Risk factors for breast cancer by oestrogen receptor status: a population-based case-control study
1989

Risk Factors for Breast Cancer by Oestrogen Receptor Status

Sample size: 451 publication Evidence: moderate

Author Information

Author(s): J.A. Cooper, T.E. Rohan, E.L. McK. Cant, D.J. Horsfall, W.D. Tilley

Primary Institution: MRC Epidemiology and Medical Care Unit, Northwick Park Hospital

Hypothesis

Do menstrual, reproductive, dietary, and other factors affect breast cancer risk differently based on oestrogen receptor status?

Conclusion

The study found that while some factors are associated with increased risk of ER- breast cancer, there is not enough evidence to suggest different causal pathways for ER+ and ER- breast cancer.

Supporting Evidence

  • ER+ breast cancer was more common in older and post-menopausal women.
  • Oral contraceptive use was associated with increased risk of ER- cancer.
  • Beta-carotene intake was linked to a reduction in risk of ER- breast cancer.

Takeaway

This study looked at women with breast cancer to see if different factors like diet and age affect their cancer risk based on whether their cancer cells have oestrogen receptors or not.

Methodology

A population-based case-control study involving 451 case-control pairs, with data collected through interviews and dietary questionnaires.

Potential Biases

Selection bias may have arisen from non-response by potential cases and controls.

Limitations

Potential selection bias due to non-response and misclassification of subjects regarding exposure.

Participant Demographics

Women aged 20 to 74 years residing in the Adelaide metropolitan area.

Statistical Information

P-Value

P=0.017 for beta-carotene intake

Confidence Interval

95% CI 2.26-9.09 for age and ER status association

Statistical Significance

p<0.05

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