Evidence map›Paper›PMID 21667121›Full record

ArticleBreast cancer research and treatment2011

Risk factors by molecular subtypes of breast cancer across a population-based study of women 56 years or younger.

Mia M Gaudet, Michael F Press, Robert W Haile, Charles F Lynch, Sally L Glaser, Joellen Schildkraut, Marilie D Gammon, W Douglas Thompson, Jonine L Bernstein

Abstract read
In one paragraph

Article in Breast cancer research and treatment, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 118 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
118citing papers in PubMed, 5 pooled it
5.2field-weighted citation impact, top 3% 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

118 citing papers in PubMed, 5 syntheses or guidelines pooled it, 201 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Pooled it
  5. Breastfeeding and breast cancer risk by receptor status--a systematic review and meta-analysis.Annals of oncology : official journal of the European Society for Medical Oncology · 2015
    Pooled it
  6. Review
  7. Article
  8. Article
  9. Complex Interplay Between Obesity and BRCA1/2-Associated Breast Cancer: An Overview.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Review
  10. Review
  11. Article
  12. Article
  13. Betulinic acid and obesity-related disorders.Frontiers in pharmacology · 2025
    Review
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  15. Article
  16. Article
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  18. Review
  19. Article
  20. Article

58 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

9 authors at 8 institutions in 1 country.

Mia M GaudetEpidemiology Research Program, American Cancer Society, Atlanta, GA 30303, USA. mia.gaudet@cancer.org
Michael F Press
Robert W Haile
Charles F Lynch
Sally L Glaser
Joellen Schildkraut
Marilie D Gammon
W Douglas Thompson
Jonine L Bernstein
University of Southern California · USAmerican Cancer Society · USCancer Prevention Institute of California · USDuke University · USMemorial Sloan Kettering Cancer Center · USUniversity of Iowa · USUniversity of North Carolina at Chapel Hill · USUniversity of Southern Maine · US

Funding

UNC-CH CENTER FOR ENVIRONMENTAL HEALTH &SUSCEPTIBILITYP30ES010126 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Melissa A. Troester · 2001 to 2026
$36.3M
MOLECULAR EPIDEMIOLOGY OF BREAST CANCERR01CA064245 · NCI · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI BERNSTEIN, JONINE LISA · 1997 to 1999
–
NCI NIH HHS 5R01CA064245NCI NIH HHS R01 CA064245NIEHS NIH HHS P30 ES010126
6 · The paper itself

Abstract

Differences in incidence, prognosis, and treatment response suggest gene expression patterns may discern breast cancer subtypes with unique risk factor profiles; however, previous results were based predominantly on older women. In this study, we examined similar relationships in women ≤ 56 years, classified by immunohistochemical staining for estrogen receptor, progesterone receptor, and human epidermal growth factor receptor-2 for 890 breast cancer cases and 3,432 frequency-matched population-based controls. Odds ratios (OR) and 95% confidence intervals (CI) for tumor subtypes were calculated using multivariate polytomous regression models. A total of 455 (51.1%) tumors were considered luminal A, 72 (8.1%) luminal B, 117 (13.1%) non-luminal HER-2/neu+, and 246 (27.6%) triple negative. Triple negative tumors were associated with breast feeding duration (per 6 months: OR = 0.76, 95% CI 0.64-0.90). Among premenopausal women, increasing body size was more strongly associated with luminal B (OR = 1.73, 95% CI 1.07-2.77) and triple negative tumors (OR = 1.67, 95% CI 1.22-2.28). A history of benign breast disease was associated only with increased risk of luminal A tumors (OR = 1.89, 95% CI 1.43-2.50). A family history of breast cancer was a risk factor for luminal A tumors (OR = 1.93, 95% CI 1.38-2.70) regardless of age, and triple negative tumors with higher risks for women <45 (OR = 5.02, 95% CI 2.82-8.92; P for age interaction = 0.005). We found that little-to-no breastfeeding and high BMI were associated with increased risk of triple negative breast cancer. That some risk factors differ by molecular subtypes suggests etiologic heterogeneity in breast carcinogenesis among young women.

Indexed as

AdultBody Mass IndexBreast FeedingBreast NeoplasmsCarcinoma, Ductal, BreastCase-Control StudiesErb-b2 Receptor Tyrosine KinasesFemaleHumansMiddle AgedMultivariate AnalysisReceptors, EstrogenReceptors, ProgesteroneRisk FactorsYoung AdultERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesReceptors, EstrogenReceptors, Progesterone

Identifiers

PMID21667121
PMCPMC3721192
OpenAlexW2001094824

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.