Evidence map›Paper›PMID 27054934›Full record

ArticleObstetrics and gynecology2016

Association Between Menopausal Estrogen-Only Therapy and Ovarian Carcinoma Risk.

Alice W Lee, Roberta B Ness, Lynda D Roman, Kathryn L Terry, Joellen M Schildkraut, Jenny Chang-Claude, Jennifer A Doherty, Usha Menon, Daniel W Cramer, Simon A Gayther and 23 more

Abstract read
In one paragraph

Article in Obstetrics and gynecology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

37 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  14. Epidemiology and risk factors for ovarian cancer.Przeglad menopauzalny = Menopause review · 2023
    Review
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  18. Proliferation of the Fallopian Tube Fimbriae and Cortical Inclusion Cysts: Effects of the Menstrual Cycle and the Levonorgestrel Intrauterine Contraceptive System.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2022
    Article
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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

33 authors.

Alice W LeeDepartments of Preventive Medicine and Obstetrics and Gynecology, Keck School of Medicine, University of Southern California, Los Angeles, California; the University of Texas School of Public Health, Houston, Texas; the Obstetrics and Gynecology Epidemiology Center, Brigham and Women's Hospital, and the Harvard T. H. Chan School of Public Health, Boston, Massachusetts; the Department of Public Health Sciences, the University of Virginia, Charlottesville, Virginia; the Division of Cancer Epidemiology, German Cancer Research Center, Heidelberg, and the University Cancer Center Hamburg, University Medical Center Hamburg-Eppendorf, Hamburg, Germany; the Department of Epidemiology, the Geisel School of Medicine at Dartmouth, Hanover, New Hampshire; Women's Cancer, Institute for Women's Health, University College London, London, United Kingdom; the Center for Cancer Prevention and Translational Genomics and Cancer Prevention and Control, Samuel Oschin Comprehensive Cancer Institute, the Department of Biomedical Sciences, and the Community and Population Health Research Institute, Department of Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, California; the Department of Chronic Disease Epidemiology, Yale University School of Public Health, New Haven, Connecticut; the Department of Obstetrics, Gynecology, and Reproductive Sciences, Division of Gynecologic Oncology, University of Pittsburgh School of Medicine, the Department of Epidemiology, University of Pittsburgh Graduate School of Public Health, and the Women's Cancer Research Program, Magee-Womens Research Institute and University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania; the Department of Cancer Prevention and Control, Roswell Park Cancer Institute, Buffalo, New York; the Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, North Carolina; the Department of Epidemiology, University of Washington, and the Program in Epidemiology, Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, Washington; the Department of Virus, Lifestyle and Genes, Danish Cancer Society Research Center, and the Molecular Unit, Department of Pathology, Herley Hospital, and the Department of Gynecology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark; the Cancer Epidemiology Program, University of Hawaii Cancer Center, and the Department of Obstetrics and Gynecology, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii; the Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York; and the Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, Michigan.
Roberta B Ness
Lynda D Roman
Kathryn L Terry
Joellen M Schildkraut
Jenny Chang-Claude
Jennifer A Doherty
Usha Menon
Daniel W Cramer
Simon A Gayther
Harvey Risch
Aleksandra Gentry-Maharaj
Marc T Goodman
Francesmary Modugno
Ursula Eilber
Kirsten B Moysich
Andrew Berchuck
Mary Anne Rossing
Allan Jensen
Kristine G Wicklund
Kara L Cushing-Haugen
Estrid Hogdall
Anja Rudolph
Pamela J Thompson
Lynne R Wilkens
Susanne K Kjaer
Michael E Carney
Daniel O Stram
Susan J Ramus
Anna H Wu
Malcolm C Pike
Celeste Leigh Pearce
Ovarian Cancer Association Consortium

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Elisa de Stanchina · 1985 to 2026
$347.4M
USC/NORRIS COMPREHENSIVE CANCER CENTER (CORE) SUPPORTP30CA014089 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Saul Priceman · 1985 to 2026
$181.4M
XenograftP30CA046592 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Scott Michael Schuetze · 1988 to 2026
$178.2M
University of Hawaii Cancer Center CCSGP30CA071789 · NCI · UNIVERSITY OF HAWAII AT MANOA · PI Xin Chen · 1996 to 2026
$56.2M
WITHIN SUBJ VARIABILITY IN MEASUREMENTS DRUG METABOL ENZYMES IN HLTY SUBJM01RR000056 · NCRR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LEVINE, ARTHUR S · 1985 to 2006
$29.2M
RPCI-UPCI Ovarian Cancer SPOREP50CA159981 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI MOYSICH, KIRSTEN B., ODUNSI, KUNLE · 2013 to 2025
$19.6M
USC CANCER EPIDEMIOLOGY &BIOSTATISTICS UNITP01CA017054 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI DEAPEN, DENNIS M. · 1985 to 2009
$18.2M
Novel Serum, Plasma, and Urine Biomarkers of Ovarian CanP50CA105009 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI CRAMER, DANIEL WILLIAM · 2004 to 2010
$13.3M
The Molecular Epidemiology Of Ovarian CancerR01CA076016 · NCI · DUKE UNIVERSITY · PI SCHILDKRAUT, JOELLEN M. · 1998 to 2010
$6.2M
OVARIAN CANCER RISK AND HYPERGONADOTROPIC HYPOGONADISMR01CA054419 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI CRAMER, DANIEL WILLIAM · 1992 to 2007
$5.9M
Training Grant in Genomic Analysis and InterpretationT32ES013678 · NIEHS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI GAUDERMAN, WILLIAM JAMES, MCCONNELL, ROB S · 2006 to 2023
$5.6M
COLLABORATIVE STUDY OF OVARIAN CANCER IN TWO RISK GROUPSR01CA058598 · NCI · UNIVERSITY OF HAWAII AT MANOA · PI GOODMAN, MARC T · 1993 to 2012
$4.6M
NCI NIH HHS K07 CA080668NCI NIH HHS N01 PC067010NCI NIH HHS P01 CA017054NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA014089NCI NIH HHS P30 CA046592NCI NIH HHS P30 CA071789NCI NIH HHS P50 CA105009NCI NIH HHS P50 CA159981NCI NIH HHS R01 CA054419NCI NIH HHS R01 CA058598NCI NIH HHS R01 CA074850NCI NIH HHS R01 CA076016NCI NIH HHS R01 CA080742NCI NIH HHS R01 CA087538NCI NIH HHS R01 CA095023NCI NIH HHS R01 CA112523NCI NIH HHS R01 CA126841NCI NIH HHS R01 CA136891NCI NIH HHS R01 CA141154NCI NIH HHS R03 CA113148NCI NIH HHS R03 CA115195NCRR NIH HHS M01 RR000056NIA NIH HHS R01 AG061132NIEHS NIH HHS T32 ES013678
6 · The paper itself

Abstract

objectiveTo describe the association between postmenopausal estrogen-only therapy use and risk of ovarian carcinoma, specifically with regard to disease histotype and duration and timing of use.

methodsWe conducted a pooled analysis of 906 women with ovarian carcinoma and 1,220 women in a control group; all 2,126 women included reported having had a hysterectomy. Ten population-based case-control studies participating in the Ovarian Cancer Association Consortium, an international consortium whose goal is to combine data from many studies with similar methods so reliable assessments of risk factors can be determined, were included. Self-reported questionnaire data from each study were harmonized and conditional logistic regression was used to examine estrogen-only therapy's histotype-specific and duration and recency of use associations.

resultsForty-three and a half percent of the women in the control group reported previous use of estrogen-only therapy. Compared with them, current or recent estrogen-only therapy use was associated with an increased risk for the serous (51.4%, odds ratio [OR] 1.63, 95% confidence interval [CI] 1.27-2.09) and endometrioid (48.6%, OR 2.00, 95% CI 1.17-3.41) histotypes. In addition, statistically significant trends in risk according to duration of use were seen among current or recent postmenopausal estrogen-only therapy users for both ovarian carcinoma histotypes (Ptrend<.001 for serous and endometrioid). Compared with women in the control group, current or recent users for 10 years or more had increased risks of serous ovarian carcinoma (36.8%, OR 1.73, 95% CI 1.26-2.38) and endometrioid ovarian carcinoma (34.9%, OR 4.03, 95% CI 1.91-8.49).

conclusionWe found evidence of an increased risk of serous and endometrioid ovarian carcinoma associated with postmenopausal estrogen-only therapy use, particularly of long duration. These findings emphasize that risk may be associated with extended estrogen-only therapy use.

Indexed as

MenopauseCarcinoma, EndometrioidCystadenocarcinoma, SerousEstrogen Replacement TherapyEstrogensFemaleHumansOvarian NeoplasmsRisk AssessmentSurveys and QuestionnairesUnited StatesEstrogens

Identifiers

PMID27054934
PMCPMC4892111

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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.