Studies of melanoma risk and use of female sex steroids and menstrual and reproductive events in women have yielded inconsistent results and have had insufficient sample size to address many important questions. To provide a more complete and precise assessment of these factors, we propose to pool data from 11 of the largest melanoma case-control studies completed to date. The data to be analyzed were collected through personal interviews with over 6,000 women (>2,500 cases and >3,500 controls). Specific hypotheses of interest include: 1) the potential risk of melanoma associated with long term oral contraceptive use, 10 or more years after first use, and 2) the effect of reproductive history, non- contraceptive hormones and surgical menopause on melanoma risk. We will use a uniform variable definition and coding scheme and apply a common analysis approach to each study individually. Next, a joint analysis will be performed using an innovative two-step approach. The investigative team will meet to review the results and to discuss their interpretation. Our approach will enable us to answer crucial questions regarding the role of female sex hormones on melanoma risk in a substantially more efficient and timely manner than undertaking a new study of this size.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Project (R01)
Project #
5R01CA062345-03
Application #
2458109
Study Section
Epidemiology and Disease Control Subcommittee 2 (EDC)
Program Officer
Patel, Appasaheb1 R
Project Start
1995-08-01
Project End
1999-07-31
Budget Start
1997-08-01
Budget End
1999-07-31
Support Year
3
Fiscal Year
1997
Total Cost
Indirect Cost
Name
Dartmouth College
Department
Family Medicine
Type
Schools of Medicine
DUNS #
041027822
City
Hanover
State
NH
Country
United States
Zip Code
03755
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Olsen, Catherine M; Green, Adele C; Zens, Michael S et al. (2008) Anthropometric factors and risk of melanoma in women: a pooled analysis. Int J Cancer 122:1100-8
Karagas, Margaret R; Zens, Michael S; Stukel, Therese A et al. (2006) Pregnancy history and incidence of melanoma in women: a pooled analysis. Cancer Causes Control 17:11-9
Karagas, M R; Stukel, T A; Dykes, J et al. (2002) A pooled analysis of 10 case-control studies of melanoma and oral contraceptive use. Br J Cancer 86:1085-92
Stukel, T A; Demidenko, E; Dykes, J et al. (2001) Two-stage methods for the analysis of pooled data. Stat Med 20:2115-30