Oral contraceptives and breast cancer: results from an expanded case-control study
1989

Oral Contraceptives and Breast Cancer Study

Sample size: 4205 publication Evidence: high

Author Information

Author(s): J.L. Stanford, L.A. Brinton, R.N. Hoover

Primary Institution: Fred Hutchinson Cancer Research Center; National Cancer Institute

Hypothesis

Is there a relationship between oral contraceptive use and breast cancer risk?

Conclusion

The study found no overall evidence of an association between oral contraceptives and breast cancer risk.

Supporting Evidence

  • Ever use of oral contraceptives was not related to breast cancer risk.
  • Women with a history of two or more breast biopsies had an increased risk (RR=2.0).
  • Long-term use of oral contraceptives was associated with reduced risk for in situ cancer (RR=0.59).
  • Invasive cancers showed increased risks associated with long-term use.
  • Statistical analyses showed no consistent patterns of risk based on duration of use.

Takeaway

The study looked at whether taking birth control pills increases the chance of getting breast cancer, and it found that it doesn't.

Methodology

The study involved a multicenter case-control design with structured interviews to gather data on oral contraceptive use and breast cancer diagnosis.

Potential Biases

Potential surveillance bias may have influenced the results, as users of oral contraceptives may be more likely to undergo regular medical check-ups.

Limitations

The study excluded women with a history of breast cancer and focused primarily on white women, which may limit generalizability.

Participant Demographics

The study primarily included women diagnosed with breast cancer, with a focus on white women.

Statistical Information

Confidence Interval

95% CI 0.9-1.2

Statistical Significance

p<0.05

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