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<title xml:lang="en">Endometriosis and the risks of systemic lupus erythematosus and rheumatoid arthritis in the Nurses' Health Study II</title>
<author>
<name sortKey="Harris, Holly R" sort="Harris, Holly R" uniqKey="Harris H" first="Holly R." last="Harris">Holly R. Harris</name>
<affiliation>
<nlm:aff id="A1">Department of Obstetrics, Gynecology, and Reproductive Biology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2">Division of Nutritional Epidemiology, The National Institute for Environmental Medicine, Karolinska Institute, Stockholm, Sweden</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Costenbader, Karen H" sort="Costenbader, Karen H" uniqKey="Costenbader K" first="Karen H." last="Costenbader">Karen H. Costenbader</name>
<affiliation>
<nlm:aff id="A3">Division of Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Mu, Fan" sort="Mu, Fan" uniqKey="Mu F" first="Fan" last="Mu">Fan Mu</name>
<affiliation>
<nlm:aff id="A4">Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kvaskoff, Marina" sort="Kvaskoff, Marina" uniqKey="Kvaskoff M" first="Marina" last="Kvaskoff">Marina Kvaskoff</name>
<affiliation>
<nlm:aff id="A5">Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A6">Inserm, Centre for Research in Epidemiology and Population Health (CESP), U1018, Nutrition, Hormones and Women's Health Team, F-94805, Villejuif, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A7">Universite Paris Sud, UMRS 1018, F-94805, Villejuif, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A8">Gustave Roussy, F-94805, Villejuif, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A9">Cancer Control Group, QIMR Berghofer Medical Research Institute, Herston, OLD, Australia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Malspeis, Susan" sort="Malspeis, Susan" uniqKey="Malspeis S" first="Susan" last="Malspeis">Susan Malspeis</name>
<affiliation>
<nlm:aff id="A3">Division of Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Karlson, Elizabeth W" sort="Karlson, Elizabeth W" uniqKey="Karlson E" first="Elizabeth W." last="Karlson">Elizabeth W. Karlson</name>
<affiliation>
<nlm:aff id="A3">Division of Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Missmer, Stacey A" sort="Missmer, Stacey A" uniqKey="Missmer S" first="Stacey A." last="Missmer">Stacey A. Missmer</name>
<affiliation>
<nlm:aff id="A1">Department of Obstetrics, Gynecology, and Reproductive Biology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A4">Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A5">Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA</nlm:aff>
</affiliation>
</author>
</titleStmt>
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<idno type="wicri:source">PMC</idno>
<idno type="pmid">26238146</idno>
<idno type="pmc">4740245</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4740245</idno>
<idno type="RBID">PMC:4740245</idno>
<idno type="doi">10.1136/annrheumdis-2015-207704</idno>
<date when="2015">2015</date>
<idno type="wicri:Area/Pmc/Corpus">001C96</idno>
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<title xml:lang="en" level="a" type="main">Endometriosis and the risks of systemic lupus erythematosus and rheumatoid arthritis in the Nurses' Health Study II</title>
<author>
<name sortKey="Harris, Holly R" sort="Harris, Holly R" uniqKey="Harris H" first="Holly R." last="Harris">Holly R. Harris</name>
<affiliation>
<nlm:aff id="A1">Department of Obstetrics, Gynecology, and Reproductive Biology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2">Division of Nutritional Epidemiology, The National Institute for Environmental Medicine, Karolinska Institute, Stockholm, Sweden</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Costenbader, Karen H" sort="Costenbader, Karen H" uniqKey="Costenbader K" first="Karen H." last="Costenbader">Karen H. Costenbader</name>
<affiliation>
<nlm:aff id="A3">Division of Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Mu, Fan" sort="Mu, Fan" uniqKey="Mu F" first="Fan" last="Mu">Fan Mu</name>
<affiliation>
<nlm:aff id="A4">Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kvaskoff, Marina" sort="Kvaskoff, Marina" uniqKey="Kvaskoff M" first="Marina" last="Kvaskoff">Marina Kvaskoff</name>
<affiliation>
<nlm:aff id="A5">Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A6">Inserm, Centre for Research in Epidemiology and Population Health (CESP), U1018, Nutrition, Hormones and Women's Health Team, F-94805, Villejuif, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A7">Universite Paris Sud, UMRS 1018, F-94805, Villejuif, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A8">Gustave Roussy, F-94805, Villejuif, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A9">Cancer Control Group, QIMR Berghofer Medical Research Institute, Herston, OLD, Australia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Malspeis, Susan" sort="Malspeis, Susan" uniqKey="Malspeis S" first="Susan" last="Malspeis">Susan Malspeis</name>
<affiliation>
<nlm:aff id="A3">Division of Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Karlson, Elizabeth W" sort="Karlson, Elizabeth W" uniqKey="Karlson E" first="Elizabeth W." last="Karlson">Elizabeth W. Karlson</name>
<affiliation>
<nlm:aff id="A3">Division of Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Missmer, Stacey A" sort="Missmer, Stacey A" uniqKey="Missmer S" first="Stacey A." last="Missmer">Stacey A. Missmer</name>
<affiliation>
<nlm:aff id="A1">Department of Obstetrics, Gynecology, and Reproductive Biology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A4">Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A5">Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Annals of the rheumatic diseases</title>
<idno type="ISSN">0003-4967</idno>
<idno type="eISSN">1468-2060</idno>
<imprint>
<date when="2015">2015</date>
</imprint>
</series>
</biblStruct>
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<textClass></textClass>
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</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<sec id="S1">
<title>Objectives</title>
<p id="P1">The etiologies of endometriosis, systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA) are all characterized by immune dysfunction. SLE and RA occur more often in women, and reproductive and hormonal factors have been shown to be related to increased risk. However, only one previous study has evaluated the temporal association between endometriosis and SLE or RA. We sought to investigate the association between laparoscopically-confirmed endometriosis and subsequently diagnosed SLE and RA.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">We analyzed data from the Nurses' Health Study II (n=114,453 women) over a 22-year follow-up period. Multivariable, time-varying Cox proportional hazards models were used to calculate hazard ratios (HR) and 95% confidence intervals (CI) for the association between laparoscopically-confirmed endometriosis and confirmed incident SLE or RA.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">From 1989 to 2011, 103 incident cases of SLE and 390 cases of RA were confirmed. Laparoscopically-confirmed endometriosis was significantly associated with subsequent SLE diagnosis (HR=2.03; CI=1.17-3.51) and RA diagnosis (HR=1.41; CI=1.05-1.89). These associations were robust to adjustment for SLE or RA risk factors and for potential confounders, however, adjustment for hysterectomy and oophorectomy attenuated both relations such that they were no longer significant. No significant differences by infertility status or age (<45 years) were observed.</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">Our findings suggest an association between endometriosis and risk of SLE and RA. It remains to be understood whether and how endometriosis itself, or hysterectomy or other factors associated with endometriosis, are related to risk of SLE or RA.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-journal-id">0372355</journal-id>
<journal-id journal-id-type="pubmed-jr-id">640</journal-id>
<journal-id journal-id-type="nlm-ta">Ann Rheum Dis</journal-id>
<journal-id journal-id-type="iso-abbrev">Ann. Rheum. Dis.</journal-id>
<journal-title-group>
<journal-title>Annals of the rheumatic diseases</journal-title>
</journal-title-group>
<issn pub-type="ppub">0003-4967</issn>
<issn pub-type="epub">1468-2060</issn>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">26238146</article-id>
<article-id pub-id-type="pmc">4740245</article-id>
<article-id pub-id-type="doi">10.1136/annrheumdis-2015-207704</article-id>
<article-id pub-id-type="manuscript">NIHMS725567</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Endometriosis and the risks of systemic lupus erythematosus and rheumatoid arthritis in the Nurses' Health Study II</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Harris</surname>
<given-names>Holly R.</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Costenbader</surname>
<given-names>Karen H.</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mu</surname>
<given-names>Fan</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kvaskoff</surname>
<given-names>Marina</given-names>
</name>
<xref ref-type="aff" rid="A5">5</xref>
<xref ref-type="aff" rid="A6">6</xref>
<xref ref-type="aff" rid="A7">7</xref>
<xref ref-type="aff" rid="A8">8</xref>
<xref ref-type="aff" rid="A9">9</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Malspeis</surname>
<given-names>Susan</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Karlson</surname>
<given-names>Elizabeth W.</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Missmer</surname>
<given-names>Stacey A.</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A4">4</xref>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
</contrib-group>
<aff id="A1">
<label>1</label>
Department of Obstetrics, Gynecology, and Reproductive Biology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA</aff>
<aff id="A2">
<label>2</label>
Division of Nutritional Epidemiology, The National Institute for Environmental Medicine, Karolinska Institute, Stockholm, Sweden</aff>
<aff id="A3">
<label>3</label>
Division of Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA USA</aff>
<aff id="A4">
<label>4</label>
Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA</aff>
<aff id="A5">
<label>5</label>
Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA</aff>
<aff id="A6">
<label>6</label>
Inserm, Centre for Research in Epidemiology and Population Health (CESP), U1018, Nutrition, Hormones and Women's Health Team, F-94805, Villejuif, France</aff>
<aff id="A7">
<label>7</label>
Universite Paris Sud, UMRS 1018, F-94805, Villejuif, France</aff>
<aff id="A8">
<label>8</label>
Gustave Roussy, F-94805, Villejuif, France</aff>
<aff id="A9">
<label>9</label>
Cancer Control Group, QIMR Berghofer Medical Research Institute, Herston, OLD, Australia</aff>
<author-notes>
<corresp id="FN1">To whom correspondence and reprint requests should be addressed: Dr. Holly Harris, Ob/Gyn Epidemiology Center, Brigham and Women's Hospital, 221 Longwood Avenue, Boston, MA 02115-5804, Telephone: 617-732-4895, Fax: 617-732-4899,
<email>hharris3@partners.org</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted">
<day>30</day>
<month>9</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub">
<day>03</day>
<month>8</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="ppub">
<month>7</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>01</day>
<month>7</month>
<year>2017</year>
</pub-date>
<volume>75</volume>
<issue>7</issue>
<fpage>1279</fpage>
<lpage>1284</lpage>
<pmc-comment>elocation-id from pubmed: 10.1136/annrheumdis-2015-207704</pmc-comment>
<abstract>
<sec id="S1">
<title>Objectives</title>
<p id="P1">The etiologies of endometriosis, systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA) are all characterized by immune dysfunction. SLE and RA occur more often in women, and reproductive and hormonal factors have been shown to be related to increased risk. However, only one previous study has evaluated the temporal association between endometriosis and SLE or RA. We sought to investigate the association between laparoscopically-confirmed endometriosis and subsequently diagnosed SLE and RA.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">We analyzed data from the Nurses' Health Study II (n=114,453 women) over a 22-year follow-up period. Multivariable, time-varying Cox proportional hazards models were used to calculate hazard ratios (HR) and 95% confidence intervals (CI) for the association between laparoscopically-confirmed endometriosis and confirmed incident SLE or RA.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">From 1989 to 2011, 103 incident cases of SLE and 390 cases of RA were confirmed. Laparoscopically-confirmed endometriosis was significantly associated with subsequent SLE diagnosis (HR=2.03; CI=1.17-3.51) and RA diagnosis (HR=1.41; CI=1.05-1.89). These associations were robust to adjustment for SLE or RA risk factors and for potential confounders, however, adjustment for hysterectomy and oophorectomy attenuated both relations such that they were no longer significant. No significant differences by infertility status or age (<45 years) were observed.</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">Our findings suggest an association between endometriosis and risk of SLE and RA. It remains to be understood whether and how endometriosis itself, or hysterectomy or other factors associated with endometriosis, are related to risk of SLE or RA.</p>
</sec>
</abstract>
<kwd-group>
<kwd>endometriosis</kwd>
<kwd>systemic lupus erythematosus</kwd>
<kwd>rheumatoid arthritis</kwd>
<kwd>epidemiology</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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