Evidence map›Paper›PMID 27130893›Full record

ArticleJournal of the National Cancer Institute2016

Racial Differences in Quantitative Measures of Area and Volumetric Breast Density.

Anne Marie McCarthy, Brad M Keller, Lauren M Pantalone, Meng-Kang Hsieh, Marie Synnestvedt, Emily F Conant, Katrina Armstrong, Despina Kontos

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the National Cancer Institute, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed
4.9field-weighted citation impact, top 5% 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

60 citing papers in PubMed, 94 citations in OpenAlex.

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  15. Lifecourse Growth and Development Determinants of Mammographic Density in Black Women.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2024
    Article
  16. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Anne Marie McCarthyDepartment of Medicine, Massachusetts General Hospital, Boston, MA (AMM, KA); Department of Radiology, University of Pennsylvania, Philadelphia, PA (BMK, LMP, MKH, MS, EFC, DK).
Brad M KellerDepartment of Medicine, Massachusetts General Hospital, Boston, MA (AMM, KA); Department of Radiology, University of Pennsylvania, Philadelphia, PA (BMK, LMP, MKH, MS, EFC, DK).
Lauren M PantaloneDepartment of Medicine, Massachusetts General Hospital, Boston, MA (AMM, KA); Department of Radiology, University of Pennsylvania, Philadelphia, PA (BMK, LMP, MKH, MS, EFC, DK).
Meng-Kang HsiehDepartment of Medicine, Massachusetts General Hospital, Boston, MA (AMM, KA); Department of Radiology, University of Pennsylvania, Philadelphia, PA (BMK, LMP, MKH, MS, EFC, DK).
Marie SynnestvedtDepartment of Medicine, Massachusetts General Hospital, Boston, MA (AMM, KA); Department of Radiology, University of Pennsylvania, Philadelphia, PA (BMK, LMP, MKH, MS, EFC, DK).
Emily F ConantDepartment of Medicine, Massachusetts General Hospital, Boston, MA (AMM, KA); Department of Radiology, University of Pennsylvania, Philadelphia, PA (BMK, LMP, MKH, MS, EFC, DK).
Katrina ArmstrongDepartment of Medicine, Massachusetts General Hospital, Boston, MA (AMM, KA); Department of Radiology, University of Pennsylvania, Philadelphia, PA (BMK, LMP, MKH, MS, EFC, DK).
Despina KontosDepartment of Medicine, Massachusetts General Hospital, Boston, MA (AMM, KA); Department of Radiology, University of Pennsylvania, Philadelphia, PA (BMK, LMP, MKH, MS, EFC, DK).
Massachusetts General Hospital · US

Funding

Penn Center for Innovation in Personalized Breast ScreeningU54CA163313 · NCI · UNIVERSITY OF PENNSYLVANIA · PI ARMSTRONG, KATRINA, SCHNALL, MITCHELL D. · 2011 to 2017
$7.4M
Effect of Breast Density on Screening Recall with Digital Breast TomosynthesisR01CA161749 · NCI · UNIVERSITY OF PENNSYLVANIA · PI KONTOS, DESPINA · 2012 to 2021
$3.6M
NCI NIH HHS R01 CA161749NCI NIH HHS U54 CA163313
6 · The paper itself

Abstract

backgroundIncreased breast density is a strong risk factor for breast cancer and also decreases the sensitivity of mammographic screening. The purpose of our study was to compare breast density for black and white women using quantitative measures.

methodsBreast density was assessed among 5282 black and 4216 white women screened using digital mammography. Breast Imaging-Reporting and Data System (BI-RADS) density was obtained from radiologists' reports. Quantitative measures for dense area, area percent density (PD), dense volume, and volume percent density were estimated using validated, automated software. Breast density was categorized as dense or nondense based on BI-RADS categories or based on values above and below the median for quantitative measures. Logistic regression was used to estimate the odds of having dense breasts by race, adjusted for age, body mass index (BMI), age at menarche, menopause status, family history of breast or ovarian cancer, parity and age at first birth, and current hormone replacement therapy (HRT) use. All statistical tests were two-sided.

resultsThere was a statistically significant interaction of race and BMI on breast density. After accounting for age, BMI, and breast cancer risk factors, black women had statistically significantly greater odds of high breast density across all quantitative measures (eg, PD nonobese odds ratio [OR] = 1.18, 95% confidence interval [CI] = 1.02 to 1.37, P = .03, PD obese OR = 1.26, 95% CI = 1.04 to 1.53, P = .02). There was no statistically significant difference in BI-RADS density by race.

conclusionsAfter accounting for age, BMI, and other risk factors, black women had higher breast density than white women across all quantitative measures previously associated with breast cancer risk. These results may have implications for risk assessment and screening.

Indexed as

Black or African AmericanBody Mass IndexWhite PeopleAgedAge FactorsBreast DensityBreast NeoplasmsEarly Detection of CancerFemaleHumansMammographyMiddle AgedRisk Factors

Identifiers

PMID27130893
PMCPMC5939658
OpenAlexW2342461823

What OpenQuestion holds

Textmetadata
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.