Table A2.
Association of Endometrial Cancer Risk Factors With Type I and Type II Tumors by Aspects of Study Design
Risk Factor | Type I |
Type II |
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---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Cohort |
Case-Control |
Path Review |
Registry |
Cohort |
Case-Control |
Path Review |
Registry |
|||||||||
OR* | 95% CI | OR* | 95% CI | OR* | 95% CI | OR* | 95% CI | OR* | 95% CI | OR* | 95% CI | OR* | 95% CI | OR* | 95% CI | |
Body mass index, kg/m2 | ||||||||||||||||
< 25 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | ||||||||
25 to < 30 | 1.32 | 1.23 to 1.43 | 1.60 | 1.48 to 1.73 | 1.53 | 1.40 to 1.66 | 1.40 | 1.31 to 1.50 | 1.14 | 0.86 to 1.52 | 1.19 | 0.95 to 1.48 | 1.08 | 0.84 to 1.40 | 1.24 | 0.98 to 1.57 |
30 to < 35 | 2.44 | 2.23 to 2.67 | 2.61 | 2.36 to 2.88 | 2.45 | 2.19 to 2.74 | 2.56 | 2.35 to 2.78 | 1.76 | 1.25 to 2.47 | 1.72 | 1.32 to 2.23 | 1.55 | 1.13 to 2.12 | 1.90 | 1.44 to 2.50 |
35 to < 40 | 4.15 | 3.65 to 4.72 | 4.84 | 4.20 to 5.58 | 4.45 | 3.76 to 5.26 | 4.46 | 3.98 to 5.00 | 2.22 | 1.37 to 3.61 | 2.15 | 1.48 to 3.11 | 2.21 | 1.42 to 3.45 | 2.12 | 1.43 to 3.16 |
≥ 40 | 6.66 | 5.66 to 7.83 | 7.86 | 6.54 to 9.44 | 8.45 | 6.69 to 10.67 | 6.73 | 5.83 to 7.75 | 3.08 | 1.69 to 5.61 | 3.29 | 2.11 to 5.12 | 4.20 | 2.44 to 7.23 | 2.64 | 1.63 to 4.30 |
P trend | < .0001 | < .0001 | < .0001 | < .0001 | < .0001 | < .0001 | < .0001 | < .0001 | ||||||||
Body mass index, per 2 kg/m2 | 1.20 | 1.18 to 1.21 | 1.22 | 1.20 to 1.23 | 1.21 | 1.19 to 1.23 | 1.20 | 1.19 to 1.22 | 1.12 | 1.08 to 1.17 | 1.12 | 1.08 to 1.15 | 1.13 | 1.08 to 1.17 | 1.11 | 1.08 to 1.15 |
Age at menarche, years | ||||||||||||||||
< 11 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | ||||||||
11-12 | 0.90 | 0.78 to 1.04 | 0.88 | 0.75 to 1.03 | 0.90 | 0.74 to 1.09 | 0.88 | 0.77 to 1.00 | 0.62 | 0.40 to 0.97 | 0.72 | 0.48 to 1.07 | 0.67 | 0.40 to 1.11 | 0.67 | 0.46 to 0.96 |
13-14 | 0.87 | 0.75 to 0.99 | 0.83 | 0.71 to 0.96 | 0.82 | 0.68 to 0.97 | 0.86 | 0.76 to 0.97 | 0.52 | 0.34 to 0.79 | 0.71 | 0.49 to 1.03 | 0.68 | 0.42 to 1.10 | 0.58 | 0.41 to 0.81 |
≥ 15 | 0.72 | 0.61 to 0.86 | 0.69 | 0.59 to 0.82 | 0.68 | 0.56 to 0.83 | 0.73 | 0.63 to 0.84 | 0.52 | 0.31 to 0.90 | 0.52 | 0.33 to 0.81 | 0.45 | 0.26 to 0.78 | 0.58 | 0.37 to 0.90 |
P trend | .0002 | < .0001 | < .0001 | .0001 | 0.01 | .008 | .008 | .009 | ||||||||
Parity | ||||||||||||||||
0 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | ||||||||
1 | 0.80 | 0.71 to 0.90 | 0.70 | 0.59 to 0.76 | 0.64 | 0.56 to 0.74 | 0.79 | 0.71 to 0.88 | 1.06 | 0.69 to 1.61 | 0.72 | 0.52 to 1.01 | 0.67 | 0.45 to 0.98 | 0.98 | 0.69 to 1.40 |
2 | 0.77 | 0.70 to 0.85 | 0.57 | 0.51 to 0.63 | 0.56 | 0.49 to 0.63 | 0.73 | 0.67 to 0.80 | 0.84 | 0.59 to 1.21 | 0.57 | 0.43 to 0.76 | 0.51 | 0.37 to 0.72 | 0.80 | 0.60 to 1.07 |
3 | 0.63 | 0.57 to 0.69 | 0.48 | 0.43 to 0.54 | 0.46 | 0.40 to 0.52 | 0.61 | 0.56 to 0.67 | 0.65 | 0.46 to 0.93 | 0.50 | 0.38 to 0.67 | 0.46 | 0.32 to 0.65 | 0.64 | 0.48 to 0.85 |
≥ 4 | 0.47 | 0.41 to 0.53 | 0.32 | 0.28 to 0.38 | 0.33 | 0.28 to 0.39 | 0.44 | 0.39 to 0.49 | 0.58 | 0.36 to 0.92 | 0.51 | 0.36 to 0.74 | 0.54 | 0.35 to 0.82 | 0.51 | 0.34 to 0.75 |
P trend | < .0001 | < .0001 | < .0001 | < .0001 | .001 | < .0001 | .0002 | < .0001 | ||||||||
Oral contraceptive use | ||||||||||||||||
Never | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | ||||||||
Ever | 0.76 | 0.71 to 0.82 | 0.68 | 0.62 to 0.73 | 0.68 | 0.62 to 0.74 | 0.75 | 0.70 to 0.81 | 0.81 | 0.62 to 1.07 | 0.68 | 0.54 to 0.86 | 0.59 | 0.44 to 0.79 | 0.86 | 0.68 to 1.08 |
Cigarette smoking† | ||||||||||||||||
Never | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | ||||||||
Former | 0.88 | 0.83 to 0.95 | 0.84 | 0.78 to 0.91 | 0.84 | 0.77 to 0.92 | 0.88 | 0.82 to 0.94 | 0.87 | 0.67 to 1.12 | 0.62 | 0.49 to 0.77 | 0.60 | 0.47 to 0.79 | 0.79 | 0.63 to 0.98 |
Current | 0.68 | 0.61 to 0.76 | 0.61 | 0.54 to 0.68 | 0.60 | 0.52 to 0.68 | 0.68 | 0.61 to 0.75 | 0.73 | 0.49 to 1.11 | 0.52 | 0.38 to 0.72 | 0.52 | 0.36 to 0.75 | 0.66 | 0.46 to 0.93 |
Diabetes‡ | ||||||||||||||||
No | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | ||||||||
Yes | 1.21 | 1.06 to 1.38 | 1.31 | 1.18 to 1.47 | 1.34 | 1.18 to 1.52 | 1.24 | 1.10 to 1.39 | 1.15 | 0.73 to 1.82 | 1.76 | 1.31 to 2.37 | 1.53 | 1.05 to 2.24 | 1.55 | 1.13 to 2.14 |
Abbreviation: OR, odds ratio.
Stratified by age, study, and race/ethnicity and mutually adjusted for body mass index, age at menarche, parity, oral contraceptive use, and smoking status.
Based on 23 studies with smoking data.
Based on 19 studies with diabetes data.