Evidence map›Paper›PMID 27520657›Full record

ArticleBreast cancer research : BCR2016

Predicted 25-hydroxyvitamin D in relation to incidence of breast cancer in a large cohort of African American women.

Julie R Palmer, Hanna Gerlovin, Traci N Bethea, Kimberly A Bertrand, Michael F Holick, Edward N Ruiz-Narvaez, Lauren A Wise, Stephen A Haddad, Lucile L Adams-Campbell, Harvey W Kaufman and 2 more

Open access · goldAbstract read
In one paragraph

Article in Breast cancer research : BCR, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
2.2field-weighted citation impact, top 13% 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

22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  7. Vitamin D and risk of hypertension among Black women.Journal of clinical hypertension (Greenwich, Conn.) · 2023
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  12. Predicted Vitamin D Status and Colorectal Cancer Incidence in the Black Women's Health Study.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2021
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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

12 authors at 3 institutions in 1 country.

Julie R PalmerSlone Epidemiology Center at Boston University, 1010 Commonwealth Avenue, 4th floor, Boston, MA, 02215, USA. jpalmer@bu.edu.
Hanna GerlovinSlone Epidemiology Center at Boston University, 1010 Commonwealth Avenue, 4th floor, Boston, MA, 02215, USA.
Traci N BetheaSlone Epidemiology Center at Boston University, 1010 Commonwealth Avenue, 4th floor, Boston, MA, 02215, USA.
Kimberly A BertrandSlone Epidemiology Center at Boston University, 1010 Commonwealth Avenue, 4th floor, Boston, MA, 02215, USA.
Michael F HolickDepartment of Medicine, Physiology and Biophysics, Boston University School of Medicine, Boston, MA, 02118, USA.
Edward N Ruiz-NarvaezSlone Epidemiology Center at Boston University, 1010 Commonwealth Avenue, 4th floor, Boston, MA, 02215, USA.
Lauren A WiseDepartment of Epidemiology, Boston University School of Public Health, Boston, MA, 02118, USA.
Stephen A HaddadSlone Epidemiology Center at Boston University, 1010 Commonwealth Avenue, 4th floor, Boston, MA, 02215, USA.
Lucile L Adams-CampbellGeorgetown University Lombardi Cancer Center, Washington, DC, 20057, USA.
Harvey W KaufmanQuest Diagnostics, Inc, Madison, NJ, 07940, USA.
Lynn RosenbergSlone Epidemiology Center at Boston University, 1010 Commonwealth Avenue, 4th floor, Boston, MA, 02215, USA.
Yvette C CozierSlone Epidemiology Center at Boston University, 1010 Commonwealth Avenue, 4th floor, Boston, MA, 02215, USA.
Boston University · USGeorgetown University Medical Center · USQuest Diagnostics (United States) · US

Funding

FOLLOW-UP STUDY FOR CAUSES OF ILLNESS IN BLACK WOMENR01CA058420 · NCI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI ROSENBERG, LYNN · 1999 to 2013
$20.7M
Reproduction, Lactation and Hormonal Factors in Breast Cancer SubtypesP01CA151135 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI AMBROSONE, CHRISTINE B., OLSHAN, ANDREW · 2011 to 2017
$18.1M
A Follow-up Study for Causes of Cancer in Black WomenUM1CA164974 · NCI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI ROSENBERG, LYNN · 2012 to 2017
$13.7M
NCI NIH HHS P01 CA151135NCI NIH HHS R01 CA058420NCI NIH HHS UM1 CA164974
6 · The paper itself

Abstract

backgroundVitamin D deficiency, which has been linked to an increased risk of colorectal cancer, is particularly common among African Americans. Previous studies of vitamin D status and breast cancer risk, mostly conducted in white women, have had conflicting results. We examined the relationship between predicted vitamin D status and incidence of breast cancer in a cohort of 59,000 African American women.

methodsParticipants in the Black Women's Health Study have been followed by biennial mail questionnaires since 1995, with self-reported diagnoses of cancer confirmed by hospital and cancer registry records. Repeated five-fold cross-validation with linear regression was used to derive the best 25-hydroxyvitamin D (25(OH)D) prediction model based on measured 25(OH)D in plasma specimens obtained from 2856 participants in 2013-2015 and questionnaire-based variables from the same time frame. In the full cohort, including 1454 cases of incident invasive breast cancer, Cox proportional hazards models were used to compute the incidence rate ratio (IRR) for each quartile of predicted vitamin D score relative to the highest quartile. Predicted vitamin D score for each two-year exposure period was a cumulative average of predicted scores from all exposure periods up to that time.

resultsTwenty-two percent of women with measured 25(OH)D were categorized as "deficient" (<20 ng/mL) and another 25 % as "insufficient" (20-29 ng/mL). The prediction model explained 25 % of variation in measured 25(OH)D and the correlation coefficient for predicted versus observed 25(OH)D averaged across all cross-validation runs was 0.49 (SD 0.026). Breast cancer risk increased with decreasing quartile of predicted 25(OH)D, p for trend 0.015; the IRR for the lowest versus highest quartile was 1.23 (95 % confidence interval 1.04, 1.46).

conclusionsIn prospective data, African American women in the lowest quartile of cumulative predicted 25(OH)D were estimated to have a 23 % increased risk of breast cancer relative to those with relatively high levels. Preventing vitamin D deficiency may be an effective means of reducing breast cancer incidence in African American women.

Indexed as

Black or African AmericanAdultAgedBreast NeoplasmsFemaleHumansIncidenceMiddle AgedPopulation SurveillanceRetrospective StudiesSurveys and QuestionnairesUnited StatesVitamin DYoung Adult25-hydroxyvitamin DVitamin DAfrican AmericanBreast cancerPrediction modelsVitamin D

Identifiers

PMID27520657
PMCPMC4983060
OpenAlexW2514247156

What OpenQuestion holds

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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.