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Tubal ligation and risk of ovarian cancer subtypes : a pooled analysis of case-control studies.

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Titre :	Tubal ligation and risk of ovarian cancer subtypes : a pooled analysis of case-control studies. (2013)
Auteurs :	Weiva SIEH ; Elisa-V BANDERA ; Andrew BERCHUCK ; Jenny CHANG-CLAUDE ; Daniel-W CRAMER ; Jennifer-A DOHERTY ; Anna FELBERG ; Marc-T GOODMAN ; Estrid HOGDALL ; Allan JENSEN ; Susan-J JORDAN ; Lambertus-A KIEMENEY ; Melony-G KING ; Susanne-Kruger KJAER ; Galina LURIE ; Tamara MAREES ; Leon-F MASSUGER ; Valerie MCGUIRE ; Dianne MILLER ; Kirsten MOYSICH ; Roberta-B NESS ; Sara-H OLSON ; Rachel PALMIERI WEBER ; Celeste-Leigh PEARCE ; Malcolm-C PIKE ; Harvey RISCH ; Lorna RODRIGUEZ-RODRIGUEZ ; Mary-Anne ROSSING ; Anja RUDOLPH ; Shannon SALVADOR ; Joellen-M SCHILDKRAUT ; Kathryn-L TERRY ; Anne-M VAN ALTENA ; Penelope-M WEBB ; Alice-S WHITTEMORE ; Anna-H. Wu ; Cancer Institute of New Jersey. Umdnj-Robert Wood Johnson Medical School. New Brunswick. NJ. USA ; Department of Epidemiology. Biostatistics and Health Technology Assessment. Radboud University Nijmegen Medical Centre. Nijmegen. NLD ; Department of Gynecology. Radboud University Nijmegen Medical Centre. Nijmegen. NLD ; Department of Obstetrics and Gynecology. University of British Columbia. Vancouver. BC. CAN ; Department of Obstetrics. Gynecology and Reproductive Biology. Harvard Medical School. And Obstetrics and Gynecology Epidemiology Center. Brigham and Women's Hospital. Boston. MA. USA ; Ovarian Cancer Association Consortium. INC ; Population Health Department. Queensland Institute of Medical Research. Brisbane Queensland. AUS
Type de document :	Article
Dans :	International journal of epidemiology (vol. 42, n° 2, 2013)
Pagination :	579-589
Langues:	Anglais
Mots-clés :	Facteur risque ; Risque ; Cancer ; Enquête cas témoin ; Epidémiologie ; Stérilisation
Résumé :	[BDSP. Notice produite par INIST-CNRS m9p8R0x7. Diffusion soumise à autorisation]. Background Tubal ligation is a protective factor for ovarian cancer, but it is unknown whether this protection extends to all invasive histological subtypes or borderline tumors. We undertook an international collaborative study to examine the association between tubal ligation and ovarian cancer subtypes. Methods We pooled primary data from 13 population-based case-control studies, including 10 157 patients with ovarian cancer (7942 invasive ; 2215 borderline) and 13 904 control women. Invasive cases were analysed by histological type, grade and stage, and borderline cases were analysed by histological type. Pooled odds ratios were estimated using conditional logistic regression to match on site, race/ethnicity and age categories, and to adjust for age, oral contraceptive use duration and number of full-term births. Results Tubal ligation was associated with significantly reduced risks of invasive serous (OR, 0.81 ; 95% CI, 0.74-0.89 ; P<0.001), endometrioid (OR, 0.48 ; 95% CI, 0.40-0.59 ; P<0.001), clear cell (OR, 0.52 ; 95% CI, 0.40-0.67 ; P<0.001) and mucinous (OR, 0.68 ; 95% CI, 0.52-0.89 ; P=0.005) cancers.