Hormonal contraceptive use and risk of pancreatic cancer: A cohort study among premenopausal women

Sedrah Arif Butt (Corresponding Author), Øjvind Lidegaard, Charlotte W. Skovlund, Philip Hannaford, Lisa Iversen, Shona Fielding, Lina S. Mørch

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Abstract

Importance
The association between the use of hormonal contraceptive and pancreatic cancer among premenopausal women has until now been unclear. This is the first study to investigate the risk of pancreatic cancer in pre-menopausal women.

Objective
To determine whether hormonal contraception increases the risk of developing pancreatic cancer in pre-menopausal women.

Design
A nationwide prospective cohort study followed all women in Denmark in the age range of 15–49 years without previous cancer or venous thrombosis from 1995 to 2014. The Danish National Prescription Registry provided individually updated exposure information on use of hormonal contraception. The Danish Cancer Registry provided cancer diagnoses, and the Danish National Patient Register containing clinical diagnoses and surgical codes at discharge from public and private hospitals.

Setting
Population-based cohort study.

Participants
All women living in Denmark aged 15–49 years at January 1st, 1995, and those subsequently reaching age 15 years up to December 31st, 2014 were eligible for the study.

Results
Among 1.9 million women who were followed on average for 11.4 years, 235 pancreatic cancers occurred. Compared to never users, ever users of any type of hormonal contraception had a relative risk (RR) of pancreatic cancer of 0.90 (95% confidence interval (CI) 0.68–1.19). No overall association between duration of hormonal contraceptive use and pancreatic cancer risk was found. Neither was long-term use of hormonal contraception associated with pancreas cancer, RR 0.83 (95% CI 0.47–1.50). The risk did not vary between users of combined and progestogen-only products. All models were adjusted for age, completed or ongoing education, polycystic ovary syndrome, endometriosis and among parous women; parity, age at first birth, smoking and body mass index.

Conclusions and relevance
Compared to never users the risk of pancreatic cancer is not significantly higher among current and recent users of contemporary hormonal contraception and does not vary between users of combined and progestogen-only products. In conclusion, our study suggests no risk of pancreatic cancer with use of any type of hormonal contraception.
Original languageEnglish
Article number0206358
Pages (from-to)1-8
Number of pages8
JournalPloS ONE
Volume13
Issue number10
DOIs
Publication statusPublished - 30 Oct 2018

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