Evidence map›Paper›PMID 27066510›Full record

ArticleMolecular genetics & genomic medicine2016

Effect of lifestyle and reproductive factors on the onset of breast cancer in female BRCA 1 and 2 mutation carriers.

Viktoria Rieder, Mohamed Salama, Lena Glöckner, Daniela Muhr, Andreas Berger, Muy-Kheng Tea, Georg Pfeiler, Christine Rappaport-Fuerhauser, Daphne Gschwantler-Kaulich, Sigrid Weingartshofer and 1 more

Abstract read
In one paragraph

Article in Molecular genetics & genomic medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

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

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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

11 authors.

Viktoria RiederDepartment of OB/GYN and Comprehensive Cancer Center Medical University of Vienna Vienna Austria.
Mohamed SalamaDepartment of Thoracic Surgery Otto Wagner Hospital Vienna Austria.
Lena GlöcknerDepartment of OB/GYN and Comprehensive Cancer Center Medical University of Vienna Vienna Austria.
Daniela MuhrDepartment of OB/GYN and Comprehensive Cancer Center Medical University of Vienna Vienna Austria.
Andreas BergerDepartment of OB/GYN and Comprehensive Cancer Center Medical University of Vienna Vienna Austria.
Muy-Kheng TeaDepartment of OB/GYN and Comprehensive Cancer Center Medical University of Vienna Vienna Austria.
Georg PfeilerDepartment of OB/GYN and Comprehensive Cancer Center Medical University of Vienna Vienna Austria.
Christine Rappaport-FuerhauserDepartment of OB/GYN and Comprehensive Cancer Center Medical University of Vienna Vienna Austria.
Daphne Gschwantler-KaulichDepartment of OB/GYN and Comprehensive Cancer Center Medical University of Vienna Vienna Austria.
Sigrid WeingartshoferDepartment of OB/GYN and Comprehensive Cancer Center Medical University of Vienna Vienna Austria.
Christian F SingerDepartment of OB/GYN and Comprehensive Cancer Center Medical University of Vienna Vienna Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe birth year-dependent onset of breast cancer (BC) in BRCA1/2 mutation carriers suggests a risk-modifying role for reproductive and life style factors. We therefore examined possible associations between these factors and age at diagnosis.

methodsCox regression analysis and log-Rank testing were used to estimate the effect of potential life style factors on the onset of BC in 197 BRCA mutation carriers.

resultsNulliparous BRCA mutation carriers developed BC earlier than those who had delivered (36.4 vs. 40.9; P = 0.001). Similarly, smokers and women who had used oral contraceptives experienced an earlier cancer onset (39.0 vs. 41.4; P = 0.05 and 39.3 vs. 44.9; P = 0.0001, respectively). In multivariate analysis, oral contraceptive use (HR: 1.7; P = 0.006) and birth cohort (< vs. ≥1965 HR: 4.5; P = 0.001) were associated with an earlier BC onset, while previous pregnancies led to a delay (HR: 0.2; P = 0.04). Mutation carriers born ≥1965 were less likely to have experienced pregnancies and more likely to have used oral contraceptives, and consequently developed BC at an earlier age (median age: 42 vs. 58; P < 0.0001 log-Rank test).

conclusionWe here demonstrate that in BRCA1/2 mutation carriers the birth cohort-associated differences in the onset of BC are profound and influenced by reproductive factors.

Indexed as

BRCA mutationbreast cancer onsetlifestyle factorsreproductive factors

Identifiers

PMID27066510
PMCPMC4799878

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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.