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Correspondence
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Volume 333:596-597 August 31, 1995 Number 9
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Adjuvant Chemotherapy in Breast Cancer

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To the Editor: Bonadonna et al. (April 6 issue)1 addressed the effect of drug-induced amenorrhea on the outcomes of 78 premenopausal patients treated with cyclophosphamide, methotrexate, and fluorouracil (CMF) (Table 2 of the article). In 50 patients who had drug-induced amenorrhea and in 28 patients who did not, the rates of 20-year relapse-free survival were 39 percent and 30 percent, respectively. The authors concluded that there was no significant difference in relapse-free survival between these two groups. We estimated the hazard ratio for relapse-free survival between women with drug-induced amenorrhea and those without it from 10 published studies. The hazard . . . [Full Text of this Article]

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