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Endogenous sex hormones and prostate cancer : A collaborative analysis of 18 prospective studies

Roddam, Andrew W. ; Allen, Naomi E. ; Appleby, Paul ; Key, Timothy J. and Stocks, Tanja LU (2008) In Journal of the National Cancer Institute 100(3). p.170-183
Abstract

Background: Sex hormones in serum have been hypothesized to influence the risk of prostate cancer. We performed a collaborative analysis of the existing worldwide epidemiologic data to examine these associations in a uniform manner and to provide more precise estimates of risks. Methods: Data on serum concentrations of sex hormones from 18 prospective studies that included 3886 men with incident prostate cancer and 6438 control subjects were pooled by the Endogenous Hormones and Prostate Cancer Collaborative Group. Relative risks (RRs) of prostate cancer by fifths of serum hormone concentration were estimated by use of conditional logistic regression with stratification by study, age at recruitment, and year of recruitment. All... (More)

Background: Sex hormones in serum have been hypothesized to influence the risk of prostate cancer. We performed a collaborative analysis of the existing worldwide epidemiologic data to examine these associations in a uniform manner and to provide more precise estimates of risks. Methods: Data on serum concentrations of sex hormones from 18 prospective studies that included 3886 men with incident prostate cancer and 6438 control subjects were pooled by the Endogenous Hormones and Prostate Cancer Collaborative Group. Relative risks (RRs) of prostate cancer by fifths of serum hormone concentration were estimated by use of conditional logistic regression with stratification by study, age at recruitment, and year of recruitment. All statistical tests were two-sided. Results: No associations were found between the risk of prostate cancer and serum concentrations of testosterone, calculated free testosterone, dihydrotestosterone, dehydroepiandrosterone sulfate, androstenedione, androstanediol glucuronide, estradiol, or calculated free estradiol. The serum concentration of sex hormone-binding globulin was modestly inversely associated with prostate cancer risk (RR in the highest vs lowest fifth = 0.86, 95% confidence interval = 0.75 to 0.98; Ptrend =. 01). There was no statistical evidence of heterogeneity among studies, and adjustment for potential confounders made little difference to the risk estimates. Conclusions: In this collaborative analysis of the worldwide data on endogenous hormones and prostate cancer risk, serum concentrations of sex hormones were not associated with the risk of prostate cancer.

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author
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publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of the National Cancer Institute
volume
100
issue
3
pages
14 pages
publisher
Oxford University Press
external identifiers
  • scopus:39149084101
  • pmid:18230794
ISSN
0027-8874
DOI
10.1093/jnci/djm323
language
English
LU publication?
no
id
c2136776-51d8-41e3-9596-50abbdeb46ad
date added to LUP
2019-05-31 09:21:53
date last changed
2024-06-26 19:25:01
@article{c2136776-51d8-41e3-9596-50abbdeb46ad,
  abstract     = {{<p>Background: Sex hormones in serum have been hypothesized to influence the risk of prostate cancer. We performed a collaborative analysis of the existing worldwide epidemiologic data to examine these associations in a uniform manner and to provide more precise estimates of risks. Methods: Data on serum concentrations of sex hormones from 18 prospective studies that included 3886 men with incident prostate cancer and 6438 control subjects were pooled by the Endogenous Hormones and Prostate Cancer Collaborative Group. Relative risks (RRs) of prostate cancer by fifths of serum hormone concentration were estimated by use of conditional logistic regression with stratification by study, age at recruitment, and year of recruitment. All statistical tests were two-sided. Results: No associations were found between the risk of prostate cancer and serum concentrations of testosterone, calculated free testosterone, dihydrotestosterone, dehydroepiandrosterone sulfate, androstenedione, androstanediol glucuronide, estradiol, or calculated free estradiol. The serum concentration of sex hormone-binding globulin was modestly inversely associated with prostate cancer risk (RR in the highest vs lowest fifth = 0.86, 95% confidence interval = 0.75 to 0.98; P<sub>trend</sub> =. 01). There was no statistical evidence of heterogeneity among studies, and adjustment for potential confounders made little difference to the risk estimates. Conclusions: In this collaborative analysis of the worldwide data on endogenous hormones and prostate cancer risk, serum concentrations of sex hormones were not associated with the risk of prostate cancer.</p>}},
  author       = {{Roddam, Andrew W. and Allen, Naomi E. and Appleby, Paul and Key, Timothy J. and Stocks, Tanja}},
  issn         = {{0027-8874}},
  language     = {{eng}},
  month        = {{02}},
  number       = {{3}},
  pages        = {{170--183}},
  publisher    = {{Oxford University Press}},
  series       = {{Journal of the National Cancer Institute}},
  title        = {{Endogenous sex hormones and prostate cancer : A collaborative analysis of 18 prospective studies}},
  url          = {{http://dx.doi.org/10.1093/jnci/djm323}},
  doi          = {{10.1093/jnci/djm323}},
  volume       = {{100}},
  year         = {{2008}},
}