scholarly journals Hospital visitors as controls in case-control studies

2001 ◽  
Vol 35 (5) ◽  
pp. 436-442 ◽  
Author(s):  
Gulnar Azevedo S Mendonça ◽  
José Eluf-Neto
Keyword(s):  
Breast Cancer ◽  
Risk Factors ◽  
Family History ◽  
Case Control ◽  
Breast Size ◽  
Case Control Studies ◽  
Family History Of Cancer ◽  
History Of ◽  
Incident Cases ◽  
History Of Cancer

OBJECTIVE: Selecting controls is one of the most difficult tasks in the design of case-control studies. Hospital controls may be inadequate and random controls drawn from the base population may be unavailable. The aim was to assess the use of hospital visitors as controls in a case-control study on the association of organochlorinated compounds and other risk factors for breast cancer conducted in the main hospital of the "Instituto Nacional de Câncer" -- INCA (National Cancer Institute) in Rio de Janeiro (Brazil). METHODS: The study included 177 incident cases and 377 controls recruited among female visitors. Three different models of control group composition were compared: Model 1, with all selected visitors; Model 2, excluding women visiting relatives with breast cancer; and Model 3, excluding all women visiting relatives with any type of cancer. Odds ratios (OR) and 95% confidence intervals were calculated to test the associations. RESULTS: Age-adjusted OR for breast cancer associated with risk factors other than family history of cancer, except smoking and breast size, were similar in the three models. Regarding family history of all cancers, except for breast cancer, there was a decreased risk in Models 1 and 2, while in Model 3 there was an increased risk, but not statistically significant. Family history of breast cancer was a risk factor in Models 2 and 3, but no association was found in Model 1. In multivariate analysis a significant risk of breast cancer was found when there was a family history of breast cancer in Models 2 and 3 but not in Model 1. CONCLUSIONS: These results indicate that while investigating risk factors unrelated to family history of cancer, the use of hospital visitors as controls may be a valid and feasible alternative.

scholarly journals Nutritional and environmental risk factors for breast cancer: a case-control study

2018 ◽  
Vol 28 (2) ◽  
pp. 28723 ◽  
Author(s):  
Sandra Azevedo Queiroz ◽  
Iasmin Matias de Sousa ◽  
Fernanda Rafaella de Melo Silva ◽  
Clelia de Oliveira Lyra ◽  
Ana Paula Trussardi Fayh
Keyword(s):  
Breast Cancer ◽  
Risk Factors ◽  
Family History ◽  
Case Control Study ◽  
Case Control ◽  
Case Group ◽  
History Of ◽  
Control Study ◽  
History Of Cancer ◽  
Overweight Or Obesity

AIMS: To investigate the associations between breast cancer diagnosis and nutritional and environmental factors in women from Northeast Brazil.METHODS: A case-control study included women evaluated in two hospitals specialized in cancer treatment. The case group was composed by women with breast cancer whose data were obtained during the hospitalization period for surgical treatment of the disease. The control group was selected in the same hospitals excluding the oncology ward. The following risk factors were investigated: household environmental sanitation, breastfeeding history, social class, smoking exposition, alcohol consumption and family history of cancer. A food frequency questionnaire was completed by the subjects and an evaluation of anthropometric nutritional status was made. Comparison for quantitative variables was performed using independent t-test or Mann-Whitney test. Chi-square or Fisher's exact test were used to compare categorical variables. The estimated risk associated with consumption of nutrients and food groups was assessed by OR, with a 95% confidence interval. In order to assess the effect of possible confounding factors such as excess weight or excessive caloric intake, a multivariate analysis was performed with the variables with p<0.15 in the food consumption analysis. The significance level for all analyses was set at p<0.05.RESULTS: The total sample consisted of 118 women, 59 in each group. Of all environmental risk factors investigated, poor sanitation (OR [odds ratio]=3.2, 95%CI 1.43-7.11) and family history for cancer (OR=3.11, 95%CI 1.42-6.78) were significantly associated with the diagnosis of breast cancer. Regarding anthropometric assessments, overweight or obesity and waist circumference >88cm were more prevalent in the case group (OR=2.70, 95%CI 1.28-5.70 and OR=3.10, 95%CI 1.46-6.56, respectively). Regular consumption of ultra-processed foods was identified as a risk factor for breast cancer (adjusted OR=2.35, 95%CI 1.08-5.12).CONCLUSIONS: Higher consumption of ultra-processed food, presence of overweight or obesity, waist circumference ≥88 cm, poor sanitation, and family history of cancer were risk factors for breast cancer in this sample of women living in Rio Grande do Norte state, Brazil.

scholarly journals Family history of cancer and the risk of cancer: a network of case–control studies

2013 ◽  
Vol 24 (10) ◽  
pp. 2651-2656 ◽  
Author(s):  
F. Turati ◽  
V. Edefonti ◽  
C. Bosetti ◽  
M. Ferraroni ◽  
M. Malvezzi ◽  
...  
Keyword(s):  
Family History ◽  
Case Control ◽  
Case Control Studies ◽  
Family History Of Cancer ◽  
History Of ◽  
Risk Of Cancer ◽  
History Of Cancer

Possible role of stress, coping strategies, and life style in the development of breast cancer

2018 ◽  
Vol 53 (3) ◽  
pp. 207-220 ◽  
Author(s):  
Nazmiye K Yıldırım ◽  
Mine Özkan ◽  
Ahmet S İlgün ◽  
Dauren Sarsenov ◽  
Gül Alço ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Risk Factors ◽  
Social Support ◽  
Family History ◽  
Life Style ◽  
Stressful Events ◽  
Study Group ◽  
Family History Of Cancer ◽  
History Of ◽  
History Of Cancer

Objective The aim of the present study was to investigate the possibility of the effect of life long stressful events, along with coping method used, perception of social support, and life style on the development of breast cancer. Methods In this hospital-based case control study, the study group comprised 250 women with breast cancer who were followed by Florence Nightingale Breast Study Group. Control group included 250 women, who had similar sociodemographic characteristics to the study group. Data were collected with semi-structured interview form, Healthy Life Style Behavior Scale, Coping Strategy Indicator, and Stress Evaluation Form developed by us. Results In multivariate analysis, family history of cancer (OR: 1.55, 95% CI: 2.29–1.05), inadequate social support (OR: 1.83, 95% CI: 1.23–2.73), and loss of father during childhood (OR: 2.68, 95% CI: 5.52–1.30) and serious stressor within the last five years (OR: 4.72, 95% CI: 7.03–3.18) were found to be risk factors increasing the risk of breast cancer. When family history of cancer was excluded from the model, the presence of psychiatric disorder history (OR: 1.95, 95% CI: 3.26–1.17) and major life events (OR: 2.24, 95% CI: 4.07–1.24) were added to the model as risk factors. Conclusion The present study indicates that especially the stressful events experienced within the last five years plays an undeniable role in the risk of breast cancer. Social support may be as important in the period before the diagnosis as in the period after diagnosis.

scholarly journals Mortality and Risk of Cancer After Prophylactic Bilateral Oophorectomy in Women With a Family History of Cancer

2018 ◽  
Vol 2 (3) ◽  
Author(s):  
Julie Abildgaard ◽  
Magnus Glindvad Ahlström ◽  
Gedske Daugaard ◽  
Dorte Lisbet Nielsen ◽  
Anette Tønnes Pedersen ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Family History ◽  
Rate Ratio ◽  
Bilateral Oophorectomy ◽  
Family History Of Cancer ◽  
Increased Risk ◽  
History Of ◽  
Risk Of Cancer ◽  
The Impact ◽  
History Of Cancer

Abstract Background Current international guidelines recommend systemic hormone therapy (HT) to oophorectomized women until the age of natural menopause. Despite an inherited predisposition to estrogen-dependent malignancies, the guidelines also apply to women oophorectomized because of a family history of cancer. The objective of this study was to investigate the impact of HT on mortality and risk of cancer in women oophorectomized because of a family history of cancer. Methods A nationwide, population-based cohort was used to study women oophorectomized because of a family history of cancer (n = 2002). Comparison cohorts included women from the background population individually matched on age (n = 18 018). Oophorectomized women were subdivided into three groups: oophorectomized at 1) age 45 years or younger not using HT, 2) age 45 years or younger using HT, 3) older than age 45 years, and their respective population comparison cohorts. Results Women oophorectomized at age 45 years or younger using HT had increased overall mortality (mortality rate ratio [MRR] = 3.45, 95% confidence interval [CI] = 1.53 to 7.79), mortality because of cancer (MRR = 5.67, 95% CI = 1.86 to 17.34), and risk of overall cancer (incidence rate ratio [IRR] = 3.68, 95% CI = 1.93 − 6.98), primarily reflected in an increased risk of breast cancer (IRR = 4.88, 95% CI = 2.19 − 10.68). Women oophorectomized at age 45 years or younger not using HT and women oophorectomized at older than age 45 years did not have increased mortality, mortality because of cancer, or risk of overall cancer, but they had increased risk of breast cancer (IRR = 2.64, 95% CI = 1.14 to 6.13, and IRR = 1.72, 95% CI = 1.14 to 2.59, respectively). Conclusions Use of HT in women oophorectomized at age 45 years or younger with a family history of cancer is associated with increased mortality and risk of overall cancer and breast cancer. Our study warrants further investigation to establish the impact of HT on mortality and cancer risk in oophorectomized women with a family history of cancer.

Germline mutations in early-onset or hereditary breast cancer from the Middle East.

2015 ◽  
Vol 33 (28_suppl) ◽  
pp. 20-20 ◽  
Author(s):  
Makia J Marafie ◽  
Rabea Al-Temaimi ◽  
Andre Megarbane ◽  
Fahd Al-Mulla
Keyword(s):  
Breast Cancer ◽  
Family History ◽  
Middle East ◽  
Middle Eastern ◽  
Germline Mutations ◽  
Illumina Platform ◽  
Family History Of Cancer ◽  
Middle Eastern Women ◽  
History Of ◽  
History Of Cancer

20 Background: Breast cancer is the most common cancer affecting women of Middle Eastern origin. Epidemiologically, breast cancer in the Middle East clusters in families and usually affects women a decade younger than Western women. This dilemma is compounded by the lack of curated databases and ambitious studies that address the roles genetic or genomic may play in breast cancer. Methods: We have exome sequenced 60 Middle Eastern women with moderate and strong family history of cancer or young women without significant family history of cancer. DNA extracted from peripheral blood of patients and matching normal Middle Eastern women without history of familial or sporadic cancers, were subjected to whole-exome sequencing using the HiSeq 2500 Illumina platform and MLPA to map major breast cancer–activating genetic defects. Results: Several novel BRCA1/2 mutations were identified in the minority of these women. However, other complex mutations in non-BRCA1/2 genes appear to play a more subtle role in breast cancer in the Middle Eastern women. Germline mutations in TP-53, BARD1 and mismatch repair genes were more frequent than expected by chance. Conclusions: BRCA1/2 gene mutations are not a significant cause of heritable cancers in the Middle East. The region may benefit from a well-curated region-specific database accessible to clinicians and scientists where clinical and variants information can be deposited from all over the Middle East.

scholarly journals Reliability of Self-Reported Family History of Cancer in a Large Case–Control Study of Lymphoma

2006 ◽  
Vol 98 (1) ◽  
pp. 61-68 ◽  
Author(s):  
Ellen T. Chang ◽  
Karin Ekström Smedby ◽  
Henrik Hjalgrim ◽  
Bengt Glimelius ◽  
Hans-Olov Adami
Keyword(s):  
Family History ◽  
Case Control Study ◽  
Case Control ◽  
Family History Of Cancer ◽  
History Of ◽  
Control Study ◽  
History Of Cancer ◽  
Large Case
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