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Meta-Analysis
. 2017 Mar 20:7:44877.
doi: 10.1038/srep44877.

Hypertension and breast cancer risk: a systematic review and meta-analysis

Affiliations
Meta-Analysis

Hypertension and breast cancer risk: a systematic review and meta-analysis

Hedong Han et al. Sci Rep. .

Abstract

Observational studies examining the relationship between hypertension and breast cancer risk have reported conflicting findings. We conducted this systematic review and meta-analysis to summarize the evidence regarding the association between hypertension and risk of breast cancer. Eligible studies were identified through a comprehensive literature search of PubMed, EMBASE, and the Cochrane library until August 2016. We included observational studies that reported relative risks (RR) with corresponding 95% confidence intervals (CIs). Results from individual studies were pooled by using a random-effects model. 29 articles of 30 studies, with totally 11643 cases of breast cancer, were eligible for inclusion in the meta-analysis. We observed a statistically significant association between hypertension and increased breast cancer risk (RR: 1.15; 95% CI: 1.08, 1.22). In the subgroup analysis, we found a positive association between hypertension and breast cancer incidence among postmenopausal women (RR: 1.20; 95% CI: 1.09, 1.31). In contrast, hypertension was not associated with risk of breast cancer among premenopausal women (RR: 0.97; 95% CI: 0.84, 1.12) and Asian population (RR: 1.07; 95% CI: 0.94, 1.22).This meta-analysis collectively suggests a significantly association between hypertension and breast cancer risk, specifically for postmenopausal hypertensive women.

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Conflict of interest statement

The authors declare no competing financial interests.

Figures

Figure 1
Figure 1. Selection of studies for inclusion in this meta-analysis.
Figure 2
Figure 2. Forest plots of hypertension and the risk of breast cancer.
Figure 3
Figure 3. Forest plots of hypertension and the risk of premenopausal and postmenopausal breast cancer.
Figure 4
Figure 4. Funnel plots of studies evaluating the risk of breast cancer associated with hypertension.

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