NDLI: Reproductive factors and exogenous hormone use in relation to risk of glioma and meningioma in a large European cohort study.

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Reproductive factors and exogenous hormone use in relation to risk of glioma and meningioma in a large European cohort study.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Michaud, Dominique S. Gallo, Valentina Schlehofer, Brigitte Tjønneland, Anne Olsen, Anja Overvad, Kim Dahm, Christina C. Kaaks, Rudolf Lukanova, Annekatrin Boeing, Heiner Schütze, Madlen Trichopoulou, Antonia Bamia, Christina Kyrozis, Andreas Sacerdote, Carlotta Agnoli, Claudia Palli, Domenico Tumino, Rosario Mattiello, Amalia Bueno-de-Mesquita, H. Bas Ros, Martine M. Peeters, Petra H. M. Van Gils, Carla H. Lund, Eiliv Bakken, Kjersti Gram, Inger T. Barricarte, Aurelio Navarro, Carmen Dorronsoro, Miren Sánchez, Maria José Rodríguez, Laudina Duell, Eric J. Hallmans, Göran Melin, Beatrice S. Manjer, Jonas Borgquist, Signe Khaw, Kay-Tee Wareham, Nick Allen, Naomi E. Tsilidis, Konstantinos K. Romieu, Isabelle Rinaldi, Sabina Vineis, Paolo Riboli, Elio
Spatial Coverage	Europe
Description	Country affiliation: United kingdom Author Affiliation: Michaud DS ( Department of Epidemiology and Public Health, Imperial College, London, United Kingdom. Dominique_Michaud@brown.edu)
Abstract	BACKGROUND: The etiologies of glioma and meningioma tumors are largely unknown. Although reproductive hormones are thought to influence the risk of these tumors, epidemiologic data are not supportive of this hypothesis; however, few cohort studies have published on this topic. We examined the relation between reproductive factors and the risk of glioma and meningioma among women in the European Prospective Investigation into Cancer and Nutrition (EPIC). METHODS: After a mean of 8.4 years of follow-up, 193 glioma and 194 meningioma cases were identified among 276,212 women. Information on reproductive factors and hormone use was collected at baseline. Cox proportional hazard regression was used to determine hazard ratios (HR) and 95% confidence intervals (95% CI). RESULTS: No associations were observed between glioma or meningioma risk and reproductive factors, including age at menarche, parity, age at first birth, menopausal status, and age at menopause. A higher risk of meningioma was observed among postmenopausal women who were current users of hormone replacement therapy (HR, 1.79; 95% CI, 1.18-2.71) compared with never users. Similarly, current users of oral contraceptives were at higher risk of meningioma than never users (HR, 3.61; 95% CI, 1.75-7.46). CONCLUSION: Our results do not support a role for estrogens and glioma risk. Use of exogenous hormones, especially current use, seems to increase meningioma risk. However, these findings could be due to diagnostic bias and require confirmation. IMPACT: Elucidating the role of hormones in brain tumor development has important implications and needs to be further examined using biological measurements.
File Format	HTM / HTML
ISSN	10559965
e-ISSN	15387755
DOI	10.1158/1055-9965.EPI-10-0447
Journal	Cancer Epidemiology Biomarkers & Prevention
Issue Number	10
Volume Number	19
Language	English
Publisher	American Association for Cancer Research
Publisher Date	2010-10-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Cancer epidemiology Brain Neoplasms Epidemiology Glioma Hormone Replacement Therapy Statistics & Numerical Data Meningeal Neoplasms Meningioma Reproductive History Etiology Metabolism Cohort Studies Contraceptives, Oral Administration & Dosage Adverse Effects Pregnancy Prospective Studies Multicenter Study Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Epidemiology Oncology

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