Oral Contraceptive Use and Breast Cancer Risk Assessment: A Systematic Review and Meta-Analysis of Case-Control Studies, 2009–2020

To perform a meta-analysis of case-control studies that addressed the association between oral contraceptive pills (OC) use and breast cancer (BrCa), PubMED (MEDLINE), Embase, and the Cochrane Library were searched to identify case-control studies of OC and BrCa published between 2009 and 2020. We u...

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Autores principales: Agnieszka Barańska, Agata Błaszczuk, Wiesław Kanadys, Maria Malm, Katarzyna Drop, Małgorzata Polz-Dacewicz
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/d2f078d01ffa453eb4bcd615f56b925a
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spelling oai:doaj.org-article:d2f078d01ffa453eb4bcd615f56b925a2021-11-25T17:02:13ZOral Contraceptive Use and Breast Cancer Risk Assessment: A Systematic Review and Meta-Analysis of Case-Control Studies, 2009–202010.3390/cancers132256542072-6694https://doaj.org/article/d2f078d01ffa453eb4bcd615f56b925a2021-11-01T00:00:00Zhttps://www.mdpi.com/2072-6694/13/22/5654https://doaj.org/toc/2072-6694To perform a meta-analysis of case-control studies that addressed the association between oral contraceptive pills (OC) use and breast cancer (BrCa), PubMED (MEDLINE), Embase, and the Cochrane Library were searched to identify case-control studies of OC and BrCa published between 2009 and 2020. We used the DerSimonian–Laird method to compute pooled odds ratios (ORs) and confidence intervals (CIs), and the Mantel–Haenszel test to assess the association between OC use and cancer. Forty-two studies were identified that met the inclusion criteria and we included a total of 110,580 women (30,778 into the BrCa group and 79,802 into the control group, of which 15,722 and 38,334 were using OC, respectively). The conducted meta-analysis showed that the use of OC was associated with a significantly increased risk of BrCa in general, OR = 1.15, 95% CI: 1.01 to 1.31, <i>p</i> = 0.0358. Regarding other risk factors for BrCa, we found that increased risk was associated significantly with early menarche, nulliparous, non-breastfeeding, older age at first parity, postmenopause, obesity, smoking, and family history of BrCa. Despite our conclusion that birth control pills increase the cancer risk being supported by extensive previous studies and meta-analyzes, further confirmation is required.Agnieszka BarańskaAgata BłaszczukWiesław KanadysMaria MalmKatarzyna DropMałgorzata Polz-DacewiczMDPI AGarticleoral contraceptivesbreast cancerriskrisk factorsbreast malignanciesNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCancers, Vol 13, Iss 5654, p 5654 (2021)
institution DOAJ
collection DOAJ
language EN
topic oral contraceptives
breast cancer
risk
risk factors
breast malignancies
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle oral contraceptives
breast cancer
risk
risk factors
breast malignancies
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Agnieszka Barańska
Agata Błaszczuk
Wiesław Kanadys
Maria Malm
Katarzyna Drop
Małgorzata Polz-Dacewicz
Oral Contraceptive Use and Breast Cancer Risk Assessment: A Systematic Review and Meta-Analysis of Case-Control Studies, 2009–2020
description To perform a meta-analysis of case-control studies that addressed the association between oral contraceptive pills (OC) use and breast cancer (BrCa), PubMED (MEDLINE), Embase, and the Cochrane Library were searched to identify case-control studies of OC and BrCa published between 2009 and 2020. We used the DerSimonian–Laird method to compute pooled odds ratios (ORs) and confidence intervals (CIs), and the Mantel–Haenszel test to assess the association between OC use and cancer. Forty-two studies were identified that met the inclusion criteria and we included a total of 110,580 women (30,778 into the BrCa group and 79,802 into the control group, of which 15,722 and 38,334 were using OC, respectively). The conducted meta-analysis showed that the use of OC was associated with a significantly increased risk of BrCa in general, OR = 1.15, 95% CI: 1.01 to 1.31, <i>p</i> = 0.0358. Regarding other risk factors for BrCa, we found that increased risk was associated significantly with early menarche, nulliparous, non-breastfeeding, older age at first parity, postmenopause, obesity, smoking, and family history of BrCa. Despite our conclusion that birth control pills increase the cancer risk being supported by extensive previous studies and meta-analyzes, further confirmation is required.
format article
author Agnieszka Barańska
Agata Błaszczuk
Wiesław Kanadys
Maria Malm
Katarzyna Drop
Małgorzata Polz-Dacewicz
author_facet Agnieszka Barańska
Agata Błaszczuk
Wiesław Kanadys
Maria Malm
Katarzyna Drop
Małgorzata Polz-Dacewicz
author_sort Agnieszka Barańska
title Oral Contraceptive Use and Breast Cancer Risk Assessment: A Systematic Review and Meta-Analysis of Case-Control Studies, 2009–2020
title_short Oral Contraceptive Use and Breast Cancer Risk Assessment: A Systematic Review and Meta-Analysis of Case-Control Studies, 2009–2020
title_full Oral Contraceptive Use and Breast Cancer Risk Assessment: A Systematic Review and Meta-Analysis of Case-Control Studies, 2009–2020
title_fullStr Oral Contraceptive Use and Breast Cancer Risk Assessment: A Systematic Review and Meta-Analysis of Case-Control Studies, 2009–2020
title_full_unstemmed Oral Contraceptive Use and Breast Cancer Risk Assessment: A Systematic Review and Meta-Analysis of Case-Control Studies, 2009–2020
title_sort oral contraceptive use and breast cancer risk assessment: a systematic review and meta-analysis of case-control studies, 2009–2020
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/d2f078d01ffa453eb4bcd615f56b925a
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AT wiesławkanadys oralcontraceptiveuseandbreastcancerriskassessmentasystematicreviewandmetaanalysisofcasecontrolstudies20092020
AT mariamalm oralcontraceptiveuseandbreastcancerriskassessmentasystematicreviewandmetaanalysisofcasecontrolstudies20092020
AT katarzynadrop oralcontraceptiveuseandbreastcancerriskassessmentasystematicreviewandmetaanalysisofcasecontrolstudies20092020
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