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The ESTROGEN Connection:
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Each study
above is listed by first author's name, year of publication, and
nationality of women studied. On the right-hand side of the figure,
the horizontal line with a central circle, given for each study,
represents (on a log scale) the 95% confidence interval (CI) for the
effect of induced abortion on the entire population studied, with
the central circle representing the "point estimate" of "relative
risk" (RR). This RR value represents how many times more likely to
develop breast cancer, in that particular study, is a woman who had
at least one induced abortion, relative to a woman who has not had
an induced abortion. For example, in the 1984 French study of Le et
al shown above, the point estimate of RR is 1.5, with a 95% CI that
spans from 1.0 to 2.2. In other words, the study found that women
who had at least one abortion were, on average, 50% more likely to
develop breast cancer, and that one can be 95% certain that the
increased risk is between 0% and 120%.
Point estimates to the
right of the vertical line of unity (RR=1) indicate increased risk;
while those to the left indicate decreased risk. If the 95% CI does
not cross the line of unity, the results are said to be
statistically significant. Narrower 95% CI's denote greater
certainty about the RR value, reflecting larger studies with greater
statistical power. Thus, the figure illustrates the fact that of the
33 published worldwide studies, 27 show increased risk, 17 of which
are statistically significant. The pooled average from all the
studies combined, calculated by two different methods, is shown at
the bottom. It clearly indicates a significant risk increase
averaging 30 to 40%.
The 1981 study of Pike et al. is limited
to women with any abortions before first full-term pregnancy, the
1988 study of Ewertz and Duffy and the 1996 study of Wu et al. are
limited to women with no children, and the 1957 study of Segi et al.
is limited to women with children.
1. Pike et
al. (1981) Br J Cancer 43:72-6
2. Brinton et al. (1983) Br J
Cancer 47: 757-62
3. Rosenberg et al. (1988) Am J Epidemiol
127-981-9
4. Howe et al. (1988) Int J Epidemiol 18:300-4
5.
Laing et al. (1993) J Natl Med Assoc 85:931-9
6. Laing et al.
(1994) Genet Epidemiol 11:A300
7. White et al. (1994) J Natl
Cancer Inst 86:505-14; Daling et al. (1994) J Natl Cancer Inst
86:1584-92
8. Newcomb et al. (1996) JAMA 275: 283-7
9. Daling
et al. (1996) Am J Epidemiol 144:373-80
10.Wu et al. (1996) Br J
Cancer 73:680-6
11.Palmer et al. (1997) Cancer Causes Control
8:841-9
12.Marcus et al. (1999) Am J Pub Health
89:1244-7
13.Lazovich et al. (2000) Epidemiol
11:76-80
14.Moseson et al. (1993) Int J Epidemiol
22:1000-9
15.Segi et al. (1957) GANN 48
(Suppl.):1-63
16.Watanabe & Hirayama (1968) Nippon Rinsho
26:1853-9 (in Japanese)
17.Dvoirin & Medvedev (1978) Meth
Breast Cancer Epidemiol Res, Tallin 1978. USSR Acad Sci pp.53-63 (in
Russian)
18.Nishiyama (1982) Shikoku Ichi 38:333-43 (in
Japanese)
19-22. Le et al. (1984); Luporsi (1988); Rohan (1988);
Andrieu et al. (1994); in Andrieu et al. (1995) Br J Cancer
72:744-51
23.Hirohata et al. (1985) Natl Cancer Inst Monogr
69:187-90
24.Ewertz & Duffy (1988) Br J Cancer
68:99-104
25.Lipworth et al. (1995) Int J Cancer
61:181-4
26.Rookus & van Leeuwen J Natl Cancer Inst
88:1759-64
27.Bu et al. (1995) Am J Epidemiol
141:S85
28.Talamini et al. (1996) Eur J Cancer
32A:303-10
29.Burany (1979) Jugosl Ginekol Opstet 19:237-47
(Serbo-Croat)
30.Adami et al. (1990) Br J Cancer
62:122-6
31.La Vecchia et al. (1993) Int J Cancer
53:215-9
32.Zaridze et al. (1988) "unpublished" in Ref. #19
above
33.Melbye et al. (1997) N Engl J Med
336:81-5
34.Rosenberg (1999) NE FL Women's Health v. State of FL,
FL Circuit Ct, 2nd circ., videotape deposition of 11/18/99,
pp.77-8.
35.Clark & Chua (1989) Clin Oncol
1:11-18
36.Brind et al. (1996) J Epidemiol Community Health 50:
481-96
37.Evidence-based Guideline #7 (2000) RCOG Press,
pp.29-30
38.Stewart et al. (1993) J Clin Endocrinol Metab
76:1470-6
39.Witt et al. (1990) Fertil Steril
53:1029-36
40.Kunz & Keller (1976) Br J Ob Gyn 83:
640-4
41.MacMahon et al. (1970) Bull Wld Health Org
43:209-21
A list of medical organizations recognizing a link between abortion and breast cancer is provided below. Telling women their abortions are related to increased breast cancer risk is clearly not good for cancer fundraising businesses, the abortion industry and the pharmaceutical industry. Medical groups whose doctors do not perform abortions or refer women for abortions will be among the first to recognize that abortion raises a woman's breast cancer risk.
National Physicians Center
for Family Resources
Catholic Medical
Association
2020 Pennsylvania Ave. NW, #864
Washington, DC
20006
Tel: 1-877-CATHDOC (877-228-4362)
American Association of Pro-Life Obstetricians and
Gynecologists
844 South
616-546-2639
Breast Cancer Prevention
Institute
845/452-0797
www.bcpinstitute.org
The Polycarp Research
Institute
2232 Second Avenue
Altoona, PA 16602
www.polycarp.org
Ethics and
Medics
6399
Drexel Road
Philadelphia, PA 19151
www.ethicsandmedics.com
Association of American Physicians and
Surgeons
1601 N. Tucson Blvd., Suite 9
Tucson, AZ
85716-3450
520-323-3110
"The Association of American
Physicians and Surgeons believes that patients have the right to
give or withhold fully informed consent before undergoing medical
treatment. This includes notification of potential adverse effects.
While there is a difference of medical opinion concerning the
abortion breast cancer link, there is a considerable volume of
evidence supporting this link, which is, moreover, highly plausible.
We believe that a reasonable person would want to be informed of the
existence of this evidence before making her decision."
Jane
Orient, MD
Executive Director
October 27, 2003
Read
Mrs. Malec's article, "The Abortion-Breast Cancer Link: How Politics
Trumped Science and Informed Consent," in the Journal of
American Physicians
and Surgeons: www.jpands.org/vol8no2/malec.pdf
A.R.C. especially encourages each post-abortive woman
to get an annual mammogram for her
health.
