Evidence map›Paper›PMID 20713523›Full record

ArticleCancer research2010

Human chorionic gonadotropin in pregnancy and maternal risk of breast cancer.

Paolo Toniolo, Kjell Grankvist, Marianne Wulff, Tianhui Chen, Robert Johansson, Helena Schock, Per Lenner, Göran Hallmans, Matti Lehtinen, Rudolf Kaaks and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Cancer research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.4field-weighted citation impact, top 19% 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.

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

17 citing papers in PubMed, 42 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Human Chorionic Gonadotropin and Breast Cancer.International journal of molecular sciences · 2017
    Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Reproductive history and breast cancer risk.Breast cancer (Tokyo, Japan) · 2012
    Review
  16. Article
  17. Pregnancy-induced changes in breast cancer risk.Journal of mammary gland biology and neoplasia · 2011
    Review
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

14 authors at 5 institutions in 3 countries.

Paolo TonioloDepartment of Obstetrics and Gynecology, NYU Cancer Institute, NYU School of Medicine, New York, NY, USA. paolo.toniolo@nyumc.org
Kjell Grankvist
Marianne Wulff
Tianhui Chen
Robert Johansson
Helena Schock
Per Lenner
Göran Hallmans
Matti Lehtinen
Rudolf Kaaks
Göran Wadell
Anne Zeleniuch-Jacquotte
Eva Lundin
Annekatrin Lukanova
Heidelberg University · DETampere University · FIUniversity of Lausanne · CHGerman Cancer Research Center · DEInstitute of Social and Preventive Medicine · CH

Funding

Vaccine FacilityP30CA016087 · NCI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI ADRIANA HEGUY · 1985 to 2026
$83.1M
Hormone levels during pregnancy and maternal ovarian cancerR01CA120061 · NCI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI LUKANOVA, ANNEKATRIN · 2006 to 2010
$2.0M
Pregnancy Hormones and Risk of Maternal Breast CancerR01CA114329 · NCI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI TONIOLO, PAOLO G. · 2005 to 2008
$1.8M
NCI NIH HHS CA114329NCI NIH HHS CA120061NCI NIH HHS CA16087NCI NIH HHS P30 CA016087NCI NIH HHS R01 CA114329NCI NIH HHS R01 CA120061
6 · The paper itself

Abstract

Full-term pregnancies are associated with long-term reductions in maternal risk of breast cancer, but the biological determinants of the protection are unknown. Experimental observations suggest that human chorionic gonadotropin (hCG), a major hormone of pregnancy, could play a role in this association. A case-control study (242 cases and 450 controls) nested within the Northern Sweden Maternity Cohort included women who had donated a blood sample during the first trimester of a first full-term pregnancy. Total hCG was determined on Immulite 2000 analyzer. Odds ratios (OR) and 95% confidence intervals (CI) were estimated through conditional logistic regression. Maternal breast cancer risk decreased with increasing hCG (upper tertile OR, 0.67; CI, 0.46-0.99), especially for pregnancies before age 25 (upper tertile OR, 0.41; CI, 0.21-0.80). The association diverged according to age at diagnosis: risk was reduced after age 40 (upper tertile OR, 0.60; CI, 0.39-0.91) and seemed to increase before age 40 (upper tertile OR, 1.78; CI, 0.72-4.38). Risk was reduced among those diagnosed 10 years or longer after blood draw (upper tertile OR, 0.60; CI, 0.40-0.90), but not so among those diagnosed within 10 years (upper tertile OR, 4.33; CI, 0.86-21.7). These observations suggest that the association between pregnancy hCG and subsequent maternal risk of breast cancer is modified by age at diagnosis. Although the hormone seems to be a determinant of the reduced risk around or after age 50, it might not confer protection against, or it could even increase the risk of, cancers diagnosed in the years immediately following pregnancy.

Indexed as

AdolescentAdultAge FactorsBreast NeoplasmsCase-Control StudiesChorionic GonadotropinCohort StudiesFemaleHumansMiddle AgedPregnancyYoung AdultChorionic Gonadotropin

Identifiers

PMID20713523
PMCPMC2963040
OpenAlexW2100974319

What OpenQuestion holds

Textmetadata
LicenceTDM
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.