Br Med J (Clin Res Ed) 1985;290:961-965 (30 March), doi:10.1136/bmj.290.6473.961
Invasive cervical cancer and combined oral contraceptives. WHO collaborative study of neoplasia and steroid contraceptives.
A multicentre, hospital based case-control study is being conducted
under the auspices of the World Health Organisation to determine
whether steroid contraceptives alter the risk of gynaecological,
breast, and hepatic neoplasms. Preliminary results, largely
from developing countries, on the relation between combined
oral contraceptives and invasive cervical carcinoma showed a
relative risk of 1.19 (95% confidence interval 0.99-1.44) in
women who had ever used oral contraceptives. The risk increased
with duration of use, giving a relative risk of 1.53 after five
years. This finding supports a causal interpretation, but it
could also be due to incomplete control for confounding sexual
variables and other sources of bias.

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