Risk factors for breast cancer in women biopsied for benign breast disease: A nested case-control study

Geoffrey C. Kabat, Joan G. Jones, Neal Olson, Abdissa Negassa, Catherine Duggan, Mindy S. Ginsberg, Rita A. Kandel, Andrew G. Glass, Thomas E. Rohan

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Aim: Women with a history of benign breast disease are at increased risk of subsequent breast cancer. However, few studies have examined whether established breast cancer risk factors other than histology are associated with an altered risk of breast cancer in women with benign breast disease. We used a nested case-control design within a large, multi-center cohort of women biopsied for benign breast disease (BBD) to estimate odds ratios for breast cancer in association with exposure to a range of personal and lifestyle factors. Methods: Cases were women biopsied for BBD who subsequently developed breast cancer; controls were individually matched to cases on center and age at diagnosis and were women biopsied for BBD who did not develop breast cancer in the same follow-up interval as that for the cases. After excluding women with prevalent breast cancer, 1357 records (661 case records and 696 records) were available for analysis. We used conditional logistic regression to obtain crude and multivariable-adjusted estimates of the association between specific factors and risk of breast cancer. Results: In multivariable analyses age at first live birth, number of pregnancies, and postmenopausal status were inversely associated with risk of breast cancer. The odds ratio for women with age at first birth <25 years and ≥3 pregnancies, relative to nulliparous women, was 0.49, 95% confidence interval 0.13-0.79, and that for postmenopausal women relative to premenopausal women was 0.60, 95% CI 0.37-0.99. Conclusions: Further study of personal factors influencing the risk of breast cancer in women with BBD may help to identify subgroups of the population at increased risk of invasive disease.

Original languageEnglish (US)
Pages (from-to)34-39
Number of pages6
JournalCancer Epidemiology
Volume34
Issue number1
DOIs
StatePublished - Feb 2010

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Breast Diseases
Case-Control Studies
Breast Neoplasms
Birth Order
Odds Ratio
Pregnancy
Live Birth
Life Style
Histology
Logistic Models
Confidence Intervals

Keywords

  • Benign breast disease
  • Breast cancer
  • Hormone therapy
  • Reproductive factors

ASJC Scopus subject areas

  • Cancer Research
  • Oncology
  • Epidemiology

Cite this

Risk factors for breast cancer in women biopsied for benign breast disease : A nested case-control study. / Kabat, Geoffrey C.; Jones, Joan G.; Olson, Neal; Negassa, Abdissa; Duggan, Catherine; Ginsberg, Mindy S.; Kandel, Rita A.; Glass, Andrew G.; Rohan, Thomas E.

In: Cancer Epidemiology, Vol. 34, No. 1, 02.2010, p. 34-39.

Research output: Contribution to journalArticle

Kabat, Geoffrey C. ; Jones, Joan G. ; Olson, Neal ; Negassa, Abdissa ; Duggan, Catherine ; Ginsberg, Mindy S. ; Kandel, Rita A. ; Glass, Andrew G. ; Rohan, Thomas E. / Risk factors for breast cancer in women biopsied for benign breast disease : A nested case-control study. In: Cancer Epidemiology. 2010 ; Vol. 34, No. 1. pp. 34-39.
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abstract = "Aim: Women with a history of benign breast disease are at increased risk of subsequent breast cancer. However, few studies have examined whether established breast cancer risk factors other than histology are associated with an altered risk of breast cancer in women with benign breast disease. We used a nested case-control design within a large, multi-center cohort of women biopsied for benign breast disease (BBD) to estimate odds ratios for breast cancer in association with exposure to a range of personal and lifestyle factors. Methods: Cases were women biopsied for BBD who subsequently developed breast cancer; controls were individually matched to cases on center and age at diagnosis and were women biopsied for BBD who did not develop breast cancer in the same follow-up interval as that for the cases. After excluding women with prevalent breast cancer, 1357 records (661 case records and 696 records) were available for analysis. We used conditional logistic regression to obtain crude and multivariable-adjusted estimates of the association between specific factors and risk of breast cancer. Results: In multivariable analyses age at first live birth, number of pregnancies, and postmenopausal status were inversely associated with risk of breast cancer. The odds ratio for women with age at first birth <25 years and ≥3 pregnancies, relative to nulliparous women, was 0.49, 95{\%} confidence interval 0.13-0.79, and that for postmenopausal women relative to premenopausal women was 0.60, 95{\%} CI 0.37-0.99. Conclusions: Further study of personal factors influencing the risk of breast cancer in women with BBD may help to identify subgroups of the population at increased risk of invasive disease.",
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AB - Aim: Women with a history of benign breast disease are at increased risk of subsequent breast cancer. However, few studies have examined whether established breast cancer risk factors other than histology are associated with an altered risk of breast cancer in women with benign breast disease. We used a nested case-control design within a large, multi-center cohort of women biopsied for benign breast disease (BBD) to estimate odds ratios for breast cancer in association with exposure to a range of personal and lifestyle factors. Methods: Cases were women biopsied for BBD who subsequently developed breast cancer; controls were individually matched to cases on center and age at diagnosis and were women biopsied for BBD who did not develop breast cancer in the same follow-up interval as that for the cases. After excluding women with prevalent breast cancer, 1357 records (661 case records and 696 records) were available for analysis. We used conditional logistic regression to obtain crude and multivariable-adjusted estimates of the association between specific factors and risk of breast cancer. Results: In multivariable analyses age at first live birth, number of pregnancies, and postmenopausal status were inversely associated with risk of breast cancer. The odds ratio for women with age at first birth <25 years and ≥3 pregnancies, relative to nulliparous women, was 0.49, 95% confidence interval 0.13-0.79, and that for postmenopausal women relative to premenopausal women was 0.60, 95% CI 0.37-0.99. Conclusions: Further study of personal factors influencing the risk of breast cancer in women with BBD may help to identify subgroups of the population at increased risk of invasive disease.

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