RT Journal Article
SR Electronic
T1 Diabetes Mellitus and Ovarian Cancer Risk: A Systematic Review and Meta-Analysis of Observational Studies
JF International Journal of Gynecologic Cancer
JO Int J Gynecol Cancer
FD BMJ Publishing Group Ltd
SP 402
OP 412
DO 10.1097/IGC.0b013e31828189b2
VO 23
IS 3
A1 Lee, Jung-Yun
A1 Jeon, InPyo
A1 Kim, Jae Weon
A1 Song, Yong-Sang
A1 Yoon, Jae-Moon
A1 Park, Sang Min
YR 2013
UL http://ijgc.bmj.com/content/23/3/402.abstract
AB Objective The objective of this study was to evaluate the epidemiologic association between diabetes and risk of ovarian cancer.Methods We searched PubMed, EMBASE, and The Cochrane Library for observational studies on the association between diabetes and ovarian cancer. Cohort studies that reported relative risks (RRs) and case-control studies that showed odds ratios were included in the analysis. Summary RRs with 95% confidence intervals (CIs) were calculated with a random-effects model.Results A total of 19 studies from 18 articles (7 case-control studies and 11 cohort studies) met the inclusion criteria. Combining data from all studies, diabetes was associated with an increased risk of ovarian cancer, compared with no diabetes (summary RR of ovarian cancer incidence, 1.17; 95% CI, 1.02–1.33). In cohort and nested case-control studies, patients with diabetes had statistically significant increased risk of ovarian cancer (RR, 1.16; 95% CI, 1.01–1.33), without significant heterogeneity (I2 = 27; P = 0.172). Among studies that control for age, body mass index, smoking, and alcohol, a prominent association between diabetes and ovarian cancer was found (RR, 1.55; 95% CI, 1.11–2.19).Conclusions This study suggests that women with diabetes have a moderately increased risk of ovarian cancer.