Evidence map›Paper›PMID 25572604›Full record

ArticleCancer2015

Teenage acne and cancer risk in US women: A prospective cohort study.

Mingfeng Zhang, Abrar A Qureshi, Renée T Fortner, Susan E Hankinson, Qingyi Wei, Li-E Wang, A Heather Eliassen, Walter C Willett, David J Hunter, Jiali Han

Open access · bronzeAbstract read
In one paragraph

Article in Cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Severe acne and risk of breast cancer.Breast cancer research and treatment · 2019
    Article
  12. Host Characteristics and Risk of Incident Melanoma by Breslow Thickness.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2019
    Article
  13. Article
  14. Article
  15. Article
  16. The Generation R Study: design and cohort update 2017.European journal of epidemiology · 2016
    Article
  17. Rosacea, Use of Tetracycline, and Risk of Incident Inflammatory Bowel Disease in Women.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2016
    Article
  18. Linking diet to acne metabolomics, inflammation, and comedogenesis: an update.Clinical, cosmetic and investigational dermatology · 2015
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 1 country.

Mingfeng ZhangDepartment of Dermatology, Brigham and Women's Hospital, and Harvard Medical School, Boston, Massachusetts.
Abrar A Qureshi
Renée T Fortner
Susan E Hankinson
Qingyi Wei
Li-E Wang
A Heather Eliassen
Walter C Willett
David J Hunter
Jiali Han
Brigham and Women's Hospital · USHarvard University · USDuke Medical Center · USIndiana University – Purdue University Indianapolis · USRhode Island Hospital · USThe University of Texas MD Anderson Cancer Center · US

Funding

Risk Factors for Breast Cancer in Younger NursesR01CA050385 · NCI · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI ELIASSEN, A. HEATHER, WILLETT, WALTER C. · 1989 to 2019
$32.3M
Life Course Cancer Epidemiology Cohort in WomenU01CA176726 · NCI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI ELIASSEN, A. HEATHER, WILLETT, WALTER C. · 2018 to 2025
$22.4M
Training Program in Cancer EpidemiologyT32CA009001 · NCI · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI A. Heather Eliassen, Meir Stampfer · 1985 to 2026
$17.3M
Life Course Cancer Epidemiology Cohort in WomenUM1CA176726 · NCI · HARVARD SCHOOL OF PUBLIC HEALTH · PI WILLETT, WALTER C. · 2013 to 2017
$15.7M
Premonopausal Hormone Levels and Risk of Breast CancerR01CA067262 · NCI · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI HANKINSON, SUSAN E · 2002 to 2011
$11.9M
PREMENOPAUSAL HORMONE LEVELS AND RISK OF BREAST CANCERU01CA067262 · NCI · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI WILLETT, WALTER C. · 1996 to 2001
$1.1M
NCI NIH HHS CA176726NCI NIH HHS CA67262NCI NIH HHS R01 CA050385NCI NIH HHS R01 CA067262NCI NIH HHS T32 CA009001NCI NIH HHS T32 CA09001NCI NIH HHS U01 CA067262NCI NIH HHS U01 CA176726NCI NIH HHS UM1 CA176726
6 · The paper itself

Abstract

backgroundAcne reflects hormone imbalance and is a key component of several systemic diseases. We hypothesized that diagnosis of acne as a teenager might predict subsequent risk of hormone-related cancers.

methodsWe followed 99,128 female nurses in the Nurses' Health Study II cohort for 20 years (1989-2009) and used Cox proportional hazards models to estimate the hazard ratios (HRs) of 8 specific cancers (breast, thyroid, colorectal, ovarian, cervical, and endometrial cancers, melanoma, and non-Hodgkin lymphoma) for women with a history of severe teenage acne.

resultsAfter thoroughly adjusting for the previously known risk factors for each cancer, we found that among women with a history of severe teenage acne, the relative risk increased, with a multivariable-adjusted HR of 1.44 (95% confidence interval [CI], 1.03-2.01) for melanoma. We replicated this association in an independent melanoma case-control study of 930 cases and 1026 controls (multivariable-adjusted odds ratio, 1.27; 95% CI, 1.03-1.56). We also found that in both studies the individuals with teenage acne were more likely to have moles (52.7% vs 50.1%, P < .001 in the cohort study; and 55.2% vs 45.1%, P = .004 in the case-control study).

conclusionsOur findings suggest that a history of teenage acne might be a novel risk factor for melanoma independent from the known factors, which supports a need for continued investigation of these relationships.

Indexed as

Acne VulgarisAdolescentAdultAgedBiomarkersBreast NeoplasmsCase-Control StudiesFemaleGenital Neoplasms, FemaleHumansIncidenceLymphoma, Non-HodgkinMelanomaMiddle AgedNeoplasms, Hormone-DependentOdds RatioBiomarkersTestosteroneacne, cancer, melanoma, mole, telomere lengthandrogen

Identifiers

PMID25572604
PMCPMC4424088
OpenAlexW1519995350

What OpenQuestion holds

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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.