title: Bisphosphonate use and the risk of breast cancer: a meta-analysis of published literature.
abstract: Bisphosphonates are widely used in clinical practice to prevent and treat osteoporosis and cancer-induced bone loss. Recently, analysis of results of several published observational studies found that women who used bisphosphonates had a significant reduction in the risk of breast cancer compared with nonusers. However, the findings were inconsistent. We systematically searched MEDLINE and EMBASE databases through June 1, 2011. The eligibility determination and the data extraction were conducted independently by 2 of the authors. A random-effect model was used to obtain the pooled estimates of effect. We identified 2 cohort studies and 2 case-control studies that were eligible for analysis, which involved 15,363 patients with breast cancer and 84,931 bisphosphonate users. The results of our meta-analysis revealed that women who received bisphosphonates have a 15% risk reduction of any breast cancer (pooled risk ratio [RR], 0.85 [95% confidence interval {CI}, 0.74-0.98]; P = .03) and a 32% risk reduction of invasive breast cancer (pooled RR, 0.68 [95% CI, 0.59-0.80]; P < .001) compared with nonusers. In addition, there was a significant dose-response relationship between the duration of bisphosphonate use and breast cancer risk. A significantly protective effect of bisphosphonates was observed in patients who used bisphosphonates for more than 1 year before the diagnosis of breast cancer compared with nonusers. The bisphosphonate users had a risk reduction of breast cancer by 8% (pooled RR, 0.92 [95% CI, 0.87-0.96]; P = .001) for each additional year of the duration of bisphosphonate use. The use of bisphosphonates may have a beneficial effect on breast cancer risk.
authors.affiliation: Department of Epidemiology, School of Public Health, Harbin Medical University, Harbin, Heilongjiang, China.
authors.forename: Yupeng
authors.initials: Y
authors.lastname: Liu
authors.forename: Shu
authors.initials: S
authors.lastname: Zhao
authors.forename: Wangyang
authors.initials: W
authors.lastname: Chen
authors.forename: Fulan
authors.initials: F
authors.lastname: Hu
authors.forename: Lin
authors.initials: L
authors.lastname: Zhu
authors.forename: Qingyuan
authors.initials: Q
authors.lastname: Zhang
authors.forename: Yashuang
authors.initials: Y
authors.lastname: Zhao
mesh_terms: D000284:Administration, Oral; D050071:Bone Density Conservation Agents / Q000627:therapeutic use*; D001859:Bone Neoplasms / Q000188:drug therapy; D001943:Breast Neoplasms / Q000150:complications / Q000517:prevention & control*; D004164:Diphosphonates / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D016017:Odds Ratio; D010024:Osteoporosis / Q000150:complications / Q000188:drug therapy*; D012107:Research Design; D016387:Women's Health
chemical_list: D050071:Bone Density Conservation Agents; D004164:Diphosphonates