RT Journal Article T1 Multiple miscarriages are associated with the risk of ovarian cancer: results from the European Prospective Investigation into Cancer and Nutrition. A1 Braem, Marieke G M A1 Onland-Moret, N Charlotte A1 Schouten, Leo J A1 Kruitwagen, Roy F P M A1 Lukanova, Annekatrin A1 Allen, Naomi E A1 Wark, Petra A A1 Tjønneland, Anne A1 Hansen, Louise A1 Braüner, Christina Marie A1 Overvad, Kim A1 Clavel-Chapelon, Françoise A1 Chabbert-Buffet, Nathalie A1 Teucher, Birgit A1 Floegel, Anna A1 Boeing, Heiner A1 Trichopoulou, Antonia A1 Adarakis, George A1 Plada, Maria A1 Rinaldi, Sabina A1 Fedirko, Veronika A1 Romieu, Isabelle A1 Pala, Valeria A1 Galasso, Rocco A1 Sacerdote, Carlotta A1 Palli, Domenico A1 Tumino, Rosario A1 Bueno-de-Mesquita, H Bas A1 Gram, Inger Torhild A1 Gavrilyuk, Oxana A1 Lund, Eiliv A1 Sanchez-Perez, Maria-Jose A1 Bonet, Catalina A1 Chirlaque, Maria-Dolores A1 Larrañaga, Nerea A1 Gurrea, Aurelio Barricarte A1 Quirós, Jose R A1 Idahl, Annika A1 Ohlson, Nina A1 Lundin, Eva A1 Jirström, Karin A1 Butt, Salma A1 Tsilidis, Konstantinos K A1 Khaw, Kay-Tee A1 Wareham, Nick A1 Riboli, Elio A1 Kaaks, Rudolf A1 Peeters, Petra H M K1 Estudios de Cohortes K1 Europa K1 Femenino K1 Humanos K1 Neoplasias Glandulares y Epiteliales K1 Neoplasias Ováricas AB While the risk of ovarian cancer clearly reduces with each full-term pregnancy, the effect of incomplete pregnancies is unclear. We investigated whether incomplete pregnancies (miscarriages and induced abortions) are associated with risk of epithelial ovarian cancer. This observational study was carried out in female participants of the European Prospective Investigation into Cancer and Nutrition (EPIC). A total of 274,442 women were followed from 1992 until 2010. The baseline questionnaire elicited information on miscarriages and induced abortions, reproductive history, and lifestyle-related factors. During a median follow-up of 11.5 years, 1,035 women were diagnosed with incident epithelial ovarian cancer. Despite the lack of an overall association (ever vs. never), risk of ovarian cancer was higher among women with multiple incomplete pregnancies (HR(≥4vs.0): 1.74, 95% CI: 1.20-2.70; number of cases in this category: n = 23). This association was particularly evident for multiple miscarriages (HR(≥4vs.0): 1.99, 95% CI: 1.06-3.73; number of cases in this category: n = 10), with no significant association for multiple induced abortions (HR(≥4vs.0): 1.46, 95% CI: 0.68-3.14; number of cases in this category: n = 7). Our findings suggest that multiple miscarriages are associated with an increased risk of epithelial ovarian cancer, possibly through a shared cluster of etiological factors or a common underlying pathology. These findings should be interpreted with caution as this is the first study to show this association and given the small number of cases in the highest exposure categories. PB Public Library of Science YR 2012 FD 2012-05-18 LK http://hdl.handle.net/10668/1307 UL http://hdl.handle.net/10668/1307 LA en NO Braem MG, Onland-Moret NC, Schouten LJ, Kruitwagen RF, Lukanova A, Allen NE, et al. Multiple miscarriages are associated with the risk of ovarian cancer: results from the European Prospective Investigation into Cancer and Nutrition. PLoS ONE; 7(5):e37141 DS RISalud RD Apr 8, 2025