Multiple studies have hypothesized parity is associated with pancreatic cancer risk but obtained conflicting results. We conducted a meta-analysis (including a dose-response approach) of current available epidemiologic studies to investigate the association between parity and risk of pancreatic cancer. Ten cohort studies and ten case-control studies including 8205 cases were eligible for inclusion. The combined RR (relative risk) of pancreatic cancer for the parous vs. nulliparous was 0.91 (95% CI, confidence interval 5 0.85-0.97, I-2 = 39.0%, P-h = 0.01). We observed an inverse association between giving birth to two children pancreatic cancer risk with RR of 0.86 (95% CI = 0.80-0.93, I-2 = 8.7%, P-h = 0.36). And no evidence supported there was non-linear (P = 0.33) or linear relationship (P=0.14) between number of parity and risk of pancreatic cancer. Findings from this meta-analysis indicate that giving birth to two children has the lowest pancreatic cancer risk, mechanism of this protective effect needs further investigation.
基金:
Outstanding Young Scientists of Organization Department, National HighTech Research and Development Program of China [2014AA020609]; Specialized Research Fund for the Doctoral Program of Higher Education [20130142110017]; Xiaoping Miao and the National Natural Science Foundation of China [NSFC-81001275, 81171878, 81222038]
第一作者单位:[1]Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, State Key Lab Environm Hlth Incubat,MOE,Key Lab E, Wuhan 430074, Peoples R China[2]Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Dept Epidemiol & Biostat, Wuhan 430074, Peoples R China
通讯作者:
通讯机构:[1]Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, State Key Lab Environm Hlth Incubat,MOE,Key Lab E, Wuhan 430074, Peoples R China[2]Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Dept Epidemiol & Biostat, Wuhan 430074, Peoples R China
推荐引用方式(GB/T 7714):
Zhu Beibei,Zou Li,Han Juan,et al.Parity and pancreatic cancer risk: evidence from a meta-analysis of twenty epidemiologic studies[J].SCIENTIFIC REPORTS.2014,4:doi:10.1038/srep05313.
APA:
Zhu, Beibei,Zou, Li,Han, Juan,Chen, Wei,Shen, Na...&Miao, Xiaoping.(2014).Parity and pancreatic cancer risk: evidence from a meta-analysis of twenty epidemiologic studies.SCIENTIFIC REPORTS,4,
MLA:
Zhu, Beibei,et al."Parity and pancreatic cancer risk: evidence from a meta-analysis of twenty epidemiologic studies".SCIENTIFIC REPORTS 4.(2014)