Table 3. Summary risk estimates of the association between menarcheal age and endometrial cancer risk, dose-response analysis of per 2 year delay.
| No. of | Summary RR | I2 | Ph* | Ph** | |
|---|---|---|---|---|---|
| studies | (95% CI) | Value (%) | |||
| Overall | 6 | 0.96 (0.94–0.98) | 45.7 | 0.101 | — |
| Subgroup analyses | |||||
| Duration of follow-up | 0.303 | ||||
| <10y | 2 | 0.97 (0.95–0.99) | 44.7 | 0.179 | |
| ≥10y | 4 | 0.95 (0.91–0.98) | 33.7 | 0.210 | |
| Number of cases | 0.067 | ||||
| <400 | 3 | 0.92 (0.89–0.96) | 0 | 0.868 | |
| ≥400 | 3 | 0.97 (0.96–0.99) | 0 | 0.388 | |
| Exposure Assessment | 0.680 | ||||
| Trained interviewer | 1 | 1.01 (0.82–1.24) | N/A | N/A | |
| Self-administered questionnaire | 6 | 0.96 (0.94–0.98) | 55.8 | 0.066 | |
| Study population | 0.259 | ||||
| Non-American | 2 | 0.95 (0.91–0.98) | 56.3 | 0.130 | |
| American | 4 | 0.98 (0.96–0.99) | 7.5 | 0.356 | |
| Adjustment for confounders or important risk factors | |||||
| Body mass index | 0.067 | ||||
| Yes | 3 | 0.97 (0.96–0.99) | 0 | 0.388 | |
| No | 3 | 0.92 (0.89–0.96) | 0 | 0.868 | |
| Parity | 0.652 | ||||
| Yes | 3 | 0.96 (0.94–0.99) | 66.5 | 0.051 | |
| No | 3 | 0.96 (0.93–0.98) | 0 | 0.469 | |
| Oral contraceptive use | 0.080 | ||||
| Yes | 2 | 0.98 (0.97–0.99) | 0 | 0.560 | |
| No | 4 | 0.95 (0.92–0.97) | 12.2 | 0.332 | |
| Exogenous hormones use | 0.080 | ||||
| Yes | 2 | 0.98 (0.97–0.99) | 0 | 0.560 | |
| No | 4 | 0.95 (0.92–0.97) | 12.2 | 0.332 | |
| Menopause status | 0.080 | ||||
| Yes | 2 | 0.98 (0.97–0.99) | 0 | 0.560 | |
| No | 4 | 0.95 (0.92–0.97) | 12.2 | 0.332 | |
| Smoking status | 0.067 | ||||
| Yes | 3 | 0.97 (0.96–0.99) | 0 | 0.388 | |
| No | 3 | 0.92 (0.89–0.96) | 0 | 0.868 | |
RR: relative risk; CI: confidence interval; N/A: not available.
*P value for heterogeneity within each subgroup.
**P value for heterogeneity between subgroups with meta-regression analysis.