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Parity and bladder cancer risk: a dose-response meta-analysis
Yunjin Bai1, Xiaoming Wang1, Yubo Yang1
1Department of Urology, Institute of Urology, West China Hospital, Sichuan University, Guoxue Xiang#37, Chengdu, Sichuan, 610041, China.
BMC Cancer
|January 8, 2017
Summary
This meta-analysis found that having children (parity) is associated with a reduced risk of bladder cancer. Each additional live birth further decreases bladder cancer risk in women.
Area of Science:
- Epidemiology
- Oncology
- Public Health
Background:
- Existing studies suggest an inverse relationship between parity and bladder cancer risk.
- A comprehensive quantitative assessment of this association was lacking.
Purpose of the Study:
- To conduct a meta-analysis to quantitatively assess the association between parity and bladder cancer risk.
- To clarify the relationship between the number of live births and bladder cancer incidence.
Main Methods:
- Systematic literature search of PubMed and Embase databases.
- Inclusion and exclusion criteria applied to select eligible studies.
- Meta-analysis using a fixed-effect model to calculate pooled relative risks (RR) and 95% confidence intervals (CI).
- Dose-response analysis to evaluate risk per live birth increase.
- Assessment of heterogeneity and publication bias.
Main Results:
- Twelve studies comprising 6,214 cases and 2,693,350 non-cases were included.
- A pooled RR of 0.76 (95% CI: 0.70-0.82) indicated a reduced bladder cancer risk for parous women.
- Results remained consistent after adjusting for BMI, cigarette smoking, and age.
- Dose-response analysis revealed a 5% decreased risk (RR=0.95; 95% CI: 0.92-0.98) for each additional live birth.
- No significant heterogeneity or publication bias was detected.
Conclusions:
- Parity is associated with a decreased risk of bladder cancer.
- The findings support a protective effect of having children against bladder cancer development.
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