Evidence map›Paper›PMID 24011610›Full record

ArticleFertility and sterility2013

Ovulation-inducing drugs and ovarian cancer risk: results from an extended follow-up of a large United States infertility cohort.

Britton Trabert, Emmet J Lamb, Bert Scoccia, Kamran S Moghissi, Carolyn L Westhoff, Shelley Niwa, Louise A Brinton

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Fertility and sterility, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
8.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 75 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. Article
  7. Article
  8. Epidemiology and risk factors for ovarian cancer.Przeglad menopauzalny = Menopause review · 2023
    Review
  9. Article
  10. Review
  11. Review
  12. Assessment of Laser Biostimulation in Induction of Ovulation.Open access Macedonian journal of medical sciences · 2018
    Article
  13. Review
  14. Use of fertility medications and cancer risk: a review and update.Current opinion in obstetrics & gynecology · 2017
    Review
  15. Cancer Risk in Women Treated with Fertility Drugs According to Parity Status-A Registry-based Cohort Study.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2017
    Article
  16. Article
  17. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 7 institutions in 1 country.

Britton TrabertDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland. Electronic address: britton.trabert@nih.gov.
Emmet J Lamb
Bert Scoccia
Kamran S Moghissi
Carolyn L Westhoff
Shelley Niwa
Louise A Brinton
Columbia University · USDivision of Cancer Epidemiology and GeneticsNational Cancer Institute · USStanford University · USUniversity of Illinois Chicago · USWayne State University · USWestat (United States) · US

Funding

Therapeutic and Diagnostic Factors as Related to Cancer RiskZIACP010128 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI GIERACH, GRETCHEN · 2009 to 2025
$8.1M
Intramural NIH HHS ZIA CP010128
6 · The paper itself

Abstract

objectiveTo examine the relationship of ovulation-inducing drugs and ovarian cancer.

designRetrospective cohort study, with additional follow-up since initial report.

settingFive large reproductive endocrinology practices. PATIENT(S): In a retrospective cohort of 9,825 women evaluated for infertility at five clinical sites in the United States between 1965 and 1988 with follow-up through 2010, we examined the relationship of ovulation-inducing drugs and ovarian cancer (n = 85). INTERVENTION(S): None. MAIN OUTCOME MEASURE(S): Hazard rate ratios (RR) and 95% confidence intervals (CI) for ovarian cancer. RESULT(S): Among women evaluated for infertility, there was no association of ovarian cancer risk with ever use of clomiphene citrate (CC) (adjusted RR 1.34, 95% CI 0.86-2.07) or gonadotropins (RR 1.00, 95% CI 0.48-2.08) and no evidence that any of several more detailed subgroups of usage were related to an increased risk with one exception: women who used CC and remained nulligravid did demonstrate much higher risks than those who successfully conceived compared with nonusers (respectively, RR 3.63, 95% CI 1.36-9.72 vs. RR 0.88, 95% CI 0.47-1.63). CONCLUSION(S): Our overall results were reassuring and consistent with other studies. A reason for an association between CC use and ovarian cancer among persistently nulligravid women remains to be determined. Given the large and increasing number of women treated with ovulation-inducing drugs, the increased risk of ovarian cancer among the subset of women who remained nulligravid should be further monitored.

Indexed as

AdultCausalityClomipheneCohort StudiesComorbidityDrug-Related Side Effects and Adverse ReactionsFemaleFertility Agents, FemaleFollow-Up StudiesGonadotropinsHumansIncidenceInfertility, FemaleMiddle AgedOvarian NeoplasmsOvulation InductionClomipheneFertility Agents, FemaleGonadotropinsclomiphene citrategonadotropinsinfertilityOvarian cancerrisk

Identifiers

PMID24011610
PMCPMC3873340
OpenAlexW1995582002

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.