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.
Missing values were excluded from presentation, but included as a separate category in logistic regression analysis.
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.
P-values for tumour heterogeneity are based on case-only multivariable-adjusted logistic regression models using endometrial stromal sarcoma cases as the ‘controls'.
P-values for trend caluclated with the variable modelled ordinally.
Among postmenopausal women.
Among postmenopausal women in 12 studies with menopausal oestrogen use data.
Among postmenopausal women in 10 studies with menopausal oestrogen plus progestin use data.
Among 14 studies with smoking data.
Among 13 studies with diabetes data.