Breast cancer and the pill
1989

Concerns About Breast Cancer and Oral Contraceptives

Sample size: 23000 Commentary Evidence: low

Author Information

Author(s): R.D.T. Farmer

Primary Institution: Charing Cross and Westminster Medical School

Hypothesis

Is there a link between oral contraceptive use before the first term birth and breast cancer rates in women under 35?

Conclusion

The study's findings on breast cancer risk related to oral contraceptive use are questionable due to methodological flaws.

Supporting Evidence

  • The study had a significant loss to follow-up, with only 38.3% of the original cohort remaining after 17 years.
  • The authors did not collect crucial data on age at first birth, which is an important factor in breast cancer risk.
  • Adjustments for smoking and social class may not be valid due to changes over the study period.

Takeaway

The study suggests that using the pill might increase breast cancer risk, but there are many problems with how the study was done.

Methodology

The study followed a cohort of women using oral contraceptives and compared them to non-users over several years.

Potential Biases

The study may have biases due to the way participants were selected and the data collected.

Limitations

High loss to follow-up and potential confounding variables not adequately controlled for.

Participant Demographics

Women under 35 years old, with a cohort recruited in 1968-69.

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