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Infertility and incident endometrial cancer risk: A pooled analysis from the epidemiology of endometrial cancer consortium (E2C2)

Permanent lenke
https://hdl.handle.net/10037/24943
DOI
https://doi.org/10.1038/bjc.2015.24
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article.pdf (253.3Kb)
Publisert versjon (PDF)
Dato
2015-02-17
Type
Journal article
Tidsskriftartikkel
Peer reviewed

Forfatter
Yang, Hannah P.; Cook, Linda S.; Weiderpass, Elisabete; Adami, Hans Olov; Anderson, Kristin E.; Cai, Hui; Cerhan, James R.; Clendenen, Tess V.; Felix, Ashley Sinclair; Friedenreich, Christine Martha; García-Closas, Montserrat; Goodman, Mark T.; Liang, Xiaolin; Lissowska, Jolanta; Lu, Lichun; Magliocco, Anthony Martin; Mccann, Susan E.; Moysich, Kirsten Barbara; Olson, Sara H.; Petruzella, Stacey; Pike, Malcolm C.; Polidoro, Silvia; Ricceri, Fulvio; Risch, Harvey A.; Sacerdote, Carlotta; Setiawan, Veronica Wendy; Shu, Xiao-Ou; Spurdle, Amanda B.; Trabert, Britton L.; Webb, Penelope M.; Wentzensen, Nicolas; Xiang, Yong-Bing; Xu, Youming; Yu, Herbert; Zeleniuch-Jacquotte, Anne; Brinton, Louise Annette
Sammendrag
Background: Nulliparity is an endometrial cancer risk factor, but whether or not this association is due to infertility is unclear. Although there are many underlying infertility causes, few studies have assessed risk relations by specific causes.

Methods: We conducted a pooled analysis of 8153 cases and 11 713 controls from 2 cohort and 12 case-control studies. All studies provided selfreported infertility and its causes, except for one study that relied on data from national registries. Logistic regression was used to estimate adjusted odds ratios (OR) and 95% confidence intervals (CI).

Results: Nulliparous women had an elevated endometrial cancer risk compared with parous women, even after adjusting for infertility (OR ¼ 1.76; 95% CI: 1.59–1.94). Women who reported infertility had an increased risk compared with those without infertility concerns, even after adjusting for nulliparity (OR ¼ 1.22; 95% CI: 1.13–1.33). Among women who reported infertility, none of the individual infertility causes were substantially related to endometrial cancer.

Conclusions: Based on mainly self-reported infertility data that used study-specific definitions of infertility, nulliparity and infertility appeared to independently contribute to endometrial cancer risk. Understanding residual endometrial cancer risk related to infertility, its causes and its treatments may benefit from large studies involving detailed data on various infertility parameters.

Forlag
Springer Nature
Sitering
Yang HP, Cook LS, Weiderpass E, Adami HO, Anderson, Cai H, Cerhan JR, Clendenen, Felix, Friedenreich, García-Closas M, Goodman, Liang X, Lissowska J, Lu, Magliocco, Mccann, Moysich, Olson SH, Petruzella, Pike MC, Polidoro S, Ricceri F, Risch HA, Sacerdote C, Setiawan VW, Shu X, Spurdle AB, Trabert, Webb PM, Wentzensen N, Xiang Y, Xu, Yu H, Zeleniuch-Jacquotte A, Brinton LA. Infertility and incident endometrial cancer risk: A pooled analysis from the epidemiology of endometrial cancer consortium (E2C2). British Journal of Cancer. 2015;112(5):925-933
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  • Artikler, rapporter og annet (samfunnsmedisin) [1514]
Copyright 2015 The Author(s)

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