Evidence map›Paper›PMID 16622123›Full record

ArticleJournal of the National Cancer Institute2006

Pregnancies, breast-feeding, and breast cancer risk in the International BRCA1/2 Carrier Cohort Study (IBCCS).

Nadine Andrieu, David E Goldgar, Douglas F Easton, Matti Rookus, Richard Brohet, Antonis C Antoniou, Susan Peock, Gareth Evans, Diana Eccles, Fiona Douglas and 13 more

Registry-linked trialOpen access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Journal of the National Cancer Institute, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03667417 (Genetic Predisposition to Breast and Ovarian Cancer), which is not on this map. Cited by 71 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 2 pooled it
9.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03667417 recruitingnot on this map

Genetic Predisposition to Breast and Ovarian Cancer: Prospective Study of BRCAx Gene Mutation

TypeobservationalSponsorInstitut Paoli-CalmettesRan1999 to 2028Enrolled5,000ConditionsBreast Cancers, Ovarian CancersArmsQuestionnaires
3 · Its place in the literature

Who cites it

71 citing papers in PubMed, 2 syntheses or guidelines pooled it, 231 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Age-specific breast and ovarian cancer risks associated with germlineThe Lancet regional health. Western Pacific · 2024
    Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. Article

11 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors at 5 institutions in 3 countries.

Nadine AndrieuINSERM, Emi00-06, Service de Biostatistique, Institut Curie, 26 rue d'Ulm, 75248 Paris Cedex 05, France. nadine.andrieu@curie.net
David E Goldgar
Douglas F Easton
Matti Rookus
Richard Brohet
Antonis C Antoniou
Susan Peock
Gareth Evans
Diana Eccles
Fiona Douglas
Catherine Noguès
Marion Gauthier-Villars
Agnès Chompret
Flora E Van Leeuwen
Irma Kluijt
Javier Benitez
Brita Arver
Edith Olah
Jenny Chang-Claude
EMBRACE
GENEPSO
GEO-HEBON
IBCCS Collaborators Group
German Cancer Research Center · DEUniversity Hospital Heidelberg · DECancer Research UK · GBHeidelberg University · DEInserm · FR

Funding

RISK ESTIMATION AND MODIFIER GENES IN INHERITED CANCERR01CA081203 · NCI · INTERNATIONAL AGENCY FOR RES ON CANCER · PI GOLDGAR, DAVID E. · 2000 to 2003
$281k
NCI NIH HHS CA81203
6 · The paper itself

Abstract

backgroundMultiparity, young age at first childbirth, and breast-feeding are associated with a reduced risk of breast cancer in the general population. The breast cancer predisposition gene, BRCA1, regulates normal cell differentiation. Because mammary gland cells divide and differentiate during pregnancy, reproductive factors may influence breast cancer risk in BRCA1/2 mutation carriers differently than they do in noncarriers.

methodsWe performed a retrospective cohort study of 1601 women in the International BRCA1/2 Carrier Cohort Study cohort, all of whom carried a mutation in BRCA1 or BRCA2. Information on reproductive factors was obtained from a questionnaire. At the time of interview 853 subjects were classified with breast cancer. Data were analyzed by using a weighted cohort approach. All statistical tests were two-sided.

resultsThere was no statistically significant difference in the risk of breast cancer between parous and nulliparous women. Among parous women, an increasing number of full-term pregnancies was associated with a statistically significant decrease in the risk of breast cancer (Ptrend = .008); risk was reduced by 14% (95% confidence interval [CI] = 6% to 22%) for each additional birth. This association was the same for carriers of mutations in either BRCA1 or BRCA2 and was restricted to women older than 40 years. In BRCA2 mutation carriers, first childbirth at later ages was associated with an increased risk of breast cancer compared with first childbirth before age 20 years (20-24 years, hazard ratio [HR] = 2.33 [95% CI = 0.93 to 5.83]; 25-29 years, HR = 2.68 [95% CI = 1.02 to 7.07]; > or = 30 years, HR = 1.97 [95% CI = 0.67 to 5.81]), whereas in BRCA1 mutation carriers, first childbirth at age 30 years or later was associated with a reduced risk of breast cancer compared with first childbirth before age 20 years (HR = 0.58 [95% CI = 0.36 to 0.94]). Neither history of interrupted pregnancies (induced abortions or miscarriage) nor history of breast-feeding was statistically significantly associated with the risk of breast cancer.

conclusionsBRCA1 and BRCA2 mutation carriers older than 40 years show a similar reduction in breast cancer risk with increasing parity as non-carriers.

Indexed as

Breast FeedingGenes, BRCA1Genes, BRCA2HeterozygoteAbortion, InducedAdultAge FactorsBreast NeoplasmsCohort StudiesEuropeFemaleGenetic Predisposition to DiseaseHumansInternational CooperationMiddle AgedMutation

Identifiers

PMID16622123
PMCPMC2094011
OpenAlexW2152768572

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.