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Breast cancer risk in relation to abortion: Results from the EPIC study
Authors:Reeves Gillian K  Kan Sau-Wan  Key Tim  Tjønneland Anne  Olsen Anja  Overvad Kim  Peeters Petra H  Clavel-Chapelon Françoise  Paoletti Xavier  Berrino Franco  Krogh Vittorio  Palli Domenico  Tumino Rosario  Panico Salvatore  Vineis Paulo  Gonzalez Carlos A  Ardanaz Eva  Martinez Carmen  Amiano Pilar  Quiros José R  Tormo Maria R  Khaw Kay-Tee  Trichopoulou Antonia  Psaltopoulou Theodora  Kalapothaki Victoria  Nagel Gabriele  Chang-Claude Jenny  Boeing Heiner  Lahmann Petra H  Wirfält Elisabet  Kaaks Rudolf  Riboli Elio
Affiliation:Cancer Research UK Epidemiology Unit, University of Oxford, United Kingdom. gill.reeves@ceu.ox.ac.uk
Abstract:The role of spontaneous and induced abortion on breast cancer risk is examined among 267,361 women recruited into the European Prospective Investigation into Cancer and nutrition between 1992 and 2000. The data were collected from 20 centers, across 9 countries, and included information on a total of 4,805 women with breast cancer, of whom 1,657 reported having ever had any type of abortion. Overall, the relative risk of breast cancer in women who reported ever having had a spontaneous abortion was not significantly elevated when compared with women who reported never having had such an abortion (RR = 1.07, 95% CI = 0.99-1.14). However, there was some evidence of a slight increase in the risk of breast cancer among women who reported having had 2 or more spontaneous abortions (1.20, 1.07-1.35). The relative risk of breast cancer among women who reported ever having had an induced abortion when compared to women who reported never having had an induced abortion was 0.95 (0.87-1.03). Overall, the findings provide further unbiased evidence of the lack of an adverse effect of induced abortion on breast cancer risk.
Keywords:breast cancer  spontaneous abortion  induced abortion  recall bias  prospective data
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