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Risk of connective tissue disease & related disorders among women with breast implants: a nation-wide retrospective cohort study in Sweden

  [ 18 votes ]   [ Discuss This Article ]
By Nyren O, Yin L, Josefsson S, McLaughlin JK, Blot WJ, Engqvist M, Hakelius L, Boice JD Jr, Adami HO • www.ProHealth.com • February 7, 1998


OBJECTIVE: To examine the relation between connective tissue
disease and related conditions and breast implants.
DESIGN:
Retrospective cohort study of all women in the Swedish
national inpatient registry who underwent breast augmentation
surgery with artificial implants during 1964-93, compared with
women who underwent breast reduction surgery during the same
period.
SETTING: Sweden.
SUBJECTS: 7442 women with implants
for cosmetic reasons or for reconstruction after breast cancer
surgery and 3353 women with breast reduction surgery.
MAIN
OUTCOME MEASURES: Subsequent hospitalisation for definite
connective tissue diseases (rheumatoid arthritis, systemic
lupus erythematosus, systemic sclerosis, dermatomyositis, and
Sjogren's syndrome) or related disorders.
RESULTS: 29 women
with implants were hospitalised for definite connective tissue
disease compared with 25.5 expected based on general
population rates (standardised hospitalisation ratio 1.1 (95%
confidence interval 0.8 to 1.6)). There were no diagnoses of
systemic sclerosis, and no significant excess in risk for
polymyalgia rheumatica, fibromyalgia, and several related
disorders. Among women who underwent breast reduction surgery,
14 were hospitalised for definite connective tissue disease
compared with 10.5 expected (standardised hospitalisation
ratio 1.3 (0.7 to 2.2)). Compared with the breast reduction
group, women with breast implants showed a slight reduction
for all definite connective tissue disease (relative risk 0.8
(95% confidence interval 0.5 to 1.4)).
CONCLUSIONS: This large
nationwide cohort study shows no evidence of association
between breast implants and connective tissue disease.




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