus progestin may increase incidence of dementia
Display Headline
Estrogen plus progestin may increase incidence of dementia
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