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Cancer Epidemiology, Biomarkers & Prevention
Cancer Epidemiology, Biomarkers & Prevention
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Review

Oral Contraceptive Use and Risk of Breast, Cervical, Colorectal, and Endometrial Cancers: A Systematic Review

Jennifer M. Gierisch, Remy R. Coeytaux, Rachel Peragallo Urrutia, Laura J. Havrilesky, Patricia G. Moorman, William J. Lowery, Michaela Dinan, Amanda J. McBroom, Vic Hasselblad, Gillian D. Sanders and Evan R. Myers
Jennifer M. Gierisch
1Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center; 2Duke Evidence-Based Practice Center, Duke Clinical Research Institute; Departments of 3Medicine, 4Community and Family Medicine, 5Obstetrics and Gynecology, and 6Biostatistics and Bioinformatics, Duke University School of Medicine; 7Duke Cancer Institute, Duke University Health System; 8Duke Clinical Research Institute, Durham; and 9Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina
1Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center; 2Duke Evidence-Based Practice Center, Duke Clinical Research Institute; Departments of 3Medicine, 4Community and Family Medicine, 5Obstetrics and Gynecology, and 6Biostatistics and Bioinformatics, Duke University School of Medicine; 7Duke Cancer Institute, Duke University Health System; 8Duke Clinical Research Institute, Durham; and 9Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina
1Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center; 2Duke Evidence-Based Practice Center, Duke Clinical Research Institute; Departments of 3Medicine, 4Community and Family Medicine, 5Obstetrics and Gynecology, and 6Biostatistics and Bioinformatics, Duke University School of Medicine; 7Duke Cancer Institute, Duke University Health System; 8Duke Clinical Research Institute, Durham; and 9Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina
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Remy R. Coeytaux
1Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center; 2Duke Evidence-Based Practice Center, Duke Clinical Research Institute; Departments of 3Medicine, 4Community and Family Medicine, 5Obstetrics and Gynecology, and 6Biostatistics and Bioinformatics, Duke University School of Medicine; 7Duke Cancer Institute, Duke University Health System; 8Duke Clinical Research Institute, Durham; and 9Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina
1Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center; 2Duke Evidence-Based Practice Center, Duke Clinical Research Institute; Departments of 3Medicine, 4Community and Family Medicine, 5Obstetrics and Gynecology, and 6Biostatistics and Bioinformatics, Duke University School of Medicine; 7Duke Cancer Institute, Duke University Health System; 8Duke Clinical Research Institute, Durham; and 9Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina
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Rachel Peragallo Urrutia
1Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center; 2Duke Evidence-Based Practice Center, Duke Clinical Research Institute; Departments of 3Medicine, 4Community and Family Medicine, 5Obstetrics and Gynecology, and 6Biostatistics and Bioinformatics, Duke University School of Medicine; 7Duke Cancer Institute, Duke University Health System; 8Duke Clinical Research Institute, Durham; and 9Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina
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Laura J. Havrilesky
1Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center; 2Duke Evidence-Based Practice Center, Duke Clinical Research Institute; Departments of 3Medicine, 4Community and Family Medicine, 5Obstetrics and Gynecology, and 6Biostatistics and Bioinformatics, Duke University School of Medicine; 7Duke Cancer Institute, Duke University Health System; 8Duke Clinical Research Institute, Durham; and 9Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina
1Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center; 2Duke Evidence-Based Practice Center, Duke Clinical Research Institute; Departments of 3Medicine, 4Community and Family Medicine, 5Obstetrics and Gynecology, and 6Biostatistics and Bioinformatics, Duke University School of Medicine; 7Duke Cancer Institute, Duke University Health System; 8Duke Clinical Research Institute, Durham; and 9Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina
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Patricia G. Moorman
1Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center; 2Duke Evidence-Based Practice Center, Duke Clinical Research Institute; Departments of 3Medicine, 4Community and Family Medicine, 5Obstetrics and Gynecology, and 6Biostatistics and Bioinformatics, Duke University School of Medicine; 7Duke Cancer Institute, Duke University Health System; 8Duke Clinical Research Institute, Durham; and 9Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina
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William J. Lowery
1Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center; 2Duke Evidence-Based Practice Center, Duke Clinical Research Institute; Departments of 3Medicine, 4Community and Family Medicine, 5Obstetrics and Gynecology, and 6Biostatistics and Bioinformatics, Duke University School of Medicine; 7Duke Cancer Institute, Duke University Health System; 8Duke Clinical Research Institute, Durham; and 9Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina
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Michaela Dinan
1Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center; 2Duke Evidence-Based Practice Center, Duke Clinical Research Institute; Departments of 3Medicine, 4Community and Family Medicine, 5Obstetrics and Gynecology, and 6Biostatistics and Bioinformatics, Duke University School of Medicine; 7Duke Cancer Institute, Duke University Health System; 8Duke Clinical Research Institute, Durham; and 9Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina
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Amanda J. McBroom
1Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center; 2Duke Evidence-Based Practice Center, Duke Clinical Research Institute; Departments of 3Medicine, 4Community and Family Medicine, 5Obstetrics and Gynecology, and 6Biostatistics and Bioinformatics, Duke University School of Medicine; 7Duke Cancer Institute, Duke University Health System; 8Duke Clinical Research Institute, Durham; and 9Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina
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Vic Hasselblad
1Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center; 2Duke Evidence-Based Practice Center, Duke Clinical Research Institute; Departments of 3Medicine, 4Community and Family Medicine, 5Obstetrics and Gynecology, and 6Biostatistics and Bioinformatics, Duke University School of Medicine; 7Duke Cancer Institute, Duke University Health System; 8Duke Clinical Research Institute, Durham; and 9Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina
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Gillian D. Sanders
1Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center; 2Duke Evidence-Based Practice Center, Duke Clinical Research Institute; Departments of 3Medicine, 4Community and Family Medicine, 5Obstetrics and Gynecology, and 6Biostatistics and Bioinformatics, Duke University School of Medicine; 7Duke Cancer Institute, Duke University Health System; 8Duke Clinical Research Institute, Durham; and 9Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina
1Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center; 2Duke Evidence-Based Practice Center, Duke Clinical Research Institute; Departments of 3Medicine, 4Community and Family Medicine, 5Obstetrics and Gynecology, and 6Biostatistics and Bioinformatics, Duke University School of Medicine; 7Duke Cancer Institute, Duke University Health System; 8Duke Clinical Research Institute, Durham; and 9Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina
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Evan R. Myers
1Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center; 2Duke Evidence-Based Practice Center, Duke Clinical Research Institute; Departments of 3Medicine, 4Community and Family Medicine, 5Obstetrics and Gynecology, and 6Biostatistics and Bioinformatics, Duke University School of Medicine; 7Duke Cancer Institute, Duke University Health System; 8Duke Clinical Research Institute, Durham; and 9Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina
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DOI: 10.1158/1055-9965.EPI-13-0298 Published November 2013
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    Figure 1.

    Literature flow diagram. *Note that a given study may address more than one outcome group. MI, myocardial infarction; OC, oral contraceptive; RCT, randomized controlled trial; VTE, venous thromboembolism.

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    Figure 2.

    Forest plot of ever versus never oral contraceptive use and breast cancer incidence.

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    Figure 3.

    Forest plot of ever versus never oral contraceptive use and cervical cancer incidence.

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    Figure 4.

    Forest plot of ever versus never oral contraceptive use and colorectal cancer incidence.

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    Figure 5.

    Forest plot of ever versus never oral contraceptive use and endometrial cancer incidence.

Additional Files

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    Files in this Data Supplement:

    • Supplementary Table 1 - PDF - 231KB, Study characteristics and association between OC use and breast cancer incidence.
    • Supplementary Table 2 - PDF - 143KB, Study characteristics and association between OC use and cervical cancer incidence.
    • Supplementary Table 3 - PDF - 142 KB, Study characteristics and association between OC use and colorectal cancer incidence.
    • Supplementary Table 4 - PDF - 139KB, Study characteristics and association between OC use and endometrial cancer incidence.
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Cancer Epidemiology Biomarkers & Prevention: 22 (11)
November 2013
Volume 22, Issue 11
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Oral Contraceptive Use and Risk of Breast, Cervical, Colorectal, and Endometrial Cancers: A Systematic Review
Jennifer M. Gierisch, Remy R. Coeytaux, Rachel Peragallo Urrutia, Laura J. Havrilesky, Patricia G. Moorman, William J. Lowery, Michaela Dinan, Amanda J. McBroom, Vic Hasselblad, Gillian D. Sanders and Evan R. Myers
Cancer Epidemiol Biomarkers Prev November 1 2013 (22) (11) 1931-1943; DOI: 10.1158/1055-9965.EPI-13-0298

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Oral Contraceptive Use and Risk of Breast, Cervical, Colorectal, and Endometrial Cancers: A Systematic Review
Jennifer M. Gierisch, Remy R. Coeytaux, Rachel Peragallo Urrutia, Laura J. Havrilesky, Patricia G. Moorman, William J. Lowery, Michaela Dinan, Amanda J. McBroom, Vic Hasselblad, Gillian D. Sanders and Evan R. Myers
Cancer Epidemiol Biomarkers Prev November 1 2013 (22) (11) 1931-1943; DOI: 10.1158/1055-9965.EPI-13-0298
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