Title |
Benign gynecologic conditions are associated with ovarian cancer risk in African-American women: a case–control study
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Published in |
Cancer Causes & Control, September 2018
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DOI | 10.1007/s10552-018-1082-4 |
Pubmed ID | |
Authors |
Hyo K. Park, Joellen M. Schildkraut, Anthony J. Alberg, Elisa V. Bandera, Jill S. Barnholtz-Sloan, Melissa Bondy, Sydnee Crankshaw, Ellen Funkhouser, Patricia G. Moorman, Edward S. Peters, Paul Terry, Frances Wang, Julie J. Ruterbusch, Ann G. Schwartz, Michele L. Cote |
Abstract |
The association between common benign gynecologic conditions and ovarian cancer remains under-studied in African Americans. Therefore, we examine the association between self-reported history of benign gynecologic conditions and epithelial ovarian cancer risk in African-American women. Data from a large population-based, multi-center case-control study of epithelial ovarian cancer in African-American women were analyzed to estimate the association between self-reported history of endometriosis, pelvic inflammatory disease (PID), fibroid, and ovarian cyst with epithelial ovarian cancer. Logistic regression was used to calculate odds ratios (OR) and 95% confidence intervals (CI) for the associations between individual and composite gynecologic conditions and ovarian cancer. 600 cases and 752 controls enrolled in the African American Cancer Epidemiology Study between 1 December 2010 and 31 December 2015 comprised the study population. After adjusting for potential confounders, a history of endometriosis was associated with ovarian cancer (OR 1.78; 95% CI 1.09-2.90). A non-significant association of similar magnitude was observed with PID (OR 1.33; 95% CI 0.82-2.16), while no association was observed in women with a history of fibroid or ovarian cyst. A positive trend was observed for an increasing number of reported gynecologic conditions (p = 0.006) with consistency across histologic subtypes and among both oral contraceptive users and non-users. A self-reported history of endometriosis among African-American women was associated with increased risk of ovarian cancer. Having multiple benign gynecologic conditions also increased ovarian cancer risk. |
X Demographics
Geographical breakdown
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Unknown | 2 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 2 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 33 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Researcher | 6 | 18% |
Student > Master | 4 | 12% |
Student > Doctoral Student | 4 | 12% |
Student > Bachelor | 2 | 6% |
Other | 2 | 6% |
Other | 5 | 15% |
Unknown | 10 | 30% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 10 | 30% |
Nursing and Health Professions | 3 | 9% |
Biochemistry, Genetics and Molecular Biology | 2 | 6% |
Unspecified | 2 | 6% |
Social Sciences | 2 | 6% |
Other | 2 | 6% |
Unknown | 12 | 36% |