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Verfasst von:Labadie, Julia D. [VerfasserIn]   i
 Harrison, Tabitha A [VerfasserIn]   i
 Banbury, Barbara [VerfasserIn]   i
 Amitay, Efrat L [VerfasserIn]   i
 Bernd, Sonja [VerfasserIn]   i
 Brenner, Hermann [VerfasserIn]   i
 Buchanan, Daniel D [VerfasserIn]   i
 Campbell, Peter T [VerfasserIn]   i
 Cao, Yin [VerfasserIn]   i
 Chan, Andrew T [VerfasserIn]   i
 Chang-Claude, Jenny [VerfasserIn]   i
 English, Dallas [VerfasserIn]   i
 Figueiredo, Jane C [VerfasserIn]   i
 Gallinger, Steven J [VerfasserIn]   i
 Giles, Graham G [VerfasserIn]   i
 Gunter, Marc J [VerfasserIn]   i
 Hoffmeister, Michael [VerfasserIn]   i
 Hsu, Li [VerfasserIn]   i
 Jenkins, Mark A [VerfasserIn]   i
 Lin, Yi [VerfasserIn]   i
 Milne, Roger L [VerfasserIn]   i
 Moreno, Victor [VerfasserIn]   i
 Murphy, Neil [VerfasserIn]   i
 Ogino, Shuji [VerfasserIn]   i
 Phipps, Amanda I [VerfasserIn]   i
 Sakoda, Lori C [VerfasserIn]   i
 Slattery, Martha L [VerfasserIn]   i
 Southey, Melissa C [VerfasserIn]   i
 Sun, Wei [VerfasserIn]   i
 Thibodeau, Stephen N [VerfasserIn]   i
 Guelpen, Bethany van [VerfasserIn]   i
 Zaidi, Syed H [VerfasserIn]   i
 Peters, Ulrike [VerfasserIn]   i
 Newcomb, Polly A [VerfasserIn]   i
Titel:Postmenopausal hormone therapy and colorectal cancer risk by molecularly defined subtypes and tumor location
Verf.angabe:Julia D Labadie, Tabitha A Harrison, Barbara Banbury, Efrat L Amtay, Sonja Bernd, Hermann Brenner, Daniel D Buchanan, Peter T Campbell, Yin Cao, Andrew T Chan, Jenny Chang-Claude, Dallas English, Jane C Figueiredo, Steven J Gallinger, Graham G Giles, Marc J Gunter, Michael Hoffmeister, Li Hsu, Mark A Jenkins, Yi Lin, Roger L Milne, Victor Moreno, Neil Murphy, Shuji Ogino, Amanda I Phipps, Lori C Sakoda, Martha L Slattery, Melissa C Southey, Wei Sun, Stephen N Thibodeau, Bethany Van Guelpen, Syed H Zaidi, Ulrike Peters, Polly A Newcomb
E-Jahr:2020
Jahr:October 2020
Umfang:9 S.
Fussnoten:Gesehen am 27.01.2025
Titel Quelle:Enthalten in: JNCI cancer spectrum
Ort Quelle:Oxford : Oxford University Press, 2017
Jahr Quelle:2020
Band/Heft Quelle:4(2020), 5 vom: Okt., Artikel-ID pkaa042, Seite 1-9
ISSN Quelle:2515-5091
Abstract:Postmenopausal hormone therapy (HT) is associated with a decreased colorectal cancer (CRC) risk. As CRC is a heterogeneous disease, we evaluated whether the association of HT and CRC differs across etiologically relevant, molecularly defined tumor subtypes and tumor location.We pooled data on tumor subtypes (microsatellite instability status, CpG island methylator phenotype status, BRAF and KRAS mutations, pathway: adenoma-carcinoma, alternate, serrated), tumor location (proximal colon, distal colon, rectum), and HT use among 8220 postmenopausal women (3898 CRC cases and 4322 controls) from 8 observational studies. We used multinomial logistic regression to estimate odds ratios (OR) and 95% confidence intervals (CIs) for the association of ever vs never HT use with each tumor subtype compared with controls. Models were adjusted for study, age, body mass index, smoking status, and CRC family history. All statistical tests were 2-sided. Among postmenopausal women, ever HT use was associated with a 38% reduction in overall CRC risk (OR =0.62, 95% CI = 0.56 to 0.69). This association was similar according to microsatellite instability, CpG island methylator phenotype and BRAF or KRAS status. However, the association was attenuated for tumors arising through the serrated pathway (OR = 0.81, 95% CI = 0.66 to 1.01) compared with the adenoma-carcinoma pathway (OR = 0.63, 95% CI = 0.55 to 0.73; Phet =.04) and alternate pathway (OR = 0.61, 95% CI = 0.51 to 0.72). Additionally, proximal colon tumors had a weaker association (OR = 0.71, 95% CI = 0.62 to 0.80) compared with rectal (OR = 0.54, 95% CI = 0.46 to 0.63) and distal colon (OR = 0.57, 95% CI = 0.49 to 0.66; Phet =.01) tumors.We observed a strong inverse association between HT use and overall CRC risk, which may predominantly reflect a benefit of HT use for tumors arising through the adenoma-carcinoma and alternate pathways as well as distal colon and rectal tumors.
DOI:doi:10.1093/jncics/pkaa042
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

kostenfrei: Volltext: https://doi.org/10.1093/jncics/pkaa042
 kostenfrei: Volltext: https://academic.oup.com/jncics/article/4/5/pkaa042/5840479?login=true
 DOI: https://doi.org/10.1093/jncics/pkaa042
Datenträger:Online-Ressource
Sprache:eng
K10plus-PPN:1915636795
Verknüpfungen:→ Zeitschrift

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