Table 2.
Pre-diagnostic Plasma CRP Levels and Risk of Breast Cancer Overall and Risk of Fatal Breast Cancer in the NHS and the WHS and the Combined Analysis.
Quintile 1 | Quintile 2 | Quintile 3 | Quintile 4 | Quintile 5 | Trend-test P-value | |||
---|---|---|---|---|---|---|---|---|
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Risk of incident breast cancer overall | ||||||||
All cases | NHS | Ca|Co | 192|245 | 158|242 | 161|243 | 200|246 | 232|245 | |
RR(95%CI)a | 1.00Ref | 0.86 (0.64, 1.16) | 0.93 (0.69, 1.26) | 1.12 (0.83, 1.52) | 1.27 (0.93, 1.73) | 0.02 | ||
WHS | Ca|Person-years | 401|89037 | 364|87230 | 384|86084 | 421|86008 | 349|85736 | ||
HR(95%CI)b | 1.00Ref | 0.92 (0.79, 1.06) | 0.97 (0.84, 1.13) | 1.05 (0.90, 1.23) | 0.89 (0.76, 1.06) | 0.38 | ||
Combined | 1.00Ref | 0.90 (0.79, 1.03) | 0.97 (0.84, 1.10) | 1.07 (0.93, 1.22) | 1.04 (0.74, 1.46) | 0.52 | ||
P-hetc | 0.01 | |||||||
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Risk of fatal breast cancer overall | ||||||||
All cases | NHS | Ca|Co | 12|245 | 18|242 | 17|243 | 16|246 | 36|245 | |
RR(95%CI)d | 1.00Ref | 1.35 (0.62, 2.94) | 1.25 (0.56, 2.79) | 1.10 (0.48, 2.53) | 2.50 (1.17, 5.33) | 0.004 | ||
WHS | Ca|Person-years | 16|87377 | 16|85191 | 27|84066 | 28|84049 | 18|83587 | ||
HR(95%CI)b | 1.00Ref | 0.97 (0.47, 2.00) | 1.61 (0.83, 3.12) | 1.35 (0.67, 2.70) | 1.12 (0.52, 2.42) | 0.97 | ||
Combined | 1.00Ref | 1.13 (0.67, 1.92) | 1.45 (0.87, 2.42) | 1.24 (0.73, 2.11) | 1.68 (0.77, 3.67) | 0.33 | ||
P-hetc | 0.03 |
Conditional logistic regression adjusted for family history of breast cancer, history of benign breast disease, BMI at blood collection (<21, 21-<23, 23-<25, 25-<30, ≥30kg/m2), age at menarche (<12, 12, 13, >13 years), parity and age at first birth (nulliparous, 1-2 children and <25, 1-2 children and 25-<30, 1-2 children and ≥30, >2 children and <25, >2 children and ≥25 years), alcohol (none, >0-<5, 5-<10, ≥10 g/day, missing), smoking (never/former/current), and physical activity (quartiles of weekly recreational activities mets-h/week). Matching variables were age, month of blood collection, time of day of blood draw, fasting status, menopausal status at blood collection and diagnosis and PMH use at blood collection.
Adjusted for the same variables in a and age (continuous), randomized treatment assignment (aspirin vs. placebo, vitamin E vs. placebo, and beta-carotene vs. placebo), menopausal status and postmenopausal hormone use (premenopausal, postmenopausal without hormone use, postmenopausal with hormone use, unknown or missing).
P-value for test between study heterogeneity of the trend.
Adjusted for family history of breast cancer, history of benign breast disease, BMI at blood collection, age at menarche, parity and age at first birth, alcohol, smoking, physical activity, age, month of blood collection, time of day of blood draw, fasting status, menopausal status at blood draw and diagnosis and PMH use at blood collection.
Study-specific quintile cut-offs (mg/L): NHS: 0.49, 1.02, 1.82, 3.56; WHS: 0.65, 1.46, 2.74, 5.17.