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Review
. 2008 Jun;18(6):492-9.
doi: 10.1016/j.annepidem.2007.11.011. Epub 2008 Feb 8.

Meta-analysis of intrauterine device use and risk of endometrial cancer

Robin M Beining  1 , Leslie K Dennis, Elaine M Smith, Anuja Dokras
Affiliations
Review

Meta-analysis of intrauterine device use and risk of endometrial cancer

Robin M Beining et al. Ann Epidemiol. 2008 Jun.

Abstract

Purpose: We sought to study the association between intrauterine device (IUD) use and endometrial cancer.

Methods: A comprehensive search of literature published through April 2007 was conducted, studies reviewed, and data abstracted. Data from ten studies were pooled and analyzed using both fixed- and random-effects models to examine the association of ever use of an IUD and endometrial cancer.

Results: Based on the random effects model, a protective crude association between IUD use and endometrial cancer was observed (odds ratio [OR] = 0.39; 95% confidence interval [CI] = 0.29-0.51; heterogeneity p < 0.001) with a pooled adjusted risk of OR = 0.54 (95% CI, 0.47-0.63; heterogeneity p = 0.40). A decreased risk of endometrial cancer also was seen for increased years of IUD use (OR for 5 years of use 0.88; 95% CI = 0.84-0.92; n = 5; heterogeneity p = 0.14), increased years since last IUD use (OR for 5 years of use 0.91; 95% CI, 0.86-0.95; n = 4; heterogeneity p = 0.02), and increased years since first IUD use (OR for 5 years of use 0.89; 95% CI, 0.83-0.95; n = 4; heterogeneity p = 0.04).

Conclusions: Our results suggest that nonhormonal IUD use may be associated with a decreased risk for endometrial cancer; however, the exact mechanism for this association is unclear. Future investigations should address the difference in the proposed association by specific type of IUDs.

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