An international case-control study of adult glioma and meningioma: the role of head trauma
Identifieur interne : 00C933 ( Main/Exploration ); précédent : 00C932; suivant : 00C934An international case-control study of adult glioma and meningioma: the role of head trauma
Auteurs : Susan Preston-Martin [États-Unis] ; Janice M. Pogoda [États-Unis] ; Brigitte Schlehofer ; Maria Blettner ; Geoffrey R. Howe [États-Unis] ; Philip Ryan [Australie] ; F. Menegoz [France] ; Graham G. Giles ; Ylva Rodvall [Suède] ; N W Choi [Canada] ; Julian Little ; Annie Arslan [France]Source :
- International Journal of Epidemiology [ 0300-5771 ] ; 1998-08.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme, Santé publique, Sport, Traumatisme.
English descriptors
- KwdEn :
Abstract
Background Increased brain tumour risk after head trauma suggested by case reports and clinical series has been previously studied epidemiologicaily with mixed results. An international multicentre case-control study investigated the role of head trauma from injury or sports participation in adult brain tumour risk. Method In all, 1178 glioma and 330 meningioma cases were individually or frequency matched to 2236 controls. Only exposures that occurred at least 5 years before diagnosis and head injuries that received medical attention were considered. Results Risk for ever having experienced a head injury was highest for male meningiomas (odds ratio [OR] = 1.5, 95% confidence interval [CI] 0.9–2.6) but was lower for ‘serious’ injuries, i.e. those causing loss of consciousness, loss of memory or hospitalizatIon (OR = 1.2, 95% CI: 0.6–2.3). Among male meningiomas, latency of 15 to 24 years significantly increased risk (OR = 5.4, 95% CI: 1.7–16.6), and risk was elevated among those who participated in sports most correlated with head injury (OR = 1.9, 95% CI: 0.7–5.3). Odds ratios were lower for male gliomas (OR = 1.2, 95% CI: 0.9–1.5 for any injury; OR = 1.1, 95% CI: 0.7–1.6 for serious injuries) and in females in general. Conclusion Evidence for elevated brain tumour risk after head trauma was strongest for meningiomas in men. Findings related to sports should be interpreted cautiously due to cultural variability in our data and our lack of complete data on physical exercise in general which appeared to be protective.
Url:
DOI: 10.1093/ije/27.4.579
Affiliations:
- Australie, Canada, France, Suède, États-Unis
- Californie, État de New York
- Los Angeles
- Université de Californie du Sud
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Pogoda</name><affiliation wicri:level="1"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Statology</wicri:regionArea></affiliation></author><author><name sortKey="Schlehofer, Brigitte" sort="Schlehofer, Brigitte" uniqKey="Schlehofer B" first="Brigitte" last="Schlehofer">Brigitte Schlehofer</name><affiliation><wicri:noCountry code="no comma">German Cancer Research Centre Heidelberg. Germany</wicri:noCountry></affiliation></author><author><name sortKey="Blettner, Maria" sort="Blettner, Maria" uniqKey="Blettner M" first="Maria" last="Blettner">Maria Blettner</name><affiliation><wicri:noCountry code="no comma">German Cancer Research Centre Heidelberg. Germany</wicri:noCountry></affiliation></author><author><name sortKey="Howe, Geoffrey R" sort="Howe, Geoffrey R" uniqKey="Howe G" first="Geoffrey R" last="Howe">Geoffrey R. Howe</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Columbia University School of Public Health New York, NY</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Ryan, Philip" sort="Ryan, Philip" uniqKey="Ryan P" first="Philip" last="Ryan">Philip Ryan</name><affiliation wicri:level="1"><country xml:lang="fr">Australie</country><wicri:regionArea>University of Adelaide Adelaide</wicri:regionArea></affiliation></author><author><name sortKey="Menegoz, F" sort="Menegoz, F" uniqKey="Menegoz F" first="F" last="Menegoz">F. Menegoz</name><affiliation wicri:level="1"><country xml:lang="fr">France</country><wicri:regionArea>Cancer Registry of Isere Grenoble</wicri:regionArea></affiliation></author><author><name sortKey="Giles, Graham G" sort="Giles, Graham G" uniqKey="Giles G" first="Graham G" last="Giles">Graham G. Giles</name><affiliation><wicri:noCountry code="no comma">Victorian Cancer Registry Victoria. Australia</wicri:noCountry></affiliation></author><author><name sortKey="Rodvall, Ylva" sort="Rodvall, Ylva" uniqKey="Rodvall Y" first="Ylva" last="Rodvall">Ylva Rodvall</name><affiliation wicri:level="1"><country xml:lang="fr">Suède</country><wicri:regionArea>hInstitute for Environmental Medicine Stockholm</wicri:regionArea></affiliation></author><author><name sortKey="Choi, N W" sort="Choi, N W" uniqKey="Choi N" first="N W" last="Choi">N W Choi</name><affiliation wicri:level="1"><country xml:lang="fr">Canada</country><wicri:regionArea>Manitoba Cancer Treatment and Research Foundation Manitoba</wicri:regionArea></affiliation></author><author><name sortKey="Little, Julian" sort="Little, Julian" uniqKey="Little J" first="Julian" last="Little">Julian Little</name><affiliation><wicri:noCountry code="no comma">University of Aberdeen Medical School Aberdeen. Great Britain</wicri:noCountry></affiliation></author><author><name sortKey="Arslan, Annie" sort="Arslan, Annie" uniqKey="Arslan A" first="Annie" last="Arslan">Annie Arslan</name><affiliation wicri:level="1"><country xml:lang="fr">France</country><wicri:regionArea>International Agency for Research on Cancer Lyon</wicri:regionArea></affiliation></author></analytic><monogr></monogr><series><title level="j">International Journal of Epidemiology</title><idno type="ISSN">0300-5771</idno><idno type="eISSN">1464-3685</idno><imprint><publisher>Oxford University Press</publisher><date type="published" when="1998-08">1998-08</date><biblScope unit="volume">27</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="579">579</biblScope><biblScope unit="page" to="586">586</biblScope></imprint><idno type="ISSN">0300-5771</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0300-5771</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Craniocerebral</term><term>Epidemiology</term><term>Human</term><term>International</term><term>Intracranial</term><term>Malignant glioma</term><term>Malignant meningioma</term><term>Multicenter study</term><term>Public health</term><term>Risk factor</term><term>Sport</term><term>Trauma</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Crânioencéphalique</term><term>Epidémiologie</term><term>Etude multicentrique</term><term>Facteur risque</term><term>Gliome malin</term><term>Homme</term><term>International</term><term>Intracrânien</term><term>Méningiome malin</term><term>Santé publique</term><term>Sport</term><term>Traumatisme</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term><term>Santé publique</term><term>Sport</term><term>Traumatisme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">Background Increased brain tumour risk after head trauma suggested by case reports and clinical series has been previously studied epidemiologicaily with mixed results. An international multicentre case-control study investigated the role of head trauma from injury or sports participation in adult brain tumour risk. Method In all, 1178 glioma and 330 meningioma cases were individually or frequency matched to 2236 controls. Only exposures that occurred at least 5 years before diagnosis and head injuries that received medical attention were considered. Results Risk for ever having experienced a head injury was highest for male meningiomas (odds ratio [OR] = 1.5, 95% confidence interval [CI] 0.9–2.6) but was lower for ‘serious’ injuries, i.e. those causing loss of consciousness, loss of memory or hospitalizatIon (OR = 1.2, 95% CI: 0.6–2.3). Among male meningiomas, latency of 15 to 24 years significantly increased risk (OR = 5.4, 95% CI: 1.7–16.6), and risk was elevated among those who participated in sports most correlated with head injury (OR = 1.9, 95% CI: 0.7–5.3). Odds ratios were lower for male gliomas (OR = 1.2, 95% CI: 0.9–1.5 for any injury; OR = 1.1, 95% CI: 0.7–1.6 for serious injuries) and in females in general. Conclusion Evidence for elevated brain tumour risk after head trauma was strongest for meningiomas in men. Findings related to sports should be interpreted cautiously due to cultural variability in our data and our lack of complete data on physical exercise in general which appeared to be protective.</div></front></TEI><affiliations><list><country><li>Australie</li><li>Canada</li><li>France</li><li>Suède</li><li>États-Unis</li></country><region><li>Californie</li><li>État de New York</li></region><settlement><li>Los Angeles</li></settlement><orgName><li>Université de Californie du Sud</li></orgName></list><tree><noCountry><name sortKey="Blettner, Maria" sort="Blettner, Maria" uniqKey="Blettner M" first="Maria" last="Blettner">Maria Blettner</name><name sortKey="Giles, Graham G" sort="Giles, Graham G" uniqKey="Giles G" first="Graham G" last="Giles">Graham G. Giles</name><name sortKey="Little, Julian" sort="Little, Julian" uniqKey="Little J" first="Julian" last="Little">Julian Little</name><name sortKey="Schlehofer, Brigitte" sort="Schlehofer, Brigitte" uniqKey="Schlehofer B" first="Brigitte" last="Schlehofer">Brigitte Schlehofer</name></noCountry><country name="États-Unis"><region name="Californie"><name sortKey="Preston Martin, Susan" sort="Preston Martin, Susan" uniqKey="Preston Martin S" first="Susan" last="Preston-Martin">Susan Preston-Martin</name></region><name sortKey="Howe, Geoffrey R" sort="Howe, Geoffrey R" uniqKey="Howe G" first="Geoffrey R" last="Howe">Geoffrey R. Howe</name><name sortKey="Pogoda, Janice M" sort="Pogoda, Janice M" uniqKey="Pogoda J" first="Janice M" last="Pogoda">Janice M. Pogoda</name></country><country name="Australie"><noRegion><name sortKey="Ryan, Philip" sort="Ryan, Philip" uniqKey="Ryan P" first="Philip" last="Ryan">Philip Ryan</name></noRegion></country><country name="France"><noRegion><name sortKey="Menegoz, F" sort="Menegoz, F" uniqKey="Menegoz F" first="F" last="Menegoz">F. Menegoz</name></noRegion><name sortKey="Arslan, Annie" sort="Arslan, Annie" uniqKey="Arslan A" first="Annie" last="Arslan">Annie Arslan</name></country><country name="Suède"><noRegion><name sortKey="Rodvall, Ylva" sort="Rodvall, Ylva" uniqKey="Rodvall Y" first="Ylva" last="Rodvall">Ylva Rodvall</name></noRegion></country><country name="Canada"><noRegion><name sortKey="Choi, N W" sort="Choi, N W" uniqKey="Choi N" first="N W" last="Choi">N W Choi</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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