Evidence map›Paper›PMID 26564251›Full record

Trial reportCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2016

Hormonal and Reproductive Factors and Risk of Myeloproliferative Neoplasms in Postmenopausal Women.

Alexis D Leal, Carrie A Thompson, Alice H Wang, Robert A Vierkant, Thomas M Habermann, Julie A Ross, Ruben A Mesa, Beth A Virnig, James R Cerhan

Open access · bronzeAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.2field-weighted citation impact, top 44% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
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 3 institutions in 1 country.

Alexis D LealDivision of Hematology, Department of Internal Medicine, College of Medicine, Mayo Clinic, Rochester, Minnesota.
Carrie A ThompsonDivision of Hematology, Department of Internal Medicine, College of Medicine, Mayo Clinic, Rochester, Minnesota.
Alice H WangDivison of Biomedical Statistics and Informatics, College of Medicine, Mayo Clinic, Rochester, Minnesota.
Robert A VierkantDivison of Biomedical Statistics and Informatics, College of Medicine, Mayo Clinic, Rochester, Minnesota.
Thomas M HabermannDivision of Hematology, Department of Internal Medicine, College of Medicine, Mayo Clinic, Rochester, Minnesota.
Julie A RossDivision of Epidemiology and Clinical Research, Department of Pediatrics, School of Public Health, University of Minnesota, Minneapolis, Minnesota.
Ruben A MesaDivision of Hematology and Medical Oncology, Mayo Clinic, Scottsdale, Arizona.
Beth A VirnigDivision of Health Services Research and Policy, School of Public Health, University of Minnesota, Minneapolis, Minnesota.
James R CerhanDivision of Epidemiology, Department of Health Sciences Research, College of Medicine, Mayo Clinic, Rochester, Minnesota. cerhan.james@mayo.edu.
Mayo Clinic · USUniversity of Minnesota · USMayo Clinic in Arizona · US

Funding

EPIDEMIOLOGY OF CANCER IN A COHORT OF OLDER WOMENR01CA039742 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI LAZOVICH, DEANN · 1985 to 2014
$8.0M
Established Investigator Award in Pediatric Cancer EpidemiologyK05CA157439 · NCI · UNIVERSITY OF MINNESOTA · PI ROSS, JULIE ANN · 2011 to 2015
$695k
NCI NIH HHS K05 CA157439NCI NIH HHS R01 CA039742NCI NIH HHS R01 CA39742
6 · The paper itself

Abstract

backgroundHormonal and reproductive history has been associated with risk of some hematologic malignancies, but their role in myeloproliferative neoplasms (MPN) is largely unknown.

methodsUsing a population-based cohort study, we evaluated the association of these factors with risk of MPN overall, and for essential thrombocythemia (ET) and polycythemia vera (PV) specifically. Incident MPN cases from 1993 to 2004 were identified via linkage to Medicare. RR and 95% confidence intervals (CI) were estimated utilizing Cox proportional hazard regression.

resultsAfter >250,000 person-years of follow-up, 257 cases of MPN were identified (172 ET, 64 PV). Ever use of hormone therapy (HT) was associated with an increased risk of ET (RR = 1.63; 95% CI, 1.19-2.23) but a decreased risk of PV (RR = 0.58; 95% CI, 0.34-0.98). There were no statistically significant associations of oral contraceptives or reproductive factors with MPN risk overall, or by MPN subtype. Bilateral oophorectomy was associated with increased risk of ET (RR = 1.58; 95% CI, 1.11-2.25) and decreased risk of PV (RR = 0.32; 95% CI, 0.12-0.88). There was no association of ovulatory years with ET risk; however, there was increased risk of PV (RR = 1.68 for >36.8 compared with ≤27.6 years; P trend = 0.045). Adjustment for potential confounding factors did not alter these associations.

conclusionsHT use and bilateral oophorectomy had opposite associations for ET and PV. Except for ovulatory years and PV risk, reproductive history did not appear to play a role in the etiology of MPN. IMPACT: This study suggests different mechanistic impacts of estrogen, and perhaps distinct etiologies, for the two major MPN subtypes.

Indexed as

PostmenopauseReproductive HistoryAgedAged, 80 and overCase-Control StudiesFemaleFollow-Up StudiesHormone Replacement TherapyHumansMiddle AgedMyeloproliferative DisordersNeoplasm StagingPrognosisProspective StudiesRisk Factors

Identifiers

PMID26564251
PMCPMC4713297
OpenAlexW2200434586

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.