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. 2013 Jan 24;108(3):727–734. doi: 10.1038/bjc.2013.2

Table 3. Adjusted ORs and 95% CIs of risk factors for histological subtypes of uterine sarcoma, based on a pooled analysis of 15 observational studies in the E2C2.

    Histological subtypes of uteirne sarcoma  
  Controls Endometrial stromal sarcoma Leiomyosarcoma  
Characteristicsa
n=28 829
n=98
n=82
 
  n % n % OR (95% CI)b n % OR (95% CI)b P-heterogeneityc
Body mass index
 
 
 
 
 
 
 
 
0.39
 Normal weight (<25 kg m−2) 14 244 49.4 42 42.9 1.00 33 40.2 1.00  
 Overweight (25–30 kg m−2) 9044 31.4 26 26.5 1.02 (0.62, 1.68) 20 24.4 0.90 (0.51, 1.60)  
 Obese (⩾30 kg m−2) 4932 17.1 27 27.6 1.74 (1.03, 2.93) 23 28.0 1.56 (0.88, 2.77)  
P-trendd
 
 
 
 
0.07
 
 
0.26
 
Age at menarche
 
 
 
 
 
 
 
 
0.10
 <11 1252 4.3 7 7.1 1.00 6 7.3 1.00  
 11–12 10 408 36.1 39 39.8 0.88 (0.39, 2.01) 38 46.3 1.10 (0.44, 2.73)  
 13–14 12 808 44.4 42 42.9 0.88 (0.38, 2.01) 27 32.9 0.75 (0.29, 1.91)  
 ⩾15 4103 14.2 8 8.2 0.60 (0.21, 1.71) 9 11.0 1.01 (0.34, 2.98)  
P-trendd
 
 
 
 
0.41
 
 
0.44
 
Parity
 
 
 
 
 
 
 
 
0.40
 Nulliparous 3234 11.2 11 11.2 1.00 12 14.6 1.00  
 Parous
24 912
86.4
81
82.6
0.97 (0.51, 1.83)
65
79.3
0.76 (0.40, 1.44)
 
Number of live births (among parous women)
 
 
 
 
 
 
 
 
0.17
 1 3621 14.5 8 9.9 1.00 13 20.0 1.00  
 2 7805 31.3 26 32.1 1.59 (0.71, 3.56) 19 29.2 0.71 (0.35, 1.46)  
 3–4 10 040 40.3 38 46.9 2.02 (0.91, 4.45) 28 43.1 0.78 (0.39, 1.54)  
 ⩾5 3446 13.8 9 11.1 1.36 (0.50, 3.67) 5 7.7 0.35 (0.12, 1.03)  
P-trendd         0.31     0.12  
 Menopausal status                 0.22
 Premenopausal 4015 13.9 23 23.5 1.00 25 30.5 1.00  
 Peri-menopausal 281 1.0 0 0.0 NE 2 2.4 0.73 (0.12, 4.41)  
 Postmenopausal
23 826
82.6
70
71.4
0.85 (0.42, 1.72)
50
61.0
0.35 (0.16, 0.75)
 
Menopausal hormone usee
 
 
 
 
 
 
 
 
0.98
 Never 13 412 58.5 26 40.6 1.00 27 54.0 1.00  
 Ever
9287
40.5
37
57.8
1.53 (0.54, 4.31)
23
46.0
0.80 (0.22, 2.98)
 
Menopausal oestrogen-alone usef
 
 
 
 
 
 
 
 
0.97
 Never 15 019 76.9 40 63.5 1.00 32 78.0 1.00  
 Ever
2878
14.7
12
19.0
1.02 (0.29, 3.61)
6
14.6
1.63 (0.18, 14.95)
 
Menopausal oestrogen plus progesting
 
 
 
 
 
 
 
 
0.72
 Never 11 390 69.7 26 47.3 1.00 21 55.3 1.00  
 Ever
3424
20.9
17
30.9
1.43 (0.35, 5.76)
13
34.2
0.79 (0.08, 7.90)
 
Oral contraceptive use
 
 
 
 
 
 
 
 
0.54
 Never 17 894 62.1 52 53.1 1.00 44 53.7 1.00  
 Ever
10 670
37.0
44
56.4
0.85 (0.53, 1.34)
36
43.9
0.72 (0.44, 1.19)
 
Smoking statush
 
 
 
 
 
 
 
 
0.22
 Never 14 926 52.6 50 56.2 1.00 41 50.6 1.00  
 Former 8504 30.0 21 23.6 0.66 (0.39, 1.11) 28 34.6 1.15 (0.70, 1.90)  
 Current
4133
14.6
16
18.0
1.09 (0.61, 1.94)
9
11.1
0.75 (0.36, 1.56)
 
History of diabetesi
 
 
 
 
 
 
 
 
0.65
 No 15 889 62.8 47 64.4 1.00 33 48.5 1.00  
 Yes 1583 6.3 11 15.1 2.28 (1.02, 5.12) 10 14.7 1.91 (0.77, 4.77)  

Abbreviations: CI=confidence interval; E2C2=Epidemiology of Endometrial Cancer Consortium; NE=not estimable (due to zero cells); OR=odds ratio.

a

Missing values were excluded from presentation, but included as a separate category in logistic regression analysis.

b

Polytomous logistic regression models adjusted for age, race, BMI, age at menarche, menopausal status, menopausal oestrogen plus progestin, menopausal oestrogen use, oral contraceptive use, smoking status, history of diabetes, and site.

c

P-values for tumour heterogeneity are based on case-only multivariable-adjusted logistic regression models using endometrial stromal sarcoma cases as the ‘controls'.

d

P-values for trend caluclated with the variable modelled ordinally.

e

Among postmenopausal women.

f

Among postmenopausal women in 12 studies with menopausal oestrogen use data.

g

Among postmenopausal women in 10 studies with menopausal oestrogen plus progestin use data.

h

Among 14 studies with smoking data.

i

Among 13 studies with diabetes data.