TY - JOUR T1 - HOrmone replacement therapy for secondary prevention of coronary heart disease AU - Pan CX, Boal J, et al Y1 - 1999/03/03 N1 - 10-1001/pubs.JAMA-ISSN-0098-7484-281-9-jbk0303 JO - JAMA SP - 794 EP - 797 VL - 281 IS - 9 N2 - Despite the appropriate randomization, blinding, and intention-to-treat analysis, we are concerned that, during the trial, subjects in the control and HRT groups were differently exposed to agents that could affect the primary study outcomes. For example, the authors noted that more women in the control group began treatment with lipid-lowering agents (primarily statins) during the trial, and they astutely adjusted for low-density lipoprotein levels during their analysis. However, since statin use over an average of 5 years decreases coronary events and coronary deaths in patients with CHD who have high and normal cholesterol levels,2- 4 this differential utilization could still bias the results toward not showing a difference between the 2 groups. SN - 0098-7484 M3 - doi: 10-1001/pubs.JAMA-ISSN-0098-7484-281-9-jbk0303 UR - http://dx.doi.org/10-1001/pubs.JAMA-ISSN-0098-7484-281-9-jbk0303 ER -