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IJE Advance Access originally published online on July 17, 2006
International Journal of Epidemiology 2006 35(4):814-816; doi:10.1093/ije/dyl133
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Published by Oxford University Press on behalf of the International Epidemiological Association © The Author 2006; all rights reserved.

Editorial

The women's health initiative—curse or blessing?

Karin B Michels1,2,*

1 Obstetrics and Gynecology Epidemiology Center, Department of Obstetrics, Gynecology and Reproductive Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
2 Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA

* Correspondence to: Obstetrics and Gynecology Epidemiology Center, Brigham and Women's Hospital, Harvard Medical School, 221 Longwood Avenue, Boston, MA 02115, USA. E-mail: kmichels@rics.bwh.harvard.edu

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Some 15 years ago, 3 weeks into her tenure as the first female director of the National Institutes of Health, Bernadine Healy, MD, announced to Congress plans for a new and ‘holistic’ study: the Women's Health Initiative (WHI). Hopes were high for the ambitious project. The largest randomized controlled trial (RCT) in history, costing the government an estimated $700 million, was expected to provide definitive answers to three key questions in women's health: (i) whether hormone replacement therapy (HRT) reduces the risk of heart disease, (ii) whether a high fat consumption increases the incidence of breast cancer, and (iii) whether calcium and vitamin D supplements prevent fractures.

The main results for all three trial arms have now been released.1–4 The outcome of the mega-trial including more than 50 000 postmenopausal women randomized to one, two, or three of the factorial trials has left consumers confused and timid and doctors puzzled. . . . [Full Text of this Article]


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