Why Do Epidemiologic Studies Find an Inverse Association Between Intraprostatic Inflammation and Prostate Cancer: A Possible Role for Colliding Bias?

Cancer Epidemiol Biomarkers Prev. 2021 Feb;30(2):255-259. doi: 10.1158/1055-9965.EPI-20-1009.

Abstract

Inflammation is an emerging risk factor for prostate cancer based largely on evidence from animal models and histopathologic observations. However, findings from patho-epidemiologic studies of intraprostatic inflammation and prostate cancer have been less supportive, with inverse associations observed in many studies of intraprostatic inflammation and prostate cancer diagnosis. Here, we propose collider stratification bias as a potential methodologic explanation for these inverse findings and provide strategies for conducting future etiologic studies of intraprostatic inflammation and prostate cancer.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Bias*
  • Epidemiologic Studies*
  • Humans
  • Inflammation / pathology*
  • Male
  • Prostatic Neoplasms / epidemiology*
  • Prostatic Neoplasms / pathology*
  • Risk Factors