Table 4. Risk of breast cancer associated with paracetamol use.
Cases (n=3708) | Controls (n=20 000) | Odds ratioa (95% CI) | |
---|---|---|---|
Paracetamol use | |||
No useb | 1885 | 10 040 | |
Current use | 878 | 4943 | 0.90 (0.82, 1.00) |
Past use | 945 | 5017 | 0.97 (0.89, 1.07) |
Paracetamol duration | |||
0–0.9 years | 589 | 2 949 | 1.00 (0.89, 1.12) |
1–1.9 years | 57 | 489 | 0.63 (0.47, 0.84) |
2–3.9 years | 83 | 531 | 0.81 (0.63, 1.05) |
4+ years | 149 | 974 | 0.77 (0.64, 0.94) |
Paracetamol dosec | |||
Up to 1 g | 120 | 886 | 0.68 (0.55, 0.84) |
Up to 2 g | 105 | 785 | 0.73 (0.58, 0.91) |
More than 2 g | 64 | 323 | 1.06 (0.79, 1.41) |
Paracetamol indicationc | |||
OA | 241 | 1 649 | 0.76 (0.64, 0.89) |
RA | 17 | 112 | 0.78 (0.45, 1.35) |
Other pain | 31 | 233 | 0.70 (0.47, 1.05) |
Paracetamol preparationc | |||
Paracetamol | 48 | 354 | 0.69 (0.49, 0.95) |
Paracetamol with codeined | 128 | 817 | 0.83 (0.67, 1.02) |
Paracetamol with propoxyphene | 111 | 799 | 0.71 (0.57, 0.89) |
OA=osteoarthritis, RA=rheumatoid arthritis.
Adjusted for age, calendar year, BMI, smoking, alcohol, prior benign breast disease, NSAIDs, aspirin, steroid and HRT use.
Reference category.
Among current long-term users (1 or more years of treatment duration) vs nonusers.
Includes both codeine and dihydrocodeine.