Journal article

The Risk of Ovarian Cancer Increases with an Increase in the Lifetime Number of Ovulatory Cycles: An Analysis from the Ovarian Cancer Cohort Consortium (OC3)

Britton Trabert, Shelley S Tworoger, Katie M O'Brien, Mary K Townsend, Renee T Fortner, Edwin S Iversen, Patricia Hartge, Emily White, Pilar Amiano, Alan A Arslan, Leslie Bernstein, Louise A Brinton, Julie E Buring, Laure Dossus, Gary E Fraser, Mia M Gaudet, Graham G Giles, Inger T Gram, Holly R Harris, Judith Hoffman Bolton Show all

CANCER RESEARCH | AMER ASSOC CANCER RESEARCH | Published : 2020

Abstract

Repeated exposure to the acute proinflammatory environment that follows ovulation at the ovarian surface and distal fallopian tube over a woman's reproductive years may increase ovarian cancer risk. To address this, analyses included individual-level data from 558,709 naturally menopausal women across 20 prospective cohorts, among whom 3,246 developed invasive epithelial ovarian cancer (2,045 serous, 319 endometrioid, 184 mucinous, 121 clear cell, 577 other/unknown). Cox models were used to estimate multivariable-adjusted HRs between lifetime ovulatory cycles (LOC) and its components and ovarian cancer risk overall and by histotype. Women in the 90th percentile of LOC (>514 cycles) were almo..

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Grants

Awarded by Department of Defense Ovarian Cancer Research Program


Awarded by intramural research program of the NCI, NIH, DHHS (Breast Cancer Detection and Demonstration Project Follow-up Study)


Awarded by intramural research program of the NCI, NIH, DHHS (NIH-AARP Diet and Health Study)


Awarded by intramural research program of the NCI, NIH, DHHS (Prostate, Lung, Colorectal and Ovarian Cancer Screening Study)


Awarded by California Teachers Study


Awarded by Iowa Women's Health Study


Awarded by Multiethnic Cohort


Awarded by Australian National Health and Medical Research Council grants


Awarded by NIEHS Intramural Research Program


Awarded by Swedish Research Council Grant


Awarded by Swedish Cancer Foundation


Awarded by NCI


Awarded by Office of Dietary Supplements


Awarded by Health Research Fund (FIS) (Spain)


Awarded by ISCIII RETIC (Spain)


Awarded by Cancer Research UK (United Kingdom)


Awarded by Medical Research Council (United Kingdom)



Funding Acknowledgements

The Nurses' Health Study would like to acknowledge the Channing Division of Network Medicine and thank the following state cancer registries for their assistance: AL, AZ, AR, CA, CO, CT, DE, FL, GA, ID, IL, IN, IA, KY, LA, ME, MD, MA, MI, NE, NH, NJ, NY, NC, ND, OH, OK, OR, PA, RI, SC, TN, TX, VA, WA, WY. The UKBGS thanks Breast Cancer Now and the Institute of Cancer Research (ICR) for support and funding. The ICR acknowledges National Health Service funding to the National Institute for Health Research Biomedical Research Centre. This work was supported by Department of Defense Ovarian Cancer Research Program grant W81XWH-12-10561. Additional research funding and support included the following: The intramural research program of the NCI, NIH, DHHS (Breast Cancer Detection and Demonstration Project Follow-up Study; NIH-AARP Diet and Health Study; Prostate, Lung, Colorectal and Ovarian Cancer Screening Study; Z01 CP010128); Intramural Research Program of the American Cancer Society (Cancer Prevention Study II); Breast Cancer Now and the Institute of Cancer Research (UKBGS, Generations Study); R01 CA077398 (California Teachers Study); R01 CA039742 (Iowa Women's Health Study); R01 CA164973 (Multiethnic Cohort); VicHealth and Cancer Council Victoria, and Australian National Health and Medical Research Council grants 209057, 396414, and 1074383 (Melbourne Collaborative Cohort Study); UM1 CA186107, P01 CA087969, (Nurses' Health Study); UM1 CA182934, P30 CA016087 and P30 ES000260 (NYU Women's Health Study); NIEHS Intramural Research Program (Sisters Study, Project Z01-ES044005 to DPS); Swedish Research Council Grant VR 2017-00644 for the Swedish Infrastructure for Medical Population-based Life-course Environmental Research (SIMPLER) and the Swedish Cancer Foundation (Swedish Mammography Cohort); K22 CA193860 to HRH; K05CA154337 from the NCI and Office of Dietary Supplements (VITamins And Lifestyle Cohort); CA047988, HL043851, HL080467, HL099355, and CA182913 (Women's Health Study); and the coordination of EPIC is financially supported by the European Commission (DGSANCO) and the International Agency for Research on Cancer. The national cohorts are supported by Danish Cancer Society (Denmark); Ligue Contre le Cancer, Institut Gustave Roussy, Mutuelle Generale de l'Education Nationale, Institut National de la Sante et de la RechercheMedicale (INSERM) (France); German Cancer Aid, German Cancer Research Center (DKFZ), Federal Ministry of Education and Research (BMBF) (Germany); the Hellenic Health Foundation (Greece); Associazione Italiana per la Ricerca sul Cancro-AIRC-Italy and National Research Council (Italy); Dutch Ministry of Public Health, Welfare and Sports (VWS), Netherlands Cancer Registry (NKR), LK Research Funds, Dutch Prevention Funds, Dutch ZON (Zorg Onderzoek Nederland), World Cancer Research Fund (WCRF), Statistics Netherlands (The Netherlands); Nordforsk (Norway); Health Research Fund (FIS), PI13/00061 to Granada; PI13/01162 to EPIC-Murcia, Regional Governments of Andalucia, Asturias, Basque Country, Murcia and Navarra, ISCIII RETIC (RD06/0020; Spain); Swedish Cancer Society, Swedish Research Council and County Councils of Skane and Vasterbotten (Sweden); Cancer Research UK (14136 to EPIC-Norfolk; C570/A16491 and C8221/A19170 to EPIC-Oxford), Medical Research Council (1000143 to EPIC-Norfolk, MR/M012190/1 to EPIC-Oxford; United Kingdom).