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ARTICLE |

Facilitating Patient-Specific Decisions Regarding Hormone Replacement Therapy-Reply

Nananda F. Col, MD, MPP; Stephen G. Pauker, MD; Mark H. Eckman, MD; John B. Wong, MD
JAMA. 1997;278(6):476. doi:10.1001/jama.1997.03550060052028.
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In Reply.  —Dr Rozenberg and colleagues observed that Belgian gynecologists consider risk factors for osteoporosis, but not for CHD, when prescribing HRT. Similarly, recent surveys of US women found that CHD prevention was rarely cited as the reason for initiating HRT1 and that women with risk factors for CHD were no more likely to receive HRT than those without risk factors.2 In our study, we attempted neither to describe nor to explain current prescribing practices, but only to provide a means of quantifying the expected gains and loses from HRT for specific women and perhaps identify those women who could benefit most. Primarily, our model provides women and their physicians with information about the risks of osteoporosis, breast cancer, and cardiovascular disease for the individual and the effect of HRT on these risks.Dr Weiss questions whether the relative impact of HRT is constant among women with differing levels of

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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