Evidence map›Paper›PMID 27542890›Full record

ArticleBMC cancer2016

Use of non-steroidal anti-inflammatory drugs and risk of breast cancer: The Spanish Multi-Case-control (MCC) study.

Trinidad Dierssen-Sotos, Inés Gómez-Acebo, María de Pedro, Beatriz Pérez-Gómez, Sonia Servitja, Víctor Moreno, Pilar Amiano, Tania Fernandez-Villa, Aurelio Barricarte, Adonina Tardon and 14 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in BMC cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 14% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

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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

24 authors at 17 institutions in 1 country.

Trinidad Dierssen-SotosCIBER Epidemiologia y Salud Publica (CIBERESP), Madrid, Spain. dierssent@unican.es.
Inés Gómez-AceboCIBER Epidemiologia y Salud Publica (CIBERESP), Madrid, Spain.
María de PedroDepartment of Obstetrics and Gynecology, Nuevo Belén University Hospital, Madrid, Spain.
Beatriz Pérez-GómezCIBER Epidemiologia y Salud Publica (CIBERESP), Madrid, Spain.
Sonia ServitjaServei d'Oncologia Mèdica, Hospital del Mar, Barcelona, Spain.
Víctor MorenoCIBER Epidemiologia y Salud Publica (CIBERESP), Madrid, Spain.
Pilar AmianoCIBER Epidemiologia y Salud Publica (CIBERESP), Madrid, Spain.
Tania Fernandez-VillaÁrea 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 Publica (CIBERESP), Madrid, Spain.
Marian Diaz-SantosUniversidad de Huelva, Huelva, Spain.
Rosana Peiro-PerezCIBER Epidemiologia y Salud Publica (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.
Virginia LopeCIBER Epidemiologia y Salud Publica (CIBERESP), Madrid, Spain.
Esther Gracia-LavedanCIBER Epidemiologia y Salud Publica (CIBERESP), Madrid, Spain.
M Henar AlonsoCIBER Epidemiologia y Salud Publica (CIBERESP), Madrid, Spain.
Maria Jesus Michelena-EchevesteOnkologikoa- Oncology Institute Gipuzkoa, San Sebastian, Spain.
Andrés Garcia-PalomoSección de Oncología, Complejo Asistencial Universitario de León, León, Spain.
Marcela GuevaraCIBER Epidemiologia y Salud Publica (CIBERESP), Madrid, Spain.
Gemma Castaño-VinyalsCIBER Epidemiologia y Salud Publica (CIBERESP), Madrid, Spain.
Nuria AragonésCIBER Epidemiologia y Salud Publica (CIBERESP), Madrid, Spain.
Manolis KogevinasCIBER Epidemiologia y Salud Publica (CIBERESP), Madrid, Spain.
Marina PollánCIBER Epidemiologia y Salud Publica (CIBERESP), Madrid, Spain.
Javier LlorcaCIBER Epidemiologia y Salud Publica (CIBERESP), Madrid, Spain.
Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública · ESCenter for Research in Environmental Epidemiology · ESHospital Del Mar · ESInstitut d'Investigació Biomédica de Bellvitge · ESBiogipuzkoa Health Research Institute · ESComplejo Asistencial Universitario de Palencia · ESFundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana · ESHospital Universitario Puerta de Hierro Majadahonda · ESInstitut d'Investigació Biomèdica de Girona · ESInstituto de Investigación Marqués de Valdecilla · ESInstituto de Salud Carlos III · ESInstituto de Salud Pública de Navarra · ESNavarre Institute of Health Research · ESOnkologikoa · ESUniversidad de Huelva · ESUniversidad de León · ESUniversidad de Oviedo · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe relationship between non-steroidal anti-inflammatory drug (NSAID) consumption and breast cancer has been repeatedly studied, although the results remain controversial. Most case-control studies reported that NSAID consumption protected against breast cancer, while most cohort studies did not find this effect. Most studies have dealt with NSAIDs as a whole group or with specific drugs, such aspirin, ibuprofen, or others, but not with NSAID subgroups according to the Anatomical Therapeutic Chemical Classification System; moreover, scarce attention has been paid to their effect on different tumor categories (i.e.: ductal/non-ductal, stage at diagnosis or presence of hormonal receptors).

methodsIn this case-control study, we report the NSAID - breast cancer relationship in 1736 breast cancer cases and 1895 healthy controls; results are reported stratifying by the women's characteristics (i.e.: menopausal status or body mass index category) and by tumor characteristics.

resultsIn our study, NSAID use was associated with a 24 % reduction in breast cancer risk (Odds ratio [OR] = 0.76; 95 % Confidence Interval [CI]: 0.64-0.89), and similar results were found for acetic acid derivatives, propionic acid derivatives and COXIBs, but not for aspirin. Similar results were found in postmenopausal and premenopausal women. NSAID consumption also protected against hormone + or HER2+ cancers, but not against triple negative breast cancers. The COX-2 selectivity showed an inverse association with breast cancer (i.e. OR < 1), except in advanced clinical stage and triple negative cancers.

conclusionMost NSAIDs, but not aspirin, showed an inverse association against breast cancer; this effect seems to be restricted to hormone + or HER2+ cancers.

Indexed as

AgedAnti-Inflammatory Agents, Non-SteroidalBody Mass IndexBreast NeoplasmsCase-Control StudiesFemaleHumansMiddle AgedOdds RatioPostmenopausePremenopauseRisk FactorsSpainSurveys and QuestionnairesAnti-Inflammatory Agents, Non-SteroidalBreast cancerHER2 positive breast cancerHormone receptor positive breast cancerNon-steroidal anti-inflammatory drugTriple negative breast cancer

Identifiers

PMID27542890
PMCPMC4992258
OpenAlexW2515270412

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.