Evidence map›Paper›PMID 25677034›Full record

ArticleInternational journal of cancer2015

Alcohol intake and breast cancer in the European prospective investigation into cancer and nutrition.

Isabelle Romieu, Chiara Scoccianti, Véronique Chajès, Jordi de Batlle, Carine Biessy, Laure Dossus, Laura Baglietto, Françoise Clavel-Chapelon, Kim Overvad, Anja Olsen and 37 more

Abstract read
In one paragraph

Article in International journal of cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 5 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

48 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  20. The epidemiologic factors associated with breast density: A review.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2022
    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

47 authors.

Isabelle RomieuNutritional Epidemiology Group, Nutrition and Metabolism Section, International Agency for Research on Cancer, Lyon, France.
Chiara ScocciantiNutritional Epidemiology Group, Nutrition and Metabolism Section, International Agency for Research on Cancer, Lyon, France.
Véronique ChajèsNutritional Epidemiology Group, Nutrition and Metabolism Section, International Agency for Research on Cancer, Lyon, France.
Jordi de BatlleNutritional Epidemiology Group, Nutrition and Metabolism Section, International Agency for Research on Cancer, Lyon, France.
Carine BiessyNutritional Epidemiology Group, Nutrition and Metabolism Section, International Agency for Research on Cancer, Lyon, France.
Laure DossusInserm, Centre for Research in Epidemiology and Population Health (CESP), U1018, Nutrition, Hormones and Women's Health Team, Villejuif, France.
Laura BagliettoCancer Epidemiology Centre, Cancer Council Victoria, Melbourne, Australia.
Françoise Clavel-ChapelonInserm, Centre for Research in Epidemiology and Population Health (CESP), U1018, Nutrition, Hormones and Women's Health Team, Villejuif, France.
Kim OvervadDepartment of Epidemiology, School of Public Health, Aarhus University, Aarhus, Denmark.
Anja OlsenDiet, Genes, and Environment Unit, Danish Cancer Society Research Center, Copenhagen, Denmark.
Anne TjønnelandDiet, Genes, and Environment Unit, Danish Cancer Society Research Center, Copenhagen, Denmark.
Rudolf KaaksDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Annekatrin LukanovaDepartment of Medical Biosciences, Pathology, Umeå University, Umeå, Sweden.
Heiner BoeingDepartment of Epidemiology, German Institute of Human Nutrition, Potsdam-Rehbruecke, Nuthetal, Germany.
Antonia TrichopoulouHellenic Health Foundation, Athens, Greece.
Pagona LagiouWHO Collaborating Center for Food and Nutrition Policies, Department of Hygiene, Epidemiology and Medical Statistics, University of Athens Medical School, Athens, Greece.
Dimitrios TrichopoulosHellenic Health Foundation, Athens, Greece.
Domenico PalliMolecular and Nutritional Epidemiology Unit, Cancer Research and Prevention Institute - ISPO, Florence, Italy.
Sabina SieriEpidemiology and Prevention Unit, Department of Preventive & Predictive Medicine, Fondazione IRCCS Istituto Nazionale Dei Tumori, Milan, Italy.
Rosario TuminoCancer Registry and Histopathology Unit, "Civic-M.P.Arezzo" Hospital, ASP Ragusa, Italy.
Paolo VineisDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom.
Salvatore PanicoDepartment of Clinical and Experimental Medicine Federico II University of Naples, Naples, Italy.
H B As Bueno-de-MesquitaDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom.
Carla H van GilsDepartment of Epidemiology, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands.
Petra H PeetersDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom.
Eiliv LundDepartment of Community Medicine, Faculty of Health Sciences, University of Tromsø, Tromsø, Norway.
Guri SkeieDepartment of Community Medicine, Faculty of Health Sciences, University of Tromsø, Tromsø, Norway.
Elisabete WeiderpassDepartment of Community Medicine, Faculty of Health Sciences, University of Tromsø, Tromsø, Norway.
José Ramón Quirós GarcíaPublic Health Directorate, Asturias, Spain.
María-Dolores ChirlaqueDepartment of Epidemiology, Murcia Regional Health Authority, Murcia, Spain.
Eva ArdanazCIBER Epidemiology and Public Health CIBERESP, Madrid, Spain.
María-José SánchezCIBER Epidemiology and Public Health CIBERESP, Madrid, Spain.
Eric J DuellUnit of Nutrition and Cancer, Catalan Institute of Oncology (ICO-IDIBELL), Barcelona, Spain.
Pilar AmianoPublic Health Division of Gipuzkoa, Gipuzkoa, Spain.
Signe BorgquistDivision of Oncology, Department of Clinical Sciences, Lund University, Lund, Sweden.
Elisabet WirfältDepartment of Clinical Sciences, Lund University, Malmö, Sweden.
Göran HallmansDepartment of Public Health and Clinical Medicine, Nutritional Research, Umeå University, Umeå, Sweden.
Ingegerd JohanssonDepartment of Odontology, Umeå University, Umeå, Sweden.
Lena Maria NilssonPublic Health and Clinical Medicine/Nutritional Research, Umeå University, Umeå, Sweden.
Kay-Tee KhawUniversity of Cambridge, School of Clinical Medicine, Clinical Gerontology Unit, Cambridge, United Kingdom.
Nick WarehamMRC Epidemiology Unit University of Cambridge School of Clinical Medicine, Cambridge, United Kingdom.
Timothy J KeyCancer Epidemiology Unit, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Ruth C TravisCancer Epidemiology Unit, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Neil MurphyDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom.
Petra A WarkDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom.
Pietro FerrariNutritional Epidemiology Group, Nutrition and Metabolism Section, International Agency for Research on Cancer, Lyon, France.
Elio RiboliDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom.

Funding

Cancer Research UK 14136Cancer Research UK 16491Medical Research Council G0401527Medical Research Council G1000143Medical Research Council MC_U106179471Medical Research Council MC_UU_12015/1Wellcome TrustWorld Health Organization 001
6 · The paper itself

Abstract

Alcohol intake has been associated to breast cancer in pre and postmenopausal women; however results are inconclusive regarding tumor hormonal receptor status, and potential modifying factors like age at start drinking. Therefore, we investigated the relation between alcohol intake and the risk of breast cancer using prospective observational data from the European Prospective Investigation into Cancer and Nutrition (EPIC). Up to 334,850 women, aged 35-70 years at baseline, were recruited in ten European countries and followed up an average of 11 years. Alcohol intake at baseline and average lifetime alcohol intake were calculated from country-specific dietary and lifestyle questionnaires. The study outcomes were the Hazard ratios (HR) of developing breast cancer according to hormonal receptor status. During 3,670,439 person-years, 11,576 incident breast cancer cases were diagnosed. Alcohol intake was significantly related to breast cancer risk, for each 10 g/day increase in alcohol intake the HR increased by 4.2% (95% CI: 2.7-5.8%). Taking 0 to 5 g/day as reference, alcohol intake of >5 to 15 g/day was related to a 5.9% increase in breast cancer risk (95% CI: 1-11%). Significant increasing trends were observed between alcohol intake and ER+/PR+, ER-/PR-, HER2- and ER-/PR-HER2- tumors. Breast cancer risk was stronger among women who started drinking prior to first full-time pregnancy. Overall, our results confirm the association between alcohol intake and both hormone receptor positive and hormone receptor negative breast tumors, suggesting that timing of exposure to alcohol drinking may affect the risk. Therefore, women should be advised to control their alcohol consumption.

Indexed as

AdultAgedAlcohol DrinkingBreast NeoplasmsErb-b2 Receptor Tyrosine KinasesEuropeFemaleHumansMiddle AgedPostmenopauseProportional Hazards ModelsProspective StudiesReceptors, EstrogenReceptors, ProgesteroneRisk FactorsSurveys and QuestionnairesERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesReceptors, EstrogenReceptors, Progesteronealcohol consumptionbreast cancerprospective study

Identifiers

PMID25677034
PMCPMC6300114

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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.