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An international case-control study of adult glioma and meningioma : the role of head trauma

Identifieur interne : 00DD91 ( Main/Merge ); précédent : 00DD90; suivant : 00DD92

An international case-control study of adult glioma and meningioma : the role of head trauma

Auteurs : S. Preston-Martin [États-Unis] ; J. M. Pogoda [États-Unis] ; B. Schlehofer [Allemagne] ; M. Blettner [Allemagne] ; G. R. Howe [États-Unis] ; P. Ryan [Australie] ; F. Menegoz [France] ; G. G. Giles [Australie] ; Y. Rodvall [Suède] ; N. W. Choi [Canada] ; J. Little [Royaume-Uni] ; A. Arslan [France]

Source :

RBID : Pascal:98-0440560

Descripteurs français

English descriptors

Abstract

Background Increased brain tumour risk after head trauma suggested by case reports and clinical series has been previously studied epidemiologically 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. Methods 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. Conclusions 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.

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Pascal:98-0440560

Le document en format XML

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<title xml:lang="en" level="a">An international case-control study of adult glioma and meningioma : the role of head trauma</title>
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<country>France</country>
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<name sortKey="Little, J" sort="Little, J" uniqKey="Little J" first="J." last="Little">J. Little</name>
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<s3>GBR</s3>
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<country>Royaume-Uni</country>
<wicri:noRegion>University of Aberdeen Medical School</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Arslan, A" sort="Arslan, A" uniqKey="Arslan A" first="A." last="Arslan">A. Arslan</name>
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<s1>International Agency for Research on Cancer</s1>
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<country>France</country>
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<region type="region">Auvergne-Rhône-Alpes</region>
<region type="old region">Rhône-Alpes</region>
<settlement type="city">Lyon</settlement>
</placeName>
</affiliation>
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<series>
<title level="j" type="main">International journal of epidemiology</title>
<title level="j" type="abbreviated">Int. j. epidemiol.</title>
<idno type="ISSN">0300-5771</idno>
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<date when="1998">1998</date>
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<title level="j" type="main">International journal of epidemiology</title>
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<idno type="ISSN">0300-5771</idno>
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<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>Méningiome malin</term>
<term>Gliome malin</term>
<term>Intracrânien</term>
<term>Traumatisme</term>
<term>Crânioencéphalique</term>
<term>Sport</term>
<term>Epidémiologie</term>
<term>Facteur risque</term>
<term>Homme</term>
<term>Santé publique</term>
<term>Etude multicentrique</term>
<term>International</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Traumatisme</term>
<term>Sport</term>
<term>Homme</term>
<term>Santé publique</term>
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<div type="abstract" xml:lang="en">Background Increased brain tumour risk after head trauma suggested by case reports and clinical series has been previously studied epidemiologically 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. Methods 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. Conclusions 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>
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<li>Allemagne</li>
<li>Australie</li>
<li>Canada</li>
<li>France</li>
<li>Royaume-Uni</li>
<li>Suède</li>
<li>États-Unis</li>
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<region>
<li>Auvergne-Rhône-Alpes</li>
<li>Bade-Wurtemberg</li>
<li>Californie</li>
<li>District de Karlsruhe</li>
<li>Rhône-Alpes</li>
<li>Svealand</li>
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<li>Heidelberg</li>
<li>Los Angeles</li>
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<name sortKey="Preston Martin, S" sort="Preston Martin, S" uniqKey="Preston Martin S" first="S." last="Preston-Martin">S. Preston-Martin</name>
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<name sortKey="Howe, G R" sort="Howe, G R" uniqKey="Howe G" first="G. R." last="Howe">G. R. Howe</name>
<name sortKey="Pogoda, J M" sort="Pogoda, J M" uniqKey="Pogoda J" first="J. M." last="Pogoda">J. M. Pogoda</name>
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<region name="Bade-Wurtemberg">
<name sortKey="Schlehofer, B" sort="Schlehofer, B" uniqKey="Schlehofer B" first="B." last="Schlehofer">B. Schlehofer</name>
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<name sortKey="Blettner, M" sort="Blettner, M" uniqKey="Blettner M" first="M." last="Blettner">M. Blettner</name>
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<name sortKey="Ryan, P" sort="Ryan, P" uniqKey="Ryan P" first="P." last="Ryan">P. Ryan</name>
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<name sortKey="Giles, G G" sort="Giles, G G" uniqKey="Giles G" first="G. G." last="Giles">G. G. Giles</name>
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<name sortKey="Menegoz, F" sort="Menegoz, F" uniqKey="Menegoz F" first="F." last="Menegoz">F. Menegoz</name>
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<name sortKey="Arslan, A" sort="Arslan, A" uniqKey="Arslan A" first="A." last="Arslan">A. Arslan</name>
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<name sortKey="Rodvall, Y" sort="Rodvall, Y" uniqKey="Rodvall Y" first="Y." last="Rodvall">Y. Rodvall</name>
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