Evidence map›Paper›PMID 21509772›Full record

ArticleCancer2011

Late age at first full term birth is strongly associated with lobular breast cancer.

Polly A Newcomb, Amy Trentham-Dietz, John M Hampton, Kathleen M Egan, Linda Titus-Ernstoff, Shaneda Warren Andersen, E Robert Greenberg, Walter C Willett

Open access · bronzeAbstract read
In one paragraph

Article in Cancer, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

24 citing papers in PubMed, 40 citations in OpenAlex.

  1. Trial
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  12. Emerging Trends in Family History of Breast Cancer and Associated Risk.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2017
    Article
  13. Cigarette Smoking Before and After Breast Cancer Diagnosis: Mortality From Breast Cancer and Smoking-Related Diseases.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2016
    Observational
  14. Article
  15. Review
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  18. Alcohol consumption before and after breast cancer diagnosis: associations with survival from breast cancer, cardiovascular disease, and other causes.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2013
    Article
  19. Circulatory estrogen level protects against breast cancer in obese women.Recent patents on anti-cancer drug discovery · 2013
    Review
  20. Article
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

8 authors at 5 institutions in 1 country.

Polly A NewcombUniversity of Wisconsin Carbone Comprehensive Cancer Center, Madison, Wisconsin, USA. pnewcomb@fhcrc.org
Amy Trentham-Dietz
John M Hampton
Kathleen M Egan
Linda Titus-Ernstoff
Shaneda Warren Andersen
E Robert Greenberg
Walter C Willett
University of Wisconsin Carbone Cancer Center · USDartmouth College · USHarvard University · USMoffitt Cancer Center · USUniversity of Wisconsin–Madison · US

Funding

PHYSICAL ACTIVITY, LIFESTYLE AND OVARIAN CANCER RISKR01CA047147 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI NEWCOMB, POLLY A · 1988 to 2007
$2.6M
REGIONAL VARIATION OF BREAST CANCER RATES IN WISCONSINU01CA082004 · NCI · UNIVERSITY OF WISCONSIN MADISON · PI REMINGTON, PATRICK L · 1999 to 2002
$970k
HORMONES, LIFESTYLE AND BREAST CANCERR01CA047305 · NCI · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI EGAN, KATHLEEN · 1988 to 1999
–
HORMONES, LIFESTYLE, AND BREAST CANCERR01CA069664 · NCI · DARTMOUTH COLLEGE · PI TITUS-ERNSTOFF, LINDA · 1996 to 1999
–
NCI NIH HHS CA 47147NCI NIH HHS CA82004NCI NIH HHS R01 CA047147NCI NIH HHS R01 CA047305NCI NIH HHS R01 CA069664NCI NIH HHS U01 CA082004
6 · The paper itself

Abstract

backgroundLate age at first full-term birth and nulliparity are known to increase breast cancer risk. The frequency of these risk factors has increased in recent decades.

methodsThe purpose of this population-based case-control study was to examine associations between parity, age at first birth (AFB), and specific histological subtypes of breast cancer. Women with breast cancer were identified from cancer registries in Wisconsin, Massachusetts, and New Hampshire. Control subjects were randomly selected from population lists. Interviews collected information on reproductive histories and other risk factors. Logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) of ductal, lobular, and mixed ductal-lobular breast cancer diagnosis in association with AFB and nulliparity.

resultsAFB ≥30 years was associated with a 2.4-fold increase in risk of lobular breast cancer compared with AFB <20 years (OR, 2.4; 95% CI, 1.9-2.9). The association was less pronounced for ductal breast cancer (OR, 1.3; 95% CI, 1.2-1.4). Nulliparity was associated with increased risk for all breast cancer subtypes, compared with women with AFB <20 years, but the association was stronger for lobular (OR, 1.7; 95% CI, 1.3-2.2) than for ductal (OR, 1.2; 95% CI, 1.1-1.3) subtypes (P = .004). The adverse effects of later AFB was stronger with obesity (P = .03) in lobular, but not ductal, breast cancer.

conclusionsStronger associations observed for late AFB and nulliparity suggest that these factors preferentially stimulate growth of lobular breast carcinomas. Recent temporal changes in reproductive patterns and rates of obesity may impact the histological presentation of breast cancer.

Indexed as

Birth OrderMaternal AgeAdultAgedBreast NeoplasmsCarcinoma, DuctalCarcinoma, LobularCase-Control StudiesFemaleHumansMiddle AgedParityPregnancyRisk FactorsTerm Birth

Identifiers

PMID21509772
PMCPMC3117094
OpenAlexW2095305396

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.