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Researchers Examining the Impact of Hormone Replacement Therapy (HRT) on the Risk

Question 43

Multiple Choice

Researchers examining the impact of hormone replacement therapy (HRT) on the risk of myocardial infarction (MI) in postmenopausal women estimated the relative risk (RR) of MI to be 1.30 (p = 0.07) in women who use HRT vs those who do not. According to the researchers, there is no statistically significant increased risk of MI with HRT (based on a threshold of = 0.05) . Following that, the findings of a meta-analysis show that postmenopausal women who use HRT had an elevated risk of MI, with an overall RR = 1.32 (p = 0.03) compared to those who do not. In the first study, which of the following was the most likely problem?


A) Berkson's bias
B) Placebo effect
C) Poor blinding
D) Researcher expectancy
E) Sample size

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