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妇女健康倡议中钙通道阻滞剂的使用与乳腺癌风险

Use of Calcium Channel Blockers and Breast Cancer Risk in the Women's Health Initiative.

作者信息

Brasky Theodore M, Krok-Schoen Jessica L, Liu Jingmin, Chlebowski Rowan T, Freudenheim Jo L, Lavasani Sayeh, Margolis Karen L, Qi Lihong, Reding Kerryn W, Shields Peter G, Simon Michael S, Wactawski-Wende Jean, Wang Ange, Womack Catherine, Manson JoAnn E

机构信息

Division of Cancer Prevention and Control, The Ohio State University College of Medicine, Columbus, Ohio.

Division of Medical Dietetics and Health Sciences, The Ohio State University College of Medicine, Columbus, Ohio.

出版信息

Cancer Epidemiol Biomarkers Prev. 2017 Aug;26(8):1345-1348. doi: 10.1158/1055-9965.EPI-17-0096.

Abstract

Use of calcium channel blockers (CCBs) has been associated with increased risk of breast cancer in some, but not all, studies. Differences in reported associations from prior studies may be due, in part, to inadequate control of confounding factors. Participants were 28,561 postmenopausal women from the Women's Health Initiative who reported use of either CCBs or other antihypertensive medications (AHMs) at baseline; 1,402 incident breast cancer cases were diagnosed during 12 years of follow-up. Adjusted Cox regression models were used to estimate HRs and 95% confidence intervals (CI) for the associations between CCB use relative to other AHM use and breast cancer risk. Use of CCBs was not associated with breast cancer risk (HR, 1.06; 95% CI, 0.94-1.20) relative to use of other AHMs. Associations approximated the null value when CCBs were considered by duration of use, length of action, or drug class. We provide additional evidence that CCBs do not influence breast cancer risk in postmenopausal women. The results from this study, which includes strong control for potential confounding factors, cast doubt on increases in risk with CCBs. .

摘要

在一些(但并非所有)研究中,使用钙通道阻滞剂(CCB)与乳腺癌风险增加相关。先前研究报告的关联差异可能部分归因于对混杂因素的控制不足。研究参与者为来自女性健康倡议组织的28561名绝经后女性,她们在基线时报告使用了CCB或其他抗高血压药物(AHM);在12年的随访期间诊断出1402例新发乳腺癌病例。采用调整后的Cox回归模型来估计CCB使用相对于其他AHM使用与乳腺癌风险之间关联的风险比(HR)和95%置信区间(CI)。相对于使用其他AHM,使用CCB与乳腺癌风险无关(HR,1.06;95%CI,0.94 - 1.20)。当按使用持续时间、作用时长或药物类别考虑CCB时,关联接近无效值。我们提供了额外证据表明CCB不会影响绝经后女性的乳腺癌风险。这项对潜在混杂因素进行了有力控制的研究结果,对CCB会增加风险的说法提出了质疑。

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