Evidence map›Paper›PMID 23569314›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2013

Alcohol consumption before and after breast cancer diagnosis: associations with survival from breast cancer, cardiovascular disease, and other causes.

Polly A Newcomb, Ellen Kampman, Amy Trentham-Dietz, Kathleen M Egan, Linda J Titus, John A Baron, John M Hampton, Michael N Passarelli, Walter C Willett

Abstract read
In one paragraph

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 4 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

40 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Alcohol consumption and survival after a breast cancer diagnosis: a literature-based meta-analysis and collaborative analysis of data for 29,239 cases.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2014
    Pooled it
  5. Alcohol Use and Breast Cancer Survival among Participants in the Women's Health Initiative.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2016
    Trial
  6. Article
  7. Article
  8. Article
  9. Article
  10. Alcohol, Smoking, and Risks of Breast Cancer Recurrence and Mortality among Women with Luminal, Triple-Negative, and HER2-Overexpressing Breast Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2024
    Article
  11. Associations of Post-Diagnosis Lifestyle with Prognosis in Women with Invasive Breast Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2023
    Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Alcohol's Effects on Breast Cancer in Women.Alcohol research : current reviews · 2020
    Review
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Polly A NewcombFred Hutchinson Cancer Research Center, Seattle, WA 98109, USA. pnewcomb@fhcrc.org
Ellen Kampman
Amy Trentham-Dietz
Kathleen M Egan
Linda J Titus
John A Baron
John M Hampton
Michael N Passarelli
Walter C Willett

Funding

Translational Bioimaging Core Shared ResourceP30CA015704 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Marian Esvelt · 1985 to 2026
$296.4M
UW COMPREHENSIVE CANCER CENTER SUPPORTP30CA014520 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI AMY TRENTHAM-DIETZ · 1985 to 2026
$142.6M
Developing Data-Driven Cancer ResearchersT32CA009168 · NCI · UNIVERSITY OF WASHINGTON · PI STEPHEN M SCHWARTZ, MICHAEL Chiao-An WU · 1985 to 2026
$10.1M
RISK FACTORS AND BIOMARKERS FOR IN SITU BREAST CANCERR01CA067264 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI TRENTHAM-DIETZ, AMY · 1996 to 2013
$3.6M
PHYSICAL ACTIVITY, LIFESTYLE AND OVARIAN CANCER RISKR01CA047147 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI NEWCOMB, POLLY A · 1988 to 2007
$2.6M
Training and Research in Colon Cancer SurvivalK05CA152715 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI NEWCOMB, POLLY A · 2010 to 2019
$991k
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 CANCERR01CA069664 · NCI · DARTMOUTH COLLEGE · PI TITUS-ERNSTOFF, LINDA · 1996 to 1999
–
HORMONES, LIFESTYLE AND BREAST CANCERR01CA047305 · NCI · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI EGAN, KATHLEEN · 1988 to 1999
–
NCI NIH HHS K05CA152714NCI NIH HHS K05 CA152715NCI NIH HHS P30 CA014520NCI NIH HHS P30CA014520NCI NIH HHS P30 CA015704NCI NIH HHS P30CA015704NCI NIH HHS R01 CA047147NCI NIH HHS R01 CA047305NCI NIH HHS R01 CA067264NCI NIH HHS R01 CA069664NCI NIH HHS R01CA47147NCI NIH HHS R01CA67264NCI NIH HHS R01CA82004NCI NIH HHS T32 CA009168NCI NIH HHS U01 CA082004
6 · The paper itself

Abstract

purposeAlcohol intake is associated with increased risk of breast cancer. In contrast, the relation between alcohol consumption and breast cancer survival is less clear. PATIENTS AND

methodsWe assessed pre- and postdiagnostic alcohol intake in a cohort of 22,890 women with incident invasive breast cancer who were residents of Wisconsin, Massachusetts, or New Hampshire and diagnosed from 198 to 200 at ages 20 to 79 years. All women reported on prediagnostic intake; a subsample of 4,881 reported on postdiagnostic intake.

resultsDuring a median follow-up of 11.3 years from diagnosis, 7,780 deaths occurred, including 3,484 resulting from breast cancer. Hazard ratios (HR) and 95% CIs were estimated. Based on a quadratic analysis, moderate alcohol consumption before diagnosis was modestly associated with disease-specific survival (compared with nondrinkers, HR = 0.93 [95% CI, 0.85 to 1.02], 0.85 [95% CI, 0.75 to 0.95], 0.88 [95% CI, 0.75 to 1.02], and 0.89 [95% CI, 0.77 to 1.04] for two or more, three to six, seven to nine, and ≥ 10 drinks/wk, respectively). Alcohol consumption after diagnosis was not associated with disease-specific survival (compared with nondrinkers, HR = 0.88 [95% CI, 0.61 to 1.27], 0.80 [95% CI, 0.49 to 1.32], 1.01 [95% CI, 0.55 to 1.87], and 0.83 [95% CI, 0.45 to 1.54] for two or more, three to six, seven to nine, and ≥ 10 drinks/wk, respectively). Results did not vary by beverage type. Women consuming moderate levels of alcohol, either before or after diagnosis, experienced better cardiovascular and overall survival than nondrinkers.

conclusionOverall alcohol consumption before diagnosis was not associated with disease-specific survival, but we found a suggestion favoring moderate consumption. There was no evidence for an association with postdiagnosis alcohol intake and breast cancer survival. This study, however, does provide support for a benefit of limited alcohol intake for cardiovascular and overall survival in women with breast cancer.

Indexed as

Alcohol DrinkingAdultAgedBreast NeoplasmsCardiovascular DiseasesFemaleFollow-Up StudiesHumansIncidenceMassachusettsMiddle AgedNew HampshireOdds RatioRisk AssessmentRisk FactorsSurvival Analysis

Identifiers

PMID23569314
PMCPMC3661933

What OpenQuestion holds

Textmetadata
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Registered trials

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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.