Review Article

Age at Menopause and Risk of Developing Endometrial Cancer: A Meta-Analysis

Table 2

Summary of relative risks (RRs) for association of age at menopause with risk of the endometrial cancer.

StratificationNumber of studiesRR (95% CI)I2,%

All studies181.89 (1.58-2.26)45.0%0.021
Continent
 North America91.60 (1.37-1.86)0.0%0.516
 Asia53.06 (1.64-5.72)63.5%0.027
 Europe42.19 (1.74-2.75)0.0%0.453
Study Design
 Case-control study91.80 (1.36-2.38)54.5%0.024
 Cohort study91.98 (1.56-2.52)35.4%0.135
Menopausal type
 Natural menopause61.72 (1.09-2.71)67.1%0.009
 Natural menopause and surgical menopause52.25 (1.31-3.85)64.0%0.025
 NA71.94 (1.63-2.30)0.0%0.729
Reference group of menopausal age
 ≤45 (<45 or ≤45 or ≤40)122.06 (1.51-2.81)60.6%0.003
 ≤50 (<50 or ≤50 or ≤47)61.79 (1.52-2.10)0.0%0.761
The Newcastle-Ottawa score
 6 or 751.59 (1.18-2.15)27.1%0.241
 8 or 9132.05 (1.64-2.56)50.8%0.018

RR, relative risk; CI, confidence interval; BMI, body mass index; PMH, postmenopausal hormone