Evidence map›Paper›PMID 20702548›Full record

ArticleBMJ (Clinical research ed.)2010

Disparities in breast cancer mortality trends between 30 European countries: retrospective trend analysis of WHO mortality database.

Philippe Autier, Mathieu Boniol, Carlo La Vecchia, Carlo LaVecchia, Lars Vatten, Anna Gavin, Clarisse Héry, Mary Heanue

Erratum issued 2 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in BMJ (Clinical research ed.), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 2 registered trials, which are not on this map. Cited by 135 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
135citing papers in PubMed, 6 pooled it
23.8field-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.

NCT02571894 naunknown statusnot on this mapstarted 2014, after this paper: background citation

Effects of Identifying and Treating Early, Subclinical Cardiotoxicity on the Long-Term Incidence of Clinical Cardiotoxicity in Women With Breast Cancer, A Prospective Randomized Study: The Cardio-Oncology Breast Cancer Study (COBC)

TypeinterventionalSponsorKarolinska University HospitalRan2014 to 2020Enrolled320ConditionsCardiotoxicity, Cardiomyopathies, Breast CancerArmsSubclinical cardiotoxicity surveillance and treatment
NCT02662868 completednot on this mapstarted 2015, after this paper: background citation

Metastatic Breast Cancer in Brazil: Characterization of Patients and Treatments

TypeobservationalSponsorLatin American Cooperative Oncology GroupRan2015 to 2016Enrolled767ConditionsMetastatic Breast Cancer
3 · Its place in the literature

Who cites it

135 citing papers in PubMed, 6 syntheses or guidelines pooled it, 412 citations in OpenAlex.

  1. Cost effectiveness of breast cancer screening and prevention: a systematic review with a focus on risk-adapted strategies.The European journal of health economics : HEPAC : health economics in prevention and care · 2021
    Pooled it
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  3. Factors affecting uptake and adherence to breast cancer chemoprevention: a systematic review and meta-analysis.Annals of oncology : official journal of the European Society for Medical Oncology · 2016
    Pooled it
  4. Screening for breast cancer with mammography.The Cochrane database of systematic reviews · 2013
    Pooled it
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  6. Diabetes and breast cancer risk: a meta-analysis.British journal of cancer · 2012
    Pooled it
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75 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 3 countries.

Philippe AutierInternational Agency for Research on Cancer, Lyon, France. philippe.autier@i-pri.org
Mathieu Boniol
Carlo La Vecchia
Carlo LaVecchia
Lars Vatten
Anna Gavin
Clarisse Héry
Mary Heanue
Centre international de recherche sur le cancer · FRInternational Prevention Research Institute · FRNorwegian University of Science and Technology · NOUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine changes in temporal trends in breast cancer mortality in women living in 30 European countries.

designRetrospective trend analysis. Data source WHO mortality database on causes of deaths Subjects reviewed Female deaths from breast cancer from 1989 to 2006

main outcome measuresChanges in breast cancer mortality for all women and by age group (<50, 50-69, and >or=70 years) calculated from linear regressions of log transformed, age adjusted death rates. Joinpoint analysis was used to identify the year when trends in all age mortality began to change.

resultsFrom 1989 to 2006, there was a median reduction in breast cancer mortality of 19%, ranging from a 45% reduction in Iceland to a 17% increase in Romania. Breast cancer mortality decreased by >or=20% in 15 countries, and the reduction tended to be greater in countries with higher mortality in 1987-9. England and Wales, Northern Ireland, and Scotland had the second, third, and fourth largest decreases of 35%, 29%, and 30%, respectively. In France, Finland, and Sweden, mortality decreased by 11%, 12%, and 16%, respectively. In central European countries mortality did not decline or even increased during the period. Downward mortality trends usually started between 1988 and 1996, and the persistent reduction from 1999 to 2006 indicates that these trends may continue. The median changes in the age groups were -37% (range -76% to -14%) in women aged <50, -21% (-40% to 14%) in 50-69 year olds, and -2% (-42% to 80%) in >or=70 year olds.

conclusionsChanges in breast cancer mortality after 1988 varied widely between European countries, and the UK is among the countries with the largest reductions. Women aged <50 years showed the greatest reductions in mortality, also in countries where screening at that age is uncommon. The increasing mortality in some central European countries reflects avoidable mortality.

Indexed as

AdultAgedAge DistributionBreast NeoplasmsEuropeFemaleHumansMiddle AgedMortalityResidence Characteristics

Identifiers

PMID20702548
PMCPMC2920378
OpenAlexW2030593198

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.