Pooled RR (95% CI) for the association between regular talc use and ovarian cancer risk, stratified by genotype, in the NECC and the NHS
All cancers | Serous invasive cancers | Cases and controls in pooled analysis | ||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
All cases | Serous invasive | Controls | ||||||||||||||||||
Regular talc use | Regular talc use | Regular talc | Regular talc | Regular talc | ||||||||||||||||
No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | |||||||||||
Gene/stratum | ||||||||||||||||||||
GSTM1 genotype | ||||||||||||||||||||
Present (+) | 1.0 (reference) | 1.6 (1.2-2.0) | 1.0 (reference) | 2.0 (1.4-2.8) | 480 | 189 | 173 | 90 | 646 | 165 | ||||||||||
Null (-) | 1.0 (reference) | 1.3 (1.0-1.6) | 1.0 (reference) | 1.4 (1.0-1.9) | 498 | 179 | 190 | 76 | 690 | 198 | ||||||||||
Pinteraction* | 0.13 | 0.08 | ||||||||||||||||||
GSTT1 genotype | ||||||||||||||||||||
Present (+) | 1.0 (reference) | 1.2 (1.0-1.5) | 1.0 (reference) | 1.5 (1.2-2.0) | 785 | 278 | 288 | 129 | 1,035 | 301 | ||||||||||
Null (-) | 1.0 (reference) | 2.1 (1.4-3.2) | 1.0 (reference) | 2.4 (1.4-4.0) | 194 | 87 | 71 | 38 | 300 | 67 | ||||||||||
Pinteraction* | 0.03 | 0.18 | ||||||||||||||||||
NAT2 genotype | ||||||||||||||||||||
Rapid/intermediate acetylator | 1.0 (reference) | 1.5 (1.1-2.0) | 1.0 (reference) | 1.9 (1.2-2.8) | 330 | 128 | 123 | 57 | 459 | 113 | ||||||||||
Slow acetylator | 1.0 (reference) | 1.4 (1.1-1.8) | 1.0 (reference) | 1.6 (1.2-2.1) | 552 | 217 | 204 | 96 | 819 | 233 | ||||||||||
Pinteraction* | 0.60 | 0.58 | ||||||||||||||||||
GSTM1/GSTT1 genotype† | ||||||||||||||||||||
GSTM1+, GSTT1+ | 1.0 (reference) | 1.4 (1.0-1.8) | 1.0 (reference) | 1.7 (1.2-2.5) | 378 | 142 | 136 | 68 | 479 | 140 | ||||||||||
GSTM1-, GSTT1+ | 1.0 (reference) | 1.2 (0.9-1.5) | 1.0 (reference) | 1.4 (0.9-1.9) | 400 | 135 | 151 | 60 | 541 | 154 | ||||||||||
GSTM1+, GSTT1- | 1.0 (reference) | 2.8 (1.6-5.0) | 1.0 (reference) | 4.8 (2.1-11) | 98 | 47 | 34 | 22 | 158 | 24 | ||||||||||
GSTM1-, GSTT1- | 1.0 (reference) | 1.6 (0.9-2.9) | 1.0 (reference) | 1.4 (0.6-3.1) | 94 | 40 | 36 | 16 | 138 | 41 | ||||||||||
Pinteraction* | 0.03 | 0.09 |
NOTE: NECC: unconditional logistic regression adjusted for age, study center, duration of oral contraceptive use (months), parity (continuous), tubal ligation, BMI (kg/m2, continuous), and duration of PMH use (months); NHS: unconditional logistic regression adjusted for age (months), menopausal status at diagnosis (post, pre/dubious), DNA source, duration of oral contraceptive use (months), parity (continuous), tubal ligation, BMI (kg/m2, continuous), and duration of PMH use (months). P values for tests for heterogeneity comparing the NECC and NHS results were all >0.36.
↵* P values for interaction based on likelihood ratio test comparing unconditional logistic regression models with and without gene-talc interaction terms.
↵† NHS analysis adjusted for age, menopausal status at diagnosis, and DNA source only to improve stability of estimates.