Evidence map›Paper›PMID 19277790›Full record

SynthesisJournal of general internal medicine2009

Obesity and mammography: a systematic review and meta-analysis.

Nisa M Maruthur, Shari Bolen, Frederick L Brancati, Jeanne M Clark

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of general internal medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

72 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Body mass index and colon cancer screening: a systematic review and meta-analysis.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2012
    Pooled it
  2. Diabetes mellitus and breast cancer outcomes: a systematic review and meta-analysis.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2011
    Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
  7. Linguistic difference in the effect of organized programs on socioeconomic inequalities in breast cancer screening: ecological study in Switzerland.European journal of cancer prevention : the official journal of the European Cancer Prevention Organisation (ECP) · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Association of Adolescents' Body Mass Index Classification With Preventive Clinical Care Receipt.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023
    Article
  16. Long-term cancer outcomes after bariatric surgery.Obesity (Silver Spring, Md.) · 2023
    Article
  17. Article
  18. Obesity, metabolic and bariatric surgery, and cancer prevention: what do we need to learn and how do we get there?Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2023
    Review
  19. Article
  20. Article

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

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Nisa M MaruthurDivision of General Internal Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, USA. maruthur@jhmi.edu
Shari Bolen
Frederick L Brancati
Jeanne M Clark

Funding

CARDIOVASCULAR EPIDEMIOLOGY INSTITUTIONAL TRAININGT32HL007024 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Elizabeth Selvin · 1985 to 2026
$17.5M
JHU-UMD Diabetes Research CenterP30DK079637 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI WONDISFORD, FREDRIC E. · 2013 to 2017
$9.7M
Case Western Reserve University/Cleveland Clinic CTSA (KL2)KL2RR024990 · NCRR · CASE WESTERN RESERVE UNIVERSITY · PI DAVIS, PAMELA B · 2007 to 2011
$9.5M
Patient Oriented Research in Type 2 DiabetesK24DK062222 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI BRANCATI, FREDERICK L · 2002 to 2011
$1.7M
NHLBI NIH HHS 5 T32 HL007024-31NHLBI NIH HHS T32 HL007024NIDDK NIH HHS 5 K24 DK062222-05NIDDK NIH HHS K24 DK062222NIDDK NIH HHS P30 DK079637
6 · The paper itself

Abstract

backgroundObese women experience higher postmenopausal breast cancer risk, morbidity, and mortality and may be less likely to undergo mammography.

objectivesTo quantify the relationship between body weight and mammography in white and black women. DATA SOURCES AND REVIEW

methodsWe identified original articles evaluating the relationship between weight and mammography in the United States through electronic and manual searching using terms for breast cancer screening, breast cancer, and body weight. We excluded studies in special populations (e.g., HIV-positive patients) or not written in English. Citations and abstracts were reviewed independently. We abstracted data sequentially and quality information independently.

resultsOf 5,047 citations, we included 17 studies in our systematic review. Sixteen studies used self-reported body mass index (BMI) and excluded women <40 years of age. Using random-effects models for the six nationally representative studies using standard BMI categories, the combined odds ratios (95% CI) for mammography in the past 2 years were 1.01 (0.95 to 1.08), 0.93 (0.83 to 1.05), 0.90 (0.78 to 1.04), and 0.79 (0.68 to 0.92) for overweight (25-29.9 kg/m(2)), class I (30-34.9 kg/m(2)), class II (35-39.9 kg/m(2)), and class III (> or =40 kg/m(2)) obese women, respectively, compared to normal-weight women. Results were consistent when all available studies were included. The inverse association was found in white, but not black, women in the three studies with results stratified by race.

conclusionsMorbidly obese women are significantly less likely to report recent mammography. This relationship appears stronger in white women. Lower screening rates may partly explain the higher breast cancer mortality in morbidly obese women.

Indexed as

Breast NeoplasmsCross-Sectional StudiesFemaleHumansLongitudinal StudiesMammographyObesity

Identifiers

PMID19277790
PMCPMC2669867

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.