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Research

Higher risk of venous thrombosis associated with drospirenone-containing oral contraceptives: a population-based cohort study

Naomi Gronich, Idit Lavi and Gad Rennert
CMAJ December 13, 2011 183 (18) E1319-E1325; DOI: https://doi.org/10.1503/cmaj.110463
Naomi Gronich
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  • For correspondence: gronichn@clalit.org.il
Idit Lavi
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Gad Rennert
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    Figure 1:

    Time trends in the use of various combined oral contraceptives (COCs). In total, 5.0% of women in the study cohort used second-generation agents (4.1% norgestrel and 0.9% levonorgestrel), 73.4% used third-generation agents (22.7% desogestrel, 41.6% gestodene and 9.1% norgestimate), 3.6% used the low-dose gestodene-containing agent, 17.1% used a drospirenone-containing COC, and 0.9% used a COC containing chlormadinone acetate. All but one of the contraceptive agents contained 20–30 μg ethinylestradiol as the estrogenic component; the norgestimate-containing COC contained 35 μg ethinylestradiol.

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    Table 1:

    Characteristics of women included in the study cohort, by type of combined oral contraceptive used

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    Table 2:

    Risk factors associated with venous and arterial thrombotic events among users of combined oral contraceptives

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    Table 3:

    Multivariable analysis of risk of venous and arterial thrombotic events among users of drospirenone-containing combined oral contraceptives relative to users of third-generation combined oral contraceptives

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Canadian Medical Association Journal: 183 (18)
CMAJ
Vol. 183, Issue 18
13 Dec 2011
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Higher risk of venous thrombosis associated with drospirenone-containing oral contraceptives: a population-based cohort study
Naomi Gronich, Idit Lavi, Gad Rennert
CMAJ Dec 2011, 183 (18) E1319-E1325; DOI: 10.1503/cmaj.110463

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Higher risk of venous thrombosis associated with drospirenone-containing oral contraceptives: a population-based cohort study
Naomi Gronich, Idit Lavi, Gad Rennert
CMAJ Dec 2011, 183 (18) E1319-E1325; DOI: 10.1503/cmaj.110463
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  • Association between the reproductive health of young women and cardiovascular disease in later life: umbrella review
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  • Low dose oestrogen combined oral contraception and risk of pulmonary embolism, stroke, and myocardial infarction in five million French women: cohort study
  • Use of combined oral contraceptives and risk of venous thromboembolism: nested case-control studies using the QResearch and CPRD databases
  • Exposure to combined oral contraceptives and risk of venous thromboembolism: a protocol for nested case-control studies using the QResearch and the CPRD databases
  • Different combined oral contraceptives and the risk of venous thrombosis: systematic review and network meta-analysis
  • Combined hormonal contraceptives and the risk of venous and arterial thromboembolism and cardiovascular death: misuse of automated databases
  • Venous thrombosis in users of non-oral hormonal contraception: follow-up study, Denmark 2001-10
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