Table 2.
Diagnostic chest x-rays and breast cancer risk for non-Hispanic White women, by BRCA1 and BRCA2 mutation status
| BRCA1 mutation carriers | BRCA2 mutation carriers | |||||||
|---|---|---|---|---|---|---|---|---|
|
| ||||||||
| Cases N=167 | Controls N=287 | Multivariate adjusted OR (95% CI) a | Cases N=104 | Controls N=169 | Multivariate adjusted OR (95% CI) a | |||
| History of diagnostic chest x-rays | ||||||||
| No chest x-rays | 125 | 246 | 1.0 | 76 | 133 | 1.0 | ||
| One or more chest x-rays | 42 | 41 | 1.31 | 0.75–2.30 | 28 | 36 | 1.13 | 0.59–2.18 |
| Chest fluoroscopy for tuberculosis | 3 | 1 | 2.58 | 0.22–30 | 2 | 2 | 0.93 | 0.11–7.89 |
| Chest x-rays for pneumonia | 3 | 2 | 4.54 | 0.53–39 | 2 | 2 | 0.33 | 0.02–5.63 |
| Other diagnostic chest x-rays | 36 | 38 | 1.16 | 0.64–2.11 | 24 | 32 | 1.22 | 0.62–2.42 |
| Other diagnostic chest x-rays b | ||||||||
| Age at first chest x-ray (years) | ||||||||
| No chest x-rays | 125 | 246 | 1.0 | 76 | 133 | 1.0 | ||
| <20 | 10 | 22 | 0.57 | 0.22–1.48 | 9 | 10 | 1.55 | 0.54–4.47 |
| ≥20 | 21 | 14 | 1.69 | 0.76–3.76 | 11 | 17 | 1.06 | 0.43–2.60 |
| Unknown | 5 | 2 | 2.58 | 0.42–15.8 | 4 | 5 | 1.12 | 0.24–5.26 |
| Year of first chest x-ray | ||||||||
| No chest x-rays | 125 | 246 | 1.0 | 76 | 133 | 1.0 | ||
| Before 1980 | 16 | 17 | 1.14 | 0.48–2.70 | 10 | 6 | 2.18 | 0.69–6.88 |
| 1980 or after | 15 | 19 | 1.01 | 0.44–2.29 | 10 | 21 | 0.90 | 0.37–2.19 |
| Unknown | 5 | 2 | 2.62 | 0.43–16.0 | 4 | 5 | 1.10 | 0.24–5.12 |
| Number of chest x-rays | ||||||||
| No chest x-rays | 125 | 246 | 1.0 | 76 | 133 | 1.0 | ||
| 1–2 | 11 | 16 | 0.84 | 0.33–2.13 | 7 | 15 | 0.80 | 0.28–2.28 |
| 3–5 | 8 | 6 | 1.22 | 0.35–4.21 | 9 | 2 | 10.63 | 1.93–58 |
| ≥6 | 6 | 7 | 1.20 | 0.37–3.96 | 3 | 3 | 0.89 | 0.15–5.49 |
| Unknown | 11 | 9 | 1.75 | 0.57–5.35 | 5 | 12 | 0.62 | 0.18–2.17 |
Odds ratio (OR) and 95% confidence interval (CI), adjusted for age, study site, family history of breast or ovarian cancer in first-degree relatives, and number of full-term pregnancies.
Excluding individuals with chest x-rays fluoroscopy for tuberculosis or chest x-rays for pneumonia.