Authors' reply to Marjoribanks and colleagues, Rossouw and colleagues, Schroll and Lundh, and McPherson
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The authors acknowledge performance and detection bias in open-label trials, particularly for mortality-driven endpoints, and note that no HRT trials in women with a uterus are fully blinded.
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Abstract
We are grateful for all of the interest in our paper1; more extensive answers are available at bmj.com (www.bmj.com/content/345/bmj.e6409/rr/612351).
Although randomisation is an important part of any trial, we acknowledge that performance and detection bias exist in open label trials,2 3 but these biases are less important when endpoints are driven by mortality. Furthermore, no trial of hormone replacement therapy (HRT)—including the Women’s Health Initiative—conducted in women with a uterus is completely blinded.4 5 …
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