Evidence map›Paper›PMID 25242594›Full record

Trial reportInternational journal of cancer2015

Intrauterine devices and endometrial cancer risk: a pooled analysis of the Epidemiology of Endometrial Cancer Consortium.

Ashley S Felix, Mia M Gaudet, Carlo La Vecchia, Christina M Nagle, Xiao Ou Shu, Elisabete Weiderpass, Hans Olov Adami, Shirley Beresford, Leslie Bernstein, Chu Chen and 31 more

Open access · bronzeAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in International journal of cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

18 citing papers in PubMed, 63 citations in OpenAlex.

  1. Article
  2. Understanding risk factors for endometrial cancer in young women.Journal of the National Cancer Institute · 2025
    Article
  3. Article
  4. Epidemiological trends and risk factors of gynecological cancers: an update.Medical oncology (Northwood, London, England) · 2023
    Review
  5. Article
  6. Contraception During Perimenopause: Practical Guidance.International journal of women's health · 2022
    Review
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Article
  12. Contraception for AdolescentsJournal of clinical research in pediatric endocrinology · 2020
    Article
  13. Prevention Strategies in Endometrial Carcinoma.Current oncology reports · 2018
    Review
  14. Article
  15. Cancer Progress and Priorities: Uterine Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2018
    Article
  16. Addressing the Role of Obesity in Endometrial Cancer Risk, Prevention, and Treatment.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2016
    Review
  17. Review
  18. The risk of using intrauterine devices to benign reproductive system conditions in postmenopausal women: A case control study.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2016
    Article
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

41 authors at 20 institutions in 9 countries.

Ashley S FelixHormonal and Reproductive Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD; Cancer Prevention Fellowship Program, Division of Cancer Prevention, National Cancer Institute, Bethesda, MD.
Mia M Gaudet
Carlo La Vecchia
Christina M Nagle
Xiao Ou Shu
Elisabete Weiderpass
Hans Olov Adami
Shirley Beresford
Leslie Bernstein
Chu Chen
Linda S Cook
Immaculata De Vivo
Jennifer A Doherty
Christine M Friedenreich
Susan M Gapstur
Dierdre Hill
Pamela L Horn-Ross
James V Lacey
Fabio Levi
Xiaolin Liang
Lingeng Lu
Anthony Magliocco
Susan E McCann
Eva Negri
Sara H Olson
Julie R Palmer
Alpa V Patel
Stacey Petruzella
Jennifer Prescott
Harvey A Risch
Lynn Rosenberg
Mark E Sherman
Amanda B Spurdle
Penelope M Webb
Lauren A Wise
Yong-Bing Xiang
Wanghong Xu
Hannah P Yang
Herbert Yu
Anne Zeleniuch-Jacquotte
Louise A Brinton
Fred Hutch Cancer Center · USAmerican Cancer Society · USBoston University · USMemorial Sloan Kettering Cancer Center · USNational Cancer Institute · USQIMR Berghofer Medical Research Institute · AUHarvard University · USYale University · USAlberta Health Services · CABeckman Research InstituteBrigham and Women's Hospital · USCancer Prevention Institute of California · USCity of Hope · USDivision of Cancer Epidemiology and GeneticsFolkhälsans Forskningscentrum · FIFudan University · CNInstitute of Social and Preventive Medicine · CHMario Negri Institute for Pharmacological Research · ITMoffitt Cancer Center · USNew York University · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Hormone-Related CancersZIACP010126 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI GIERACH, GRETCHEN · 2009 to 2025
$103.5M
Yale Pathology Tissue Services Shared ResourceP30CA016359 · NCI · YALE UNIVERSITY · PI DAVID L RIMM · 1985 to 2026
$85.0M
Vaccine FacilityP30CA016087 · NCI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI ADRIANA HEGUY · 1985 to 2026
$83.1M
CALIFORNIA TEACHERS STUDYR01CA077398 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BERNSTEIN, LESLIE · 1998 to 2014
$29.7M
FOLLOW-UP STUDY FOR CAUSES OF ILLNESS IN BLACK WOMENR01CA058420 · NCI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI ROSENBERG, LYNN · 1999 to 2013
$20.7M
A Follow-up Study for Causes of Cancer in Black WomenUM1CA164974 · NCI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI ROSENBERG, LYNN · 2012 to 2017
$13.7M
Vitamin D, Related Genes and Breast Cancer RiskR01CA098661 · NCI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI ZELENIUCH-JAQUOTTE, ANNE · 2003 to 2013
$9.7M
Molecular Pathoepidemiology of Endometrial Cancer RiskR01CA082838 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI DE VIVO, IMMACULATA · 1999 to 2015
$4.3M
GENES AND THE ESTROGEN EFFECT ON ENDOMETRIAL CANCERR01CA091019 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI URSIN, GISKE · 2002 to 2006
$3.9M
The NYU Women's Health StudyUM1CA182934 · NCI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI ZELENIUCH-JAQUOTTE, ANNE · 2015 to 2019
$3.7M
Epidemiology of Ovarian Cancer:New HypothesesR01CA087538 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI ROSSING, MARY ANNE · 2002 to 2006
$3.5M
CIHRIntramural NIH HHS Z99 CA999999NCI NIH HHS CA 105212NCI NIH HHS K05 CA092002NCI NIH HHS K05 CA 92002NCI NIH HHS P01 CA87262NCI NIH HHS P30 CA008748NCI NIH HHS P30CA008748NCI NIH HHS P30 CA016087NCI NIH HHS R01 CA047749NCI NIH HHS R01 CA058420NCI NIH HHS R01 CA077398NCI NIH HHS R01 CA08121NCI NIH HHS R01 CA082838NCI NIH HHS R01 CA083918NCI NIH HHS R01 CA087538NCI NIH HHS R01 CA091019NCI NIH HHS R01 CA092585NCI NIH HHS R01 CA098346NCI NIH HHS R01 CA098661NCI NIH HHS R01 CA105212NCI NIH HHS R01 CA 47749NCI NIH HHS R01-CA58420NCI NIH HHS R01 CA 75977NCI NIH HHS R01CA77398NCI NIH HHS R01 CA83918NCI NIH HHS R01 CA87538NCI NIH HHS R01CA91019NCI NIH HHS R03 CA169888NCI NIH HHS R03-CA169888NCI NIH HHS R25 CA174664NCI NIH HHS R35 CA 39779NCI NIH HHS UM1 CA164974NCI NIH HHS UM1-CA164974NCI NIH HHS UM1 CA182934NICHD NIH HHS N01 HD023166NICHD NIH HHS N01 HD 2 3166
6 · The paper itself

Abstract

Intrauterine devices (IUDs), long-acting and reversible contraceptives, induce a number of immunological and biochemical changes in the uterine environment that could affect endometrial cancer (EC) risk. We addressed this relationship through a pooled analysis of data collected in the Epidemiology of Endometrial Cancer Consortium. We combined individual-level data from 4 cohort and 14 case-control studies, in total 8,801 EC cases and 15,357 controls. Using multivariable logistic regression, we estimated pooled odds ratios (pooled-ORs) and 95% confidence intervals (CIs) for EC risk associated with ever use, type of device, ages at first and last use, duration of use and time since last use, stratified by study and adjusted for confounders. Ever use of IUDs was inversely related to EC risk (pooled-OR = 0.81, 95% CI = 0.74-0.90). Compared with never use, reduced risk of EC was observed for inert IUDs (pooled-OR = 0.69, 95% CI = 0.58-0.82), older age at first use (≥ 35 years pooled-OR = 0.53, 95% CI = 0.43-0.67), older age at last use (≥ 45 years pooled-OR = 0.60, 95% CI = 0.50-0.72), longer duration of use (≥ 10 years pooled-OR = 0.61, 95% CI = 0.52-0.71) and recent use (within 1 year of study entry pooled-OR = 0.39, 95% CI = 0.30-0.49). Future studies are needed to assess the respective roles of detection biases and biologic effects related to foreign body responses in the endometrium, heavier bleeding (and increased clearance of carcinogenic cells) and localized hormonal changes.

Indexed as

AdultCase-Control StudiesCohort StudiesContraceptionEndometrial NeoplasmsFemaleFollow-Up StudiesHumansIntrauterine DevicesMeta-Analysis as TopicMiddle AgedPrognosisRisk FactorsUnited Statescontraceptionendometrial neoplasmetiologypooled analysis

Identifiers

PMID25242594
PMCPMC4267918
OpenAlexW2115755685

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.