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Cancer Causes & Control

, Volume 23, Issue 3, pp 487–496 | Cite as

Unopposed estrogen and estrogen plus progestin menopausal hormone therapy and lung cancer risk in the NIH–AARP Diet and Health Study Cohort

  • Louise A. Brinton
  • Lauren Schwartz
  • Margaret R. Spitz
  • Yikyung Park
  • Albert R. Hollenbeck
  • Gretchen L. Gierach
Original paper

Abstract

Purpose

Previous studies have reported that lung cancer risk may be decreased, increased, or unaffected by prior use of menopausal hormone therapy (MHT).

Methods

To assess this issue further, we examined relationships among 118,008 women, ages 50–71 years who were recruited during 1995–1996 for the NIH–AARP Diet and Health Study and in whom 2,097 incident lung carcinomas were identified during follow-up through 2006. Multivariable Cox proportional hazards models estimated relative risks (RR) and 95% confidence intervals (CIs) associated with various measures of self-reported MHT use.

Results

We found no evidence that either estrogen therapy (ET)-only or estrogen plus progestin therapy (EPT) use was substantially related to subsequent lung cancer risk (respective RRs and 95% CIs for ever use = 0.97, 0.86–1.09 and 1.03, 0.90–1.17). There were no significant variations according to currency or duration of use of either formulation, nor was there evidence that risks varied within subgroups defined by cigarette smoking or body size. The absence of effect was seen for nearly all lung cancer subtypes, with the exception of an increased risk of undifferentiated/large cell cancers associated with long-term ET-only use (p trend = 0.02), a relationship not observed among EPT users.

Conclusions

Our results failed to support any substantial alterations in lung cancer risk associated with use of either unopposed estrogen or estrogen plus progestin MHT, even when detailed exposure measures and other risk predictors were considered.

Keywords

Lung cancer Menopausal hormone therapy Risk Histology 

Abbreviations

NCI

National Cancer Institute

AARP

American Association of Retired Persons

MHT

Menopausal hormone therapy

RR

Relative risk

CI

Confidence interval

ET

Estrogen therapy

PT

Progestin therapy

EPT

Estrogen plus progestin therapy

NSCLC

Non-small cell lung cancer

NOS

Not otherwise specified

BMI

Body mass index

Notes

Acknowledgments

This investigation was supported by the Intramural Research Program of the NIH.

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Copyright information

© Springer Science+Business Media B.V. (outside the USA) 2012

Authors and Affiliations

  • Louise A. Brinton
    • 1
  • Lauren Schwartz
    • 2
  • Margaret R. Spitz
    • 3
  • Yikyung Park
    • 4
  • Albert R. Hollenbeck
    • 5
  • Gretchen L. Gierach
    • 6
  1. 1.Division of Cancer Epidemiology and Genetics, National Cancer InstituteNational Institutes of HealthRockvilleUSA
  2. 2.Division of Cancer Epidemiology and Genetics, National Cancer InstituteNational Institutes of HealthRockvilleUSA
  3. 3.Dan L. Duncan Cancer CenterBaylor College of MedicineHoustonUSA
  4. 4.Division of Cancer Epidemiology and Genetics, National Cancer InstituteNational Institutes of HealthRockvilleUSA
  5. 5.Organizational and Tracking Research DepartmentAARPWashingtonUSA
  6. 6.Division of Cancer Epidemiology and Genetics, National Cancer InstituteNational Institutes of HealthRockvilleUSA

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