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Use of antidepressants and the risk of breast cancer: a meta-analysis

Cited 21 time in Web of Science Cited 23 time in Scopus
Authors
Eom, Chun-Sick; Park, Sang Min; Cho, Kyung-Hwan
Issue Date
2012-11
Publisher
SPRINGER
Citation
BREAST CANCER RESEARCH AND TREATMENT Vol.136 No.3, pp. 635-645
Keywords
복합학AntidepressantsSelective serotonin reuptake inhibitorsTricyclic antidepressantsBreast cancerMeta-analysis
Abstract
The goal of this study was to perform a meta-analysis to examine the association between the use of antidepressants (AD) and the risk of breast cancer. We searched the EMBASE and MEDLINE databases from inception through February 25, 2012, using search terms related to ADs and breast cancer. Two evaluators independently reviewed and selected articles and extracted data based on predetermined selection criteria. Pooled effect estimates were obtained by using random- and fixed effects meta-analyses. Of the 3,209 titles identified, 18 articles met the inclusion criteria. The overall risk of breast cancer did not increase among AD users [adjusted odds ratio (aOR) 1.02; 95 % CI 0.96-1.08]. Those who took tricyclic antidepressants (TCAs) or selective serotonin reuptake inhibitors (SSRIs) were not at increased risks of breast cancer. In subgroup meta-analyses, null associations were consistent across the type of AD, funding sources, the number of adjusted variables, medication dose, the ascertainment of exposure, and methodological quality. In subgroup analyses based on exposure duration, a marginal association was observed for the use of SSRIs < 1-2 years (aOR 1.10; 95 % CI 1.02-1.19). However, this effect was attenuated over time and those using SSRIs for more than 1-2 years had no elevated breast cancer risk. These results support the lack of a clinically meaningful association between AD use and the development of breast cancer and provide considerable reassurance. Given that the data collected to date do not support changing the current prescribing patterns for ADs, the important benefits of AD therapy must be considered.
ISSN
0167-6806
Language
English
URI
http://hdl.handle.net/10371/81690
DOI
https://doi.org/10.1007/s10549-012-2307-y
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College of Medicine/School of Medicine (의과대학/대학원)Family Medicine (가정의학전공)Journal Papers (저널논문_가정의학전공)
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