Evidence map›Paper›PMID 27508297›Full record

ArticlePloS one2016

The Use of Antihypertensive Medication and the Risk of Breast Cancer in a Case-Control Study in a Spanish Population: The MCC-Spain Study.

Inés Gómez-Acebo, Trinidad Dierssen-Sotos, Camilo Palazuelos, Beatriz Pérez-Gómez, Virginia Lope, Ignasi Tusquets, M Henar Alonso, Victor Moreno, Pilar Amiano, Antonio José Molina de la Torre and 14 more

Abstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 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

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

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Systemic Sclerosis Association with Malignancy.Clinical reviews in allergy & immunology · 2022
    Review
  11. Article
  12. Hypertension in Cancer Survivors.Current hypertension reports · 2022
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Breast cancer and spironolactone: an observational postmarketing study.European journal of clinical pharmacology · 2019
    Observational
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

24 authors.

Inés Gómez-AceboCIBER Epidemiologia y Salud Pública (CIBERESP), Madrid, Spain.
Trinidad Dierssen-SotosCIBER Epidemiologia y Salud Pública (CIBERESP), Madrid, Spain.
Camilo PalazuelosUniversity of Cantabria-IDIVAL, Santander, Spain.
Beatriz Pérez-GómezCIBER Epidemiologia y Salud Pública (CIBERESP), Madrid, Spain.
Virginia LopeCIBER Epidemiologia y Salud Pública (CIBERESP), Madrid, Spain.
Ignasi TusquetsServei d'Oncologia Mèdica, Hospital del Mar, Barcelona, Spain.
M Henar AlonsoCIBER Epidemiologia y Salud Pública (CIBERESP), Madrid, Spain.
Victor MorenoCIBER Epidemiologia y Salud Pública (CIBERESP), Madrid, Spain.
Pilar AmianoCIBER Epidemiologia y Salud Pública (CIBERESP), Madrid, Spain.
Antonio José Molina de la TorreÁrea de Medicina Preventiva y Salud Pública, Departamento de Ciencias Biomédicas, Universidad de León, León, España.
Aurelio BarricarteNavarra Public Health Institute, Pamplona, Spain.
Adonina TardonCIBER Epidemiologia y Salud Pública (CIBERESP), Madrid, Spain.
Antonio CamachoHospital Juan Ramon Jimenez, Andalusian Health Service, Huelva, España.
Rosana Peiro-PerezCIBER Epidemiologia y Salud Pública (CIBERESP), Madrid, Spain.
Rafael Marcos-GrageraEpidemiology Unit and Girona Cancer Registry, Oncology Coordination Plan, Department of Health, Autonomous Government of Catalonia and Descriptive Epidemiology, Genetics and Cancer Prevention Group [Girona Biomedical Research Institute (IdIBGi)], Catalan Institute of Oncology, Girona, Spain.
Montse MuñozTranslational Genomics and Targeted Therapeutics in Solid Tumors (IDIBAPS), Barcelona, Spain.
Maria Jesus Michelena-EchevesteOnkologikoa- Oncology Institute Gipuzkoa, Guipuzkoa, Spain.
Luis Ortega ValinPharmacy Service, Complex assistive university Leon, Leon, Spain.
Marcela GuevaraCIBER Epidemiologia y Salud Pública (CIBERESP), Madrid, Spain.
Gemma Castaño-VinyalsCIBER Epidemiologia y Salud Pública (CIBERESP), Madrid, Spain.
Nuria AragonésCIBER Epidemiologia y Salud Pública (CIBERESP), Madrid, Spain.
Manolis KogevinasCIBER Epidemiologia y Salud Pública (CIBERESP), Madrid, Spain.
Marina PollánCIBER Epidemiologia y Salud Pública (CIBERESP), Madrid, Spain.
Javier LlorcaCIBER Epidemiologia y Salud Pública (CIBERESP), Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe evidence on the relationship between breast cancer and different types of antihypertensive drugs taken for at least 5 years is limited and inconsistent. Furthermore, the debate has recently been fueled again with new data reporting an increased risk of breast cancer among women with a long history of use of antihypertensive drugs compared with nonusers.

methodsIn this case-control study, we report the antihypertensive drugs-breast cancer relationship in 1,736 breast cancer cases and 1,895 healthy controls; results are reported stratifying by the women's characteristics (i.e., menopausal status or body mass index category) tumor characteristics and length of use of antihypertensive drugs.

resultsThe relationship among breast cancer and use of calcium channel blockers (CCB) for 5 or more years had odds ratio (OR) = 1.77 (95% CI, 0.99 to 3.17). Stratifying by BMI, the OR increased significantly in the group with BMI ≥ 25 (OR 2.54, 95% CI, 1.24 to 5.22). CCBs were even more strongly associated with more aggressive tumors, (OR for invasive tumors = 1.96, 95% CI = 1.09 to 3.53; OR for non ductal cancers = 3.97, 95% CI = 1.73 to 9.05; OR for Erbb2+ cancer = 2.97, 95% CI: 1.20 to 7.32). On the other hand, premenopausal women were the only group in which angiotensin II receptor blockers may be associated with breast cancer (OR = 4.27, 95% CI = 1.32 to 13.84) but this could not be identified with any type or stage. Use of angiotensin-converting-enzyme inhibitors, beta blockers and diuretics were not associated with risk.

conclusionsIn this large population-based study we found that long term use of calcium channel blockers is associated with some subtypes of breast cancer (and with breast cancer in overweight women).

Indexed as

Adrenergic beta-AntagonistsAdultAgedAged, 80 and overAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsAntihypertensive AgentsBody Mass IndexBreast NeoplasmsCalcium Channel BlockersCase-Control StudiesDiureticsErb-b2 Receptor Tyrosine KinasesFemaleHumansHypertensionAdrenergic beta-AntagonistsAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsAntihypertensive AgentsCalcium Channel BlockersDiureticsERBB2 protein, humanErb-b2 Receptor Tyrosine Kinases

Identifiers

PMID27508297
PMCPMC4979888

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LicenceCC BY
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Registered trials

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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.