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Oral Health Assessment by Lay Personnel for Older Adults

Oral Health Assessment by Lay Personnel for Older Adults

Published on: February 2, 2020

Mortalidad entre las usuarias de anticonceptivos orales. El Real Colegio de Médicos Generales del Estudio de

Lancet (London, England)

|October 8, 1977

Resumen

El uso de anticonceptivos orales aumenta significativamente la mortalidad por enfermedades circulatorias en las mujeres. El uso a largo plazo y otros factores como la edad y el tabaquismo elevan aún más estos riesgos, lo que afecta a las tasas generales de mortalidad.

Área de la Ciencia:

Epidemiología cardiovascular.
Investigación en salud reproductiva.
La vigilancia de la salud pública.

Sus antecedentes:

Los anticonceptivos orales (CO) son ampliamente utilizados por las mujeres en edad reproductiva.
Estudios previos sugirieron un vínculo potencial entre los OC y los eventos cardiovasculares.
Una comprensión completa del impacto de la OC en la mortalidad a largo plazo es crucial.

Objetivo del estudio:

Investigar la asociación entre el uso de anticonceptivos orales y la mortalidad por enfermedades circulatorias.
Para cuantificar el exceso de riesgo de mortalidad asociado con OCs.
Para identificar los factores que modifican este riesgo.

Principales métodos:

Se realizó un estudio de cohorte prospectivo a gran escala en el Reino Unido.
Los datos de mortalidad se compararon entre las mujeres que usaban anticonceptivos orales y las que nunca los usaban (controles).
El análisis consideró la duración del uso de OC, la edad y el estado de tabaquismo.

Principales resultados:

Las mujeres que usaban anticonceptivos orales tenían una tasa de mortalidad cinco veces mayor por enfermedades circulatorias en comparación con los controles.
El uso continuo durante más de 5 años aumentó este riesgo diez veces.
El exceso de muertes se atribuyó a diversas afecciones vasculares, y la mortalidad aumentó con la edad, el tabaquismo y la duración del uso.

Conclusiones:

El uso de anticonceptivos orales se asocia con un aumento sustancial en la mortalidad por enfermedades circulatorias.
El riesgo es dependiente de la dosis e influenciado por la edad y el tabaquismo.
Estos hallazgos resaltan la importancia de considerar los riesgos cardiovasculares en las mujeres que usan anticonceptivos orales.

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