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Cited by 330

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Tubal ligation, hysterectomy, and risk of ovarian cancer. A prospective study

S. E. Hankinson·1993·JAMA

Abstract

OBJECTIVE: To assess whether tubal ligation and hysterectomy affect subsequent risk of ovarian cancer. DESIGN: Prospective cohort study with 12 years of follow-up. SETTING: United States, multistate. PARTICIPANTS: A total of 121,700 female registered nurses who were 30 to 55 years of age in 1976; the follow-up rate was 90% as of 1988. MAIN OUTCOME MEASURE: Ovarian cancer of epithelial origin confirmed by medical record review. RESULTS: We observed a strong inverse association between tubal ligation and ovarian cancer, which persisted after adjustment for age, oral contraceptive use, parity, and other ovarian cancer risk factors (multivariate relative risk [RR], 0.33; 95% confidence interval [CI], 0.16 to 0.64). The association was similar when we assessed tubal ligation status at the baseline questionnaire and excluded cases in the first 4 years to eliminate any possible short-term decrease in risk due to screening of the ovaries during ligation surgery. We noted a weaker inverse association between simple hysterectomy and ovarian cancer (RR, 0.67; 95% CI, 0.45 to 1.00). Neither vasectomy nor condom use by a partner was associated with risk of ovarian cancer. CONCLUSIONS: These data indicate that tubal ligation, and perhaps hysterectomy, may substantially reduce risk of epithelial ovarian cancer.

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Metadata

Authors
Hankinson, S. E.
Venue
JAMA
Publisher
American Medical Association
Published
1993-12-15
Volume
270
Issue
23
Pages
2813-2818
ISSN
0002-9955 (ISSN-L)
OpenAlex
W4235941292
Cited by
330
References
1
FWCI
11.40
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Tubal ligation, hysterectomy, and risk of ovarian cancer. A prospective study. https://app.cochat.ai/papers/10.1001/jama.270.23.2813
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Hankinson, S. E. (1993). Tubal ligation, hysterectomy, and risk of ovarian cancer. A prospective study. JAMA. https://doi.org/10.1001/jama.270.23.2813

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.