A systematic review and meta-analysis on tubal ligation and breast cancer risk

Author:

Najdi Nazila,Esmailzadeh Arezoo,Shokrpour Maryam,Nikfar Somayeh,Razavi Seyedeh Zahra,Sepidarkish Mahdi,Maroufizadeh Saman,Safiri Saeid,Almasi-Hashiani AmirORCID

Abstract

Abstract Background Based on previous studies, it has been hypothesized that tube sterilization may be associated with a lower risk of breast cancer. This study aims to investigate the relationship between tubal ligation and the risk of breast cancer through a systematic review and meta-analysis. Methods In this systematic review and meta-analysis, PubMed/Medline, Web of Science, Scopus, and Google Scholar were searched for relevant non randomized studies published up to November 2020. Then, we screened the papers to include the eligible papers in the meta-analysis. Finally, we pooled the extracted results of individual studies to estimate the summary effect size. All analyses were done using Stata software version 13 (Stata Corp, College Station, TX). Results Four hundred sixty-four papers were retrieved from PubMed/Medline (160), Scopus (165), and Web of Science (139), and 21 papers from Google Scholar and manual search of references in selected full texts. After the removal of duplicates and screening of the papers, 11 articles (6 cohort and 5 case-control study) were included in the final analysis. The results of cohort (RR = 0.99, 95% CI = 0.97–1.0, I2 = 21.1%) and case control studies (OR = 0.87, 95% CI = 0.62–1.12, I2 = 88.9%) revealed that tubal ligation was not significantly associated with breast cancer risk. Conclusion According to our findings, tubal ligation cannot be considered as a risk factor associated with breast cancer risk.

Publisher

Springer Science and Business Media LLC

Subject

Medicine (miscellaneous)

Reference30 articles.

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3. Braaten KP, Dutton C. Overview of female permanent contraception 2020 [updated Nov 24, 2020]. Available from: https://sso.uptodate.com/contents/overview-of-female-permanent-contraception/print.

4. United Nations, Department of Economic and Social Affairs, Population Division. Contraceptive Use by Method 2019: Data Booklet 2020. Available from: https://www.un.org/development/desa/pd/sites/www.un.org.development.desa.pd/files/files/documents/2020/Jan/un_2019_contraceptiveusebymethod_databooklet.pdf.

5. Press DJ, Sullivan-Halley J, Ursin G, Deapen D, McDonald JA, Strom BL, et al. Breast cancer risk and ovariectomy, hysterectomy, and tubal sterilization in the women's contraceptive and reproductive experiences study. Am J Epidemiol. 2011;173(1):38–47.

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