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Table 3: Adverse Events in 4 Randomized Controlled Trials of Breast Cancer Chemoprevention

Outcomes Study No. of Events (n) Cumulative Rate/1,000 Women Relative Risk
(95% CI)
Placebo Treatment Pleacebo Treatment
Endometrial Cancer BCPT1 15 36 0.91 2.30 2.53(1.35-4.97)
    <50 y old 8 9 1.09 1.32 1.21(0.41-3.60)
    >50 y old 7 27 0.76 3.05 4.01(1.70-10.90)
RMH2 1 4 NA NA NA
MORE3 4 6 NA NA 0.8(0.2-2.7)
Stroke BCPT 24 38 0.92 1.45 1.59(0.93-2.77)
    <50 y old 4 3 0.39 0.30 0.76(0.11-4.49)
    >50 y old 20 35 1.26 2.20 1.75(0.98-3.20)
Italian4 0 5 NA NA NA
Pulmonary Embolism BCPT 6 18 0.23 0.69 3.01(1.15-9.27)
    <50 y old 1 2 0.10 0.20 2.03(0.11-119.62)
    >50 y old 5 16 0.31 1.00 3.19(1.12-11.15)
RMH 2 3 NA NA NA
Italian 1 1 NA NA NA
MORE 3 10 NA NA 3.1(1.5-6.2)5
Deep Vein Thrombosis BCPT 22 35 0.84 1.34 1.60(0.91-2.86)
    <50 y old 8 11 0.78 1.08 1.39(0.51-3.99)
    >50 y old 14 24 0.88 1.51 1.71(0.85-3.58)
RMH 2 4 NA NA NA
Italian 3 6 NA NA NA
MORE 5 18 NA NA 3.1(1.5-6.2)5

CI, Confidence Interval; NA, Data not available.
1BCPT, Breast Cancer Prevention Trial (20).
2RMH, Royal Marsden Hospital Tamoxifen Chemoprevention Trial (19).
3MORE, Multiple Outcomes of Raloxifene Evaluation (22).
4Italian, Italian Tamoxifen Prevention Study (21).
5Results reported for pulmonary embolism and deep vein thrombosis combined.

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