Evidence map›Paper›PMID 26401662›Full record

ArticlePloS one2015

Mammographic Breast Density and Common Genetic Variants in Breast Cancer Risk Prediction.

Charmaine Pei Ling Lee, Hyungwon Choi, Khee Chee Soo, Min-Han Tan, Wen Yee Chay, Kee Seng Chia, Jenny Liu, Jingmei Li, Mikael Hartman

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 16% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Breast Density and Risk of Breast Cancer in Asian Women: A Meta-analysis of Observational Studies.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2016
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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 5 institutions in 2 countries.

Charmaine Pei Ling LeeNUS Graduate School for Integrative Sciences and Engineering, National University of Singapore, Singapore, Singapore; Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
Hyungwon ChoiSaw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
Khee Chee SooNational Cancer Centre, Singapore, Singapore.
Min-Han TanNational Cancer Centre, Singapore, Singapore.
Wen Yee ChayNational Cancer Centre, Singapore, Singapore.
Kee Seng ChiaSaw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
Jenny LiuSaw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
Jingmei LiHuman Genetics, Genome Institute of Singapore, Singapore, Singapore.
Mikael HartmanSaw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore; Department of Surgery, National University Hospital, Singapore, Singapore; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
National Cancer Centre Singapore · SGNational University Health System · SGNational University of Singapore · SGGenome Institute of Singapore · SGKarolinska Institutet · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionKnown prediction models for breast cancer can potentially by improved by the addition of mammographic density and common genetic variants identified in genome-wide associations studies known to be associated with risk of the disease. We evaluated the benefit of including mammographic density and the cumulative effect of genetic variants in breast cancer risk prediction among women in a Singapore population.

methodsWe estimated the risk of breast cancer using a prospective cohort of 24,161 women aged 50 to 64 from Singapore with available mammograms and known risk factors for breast cancer who were recruited between 1994 and 1997. We measured mammographic density using the medio-lateral oblique views of both breasts. Each woman's genotype for 75 SNPs was simulated based on the genotype frequency obtained from the Breast Cancer Association Consortium data and the cumulative effect was summarized by a genetic risk score (GRS). Any improvement in the performance of our proposed prediction model versus one containing only variables from the Gail model was assessed by changes in receiver-operating characteristic and predictive values.

resultsDuring 17 years of follow-up, 680 breast cancer cases were diagnosed. The multivariate-adjusted hazard ratios (95% confidence intervals) were 1.60 (1.22-2.10), 2.20 (1.65-2.92), 2.33 (1.71-3.20), 2.12 (1.43-3.14), and 3.27 (2.24-4.76) for the corresponding mammographic density categories: 11-20cm2, 21-30cm2, 31-40cm2, 41-50cm2, 51-60cm2, and 1.10 (1.03-1.16) for GRS. At the predicted absolute 10-year risk thresholds of 2.5% and 3.0%, a model with mammographic density and GRS could correctly identify 0.9% and 0.5% more women who would develop the disease compared to a model using only the Gail variables, respectively.

conclusionMammographic density and common genetic variants can improve the discriminatory power of an established breast cancer risk prediction model among females in Singapore.

Indexed as

Genetic VariationBreast DensityBreast NeoplasmsFemaleFollow-Up StudiesGene FrequencyGenotypeHumansMammary Glands, HumanMiddle AgedPolymorphism, Single NucleotidePopulation SurveillanceProspective StudiesRiskROC CurveSingapore

Identifiers

PMID26401662
PMCPMC4581713
OpenAlexW2234058183

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.