Evidence map›Paper›PMID 27915435›Full record

ArticleBreast cancer research and treatment2017

Bone remodeling and regulating biomarkers in women at the time of breast cancer diagnosis.

Song Yao, Yali Zhang, Li Tang, Janise M Roh, Cecile A Laurent, Chi-Chen Hong, Theresa Hahn, Joan C Lo, Christine B Ambrosone, Lawrence H Kushi and 1 more

Abstract read
In one paragraph

Article in Breast cancer research and treatment, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. 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

11 authors.

Song YaoDepartment of Cancer Prevention and Control, Roswell Park Cancer Institute, Buffalo, NY, 14263, USA. song.yao@roswellpark.org.
Yali ZhangDepartment of Cancer Prevention and Control, Roswell Park Cancer Institute, Buffalo, NY, 14263, USA.
Li TangDepartment of Cancer Prevention and Control, Roswell Park Cancer Institute, Buffalo, NY, 14263, USA.
Janise M RohDivision of Research, Kaiser Permanente Northern California, Oakland, CA, USA.
Cecile A LaurentDivision of Research, Kaiser Permanente Northern California, Oakland, CA, USA.
Chi-Chen HongDepartment of Cancer Prevention and Control, Roswell Park Cancer Institute, Buffalo, NY, 14263, USA.
Theresa HahnDepartment of Medicine, Roswell Park Cancer Institute, Buffalo, NY, USA.
Joan C LoDivision of Research, Kaiser Permanente Northern California, Oakland, CA, USA.
Christine B AmbrosoneDepartment of Cancer Prevention and Control, Roswell Park Cancer Institute, Buffalo, NY, 14263, USA.
Lawrence H KushiDivision of Research, Kaiser Permanente Northern California, Oakland, CA, USA.
Marilyn L KwanDivision of Research, Kaiser Permanente Northern California, Oakland, CA, USA.

Funding

Two-Spirit Films in Indigenous Cancer HealthP30CA016056 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI MARK G FRATTINI · 1985 to 2026
$116.6M
The HMO Cancer Research Network (CRN)U19CA079689 · NCI · KAISER FOUNDATION HEALTH PLAN OF WASHINGTON · PI MAZOR, KATHLEEN MICHELE · 1999 to 2011
$62.6M
Prospective Study of Breast Cancer SurvivorshipR01CA105274 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI KUSHI, LAWRENCE H · 2004 to 2014
$19.9M
Infrastructure for Pathways, a Prospective Study of Breast Cancer SurvivorshipU01CA195565 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI AMBROSONE, CHRISTINE B., KUSHI, LAWRENCE H · 2016 to 2025
$18.8M
CRN4: Cancer Research Resources & Collaboration in Integrated Health Care SystemsU24CA171524 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI KUSHI, LAWRENCE H · 2012 to 2016
$16.0M
Lifestyle and Molecular Factors of Bone Health in Breast Cancer SurvivorsR01CA166701 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI KWAN, MARILYN L, YAO, SONG · 2012 to 2015
$2.5M
NCI NIH HHS P30 CA016056NCI NIH HHS R01 CA105274NCI NIH HHS R01 CA166701NCI NIH HHS U01 CA195565NCI NIH HHS U19 CA079689NCI NIH HHS U24 CA171524
6 · The paper itself

Abstract

purposeThe majority of breast cancer patients receive endocrine therapy, including aromatase inhibitors known to cause increased bone resorption. Bone-related biomarkers at the time of breast cancer diagnosis may predict future risk of osteoporosis and fracture after endocrine therapy.

methodsIn a large population of 2,401 female breast cancer patients who later underwent endocrine therapy, we measured two bone remodeling biomarkers, TRAP5b and BAP, and two bone regulating biomarkers, RANKL and OPG, in serum samples collected at the time of breast cancer diagnosis. We analyzed these biomarkers and their ratios with patients' demographic, lifestyle, clinical tumor characteristics, as well as bone health history.

resultsThe presence of bone metastases, prior bisphosphonate (BP) treatment, and blood collection after chemotherapy had a significant impact on biomarker levels. After excluding these cases and controlling for blood collection time, several factors, including age, race/ethnicity, body mass index, physical activity, alcohol consumption, smoking, and hormonal replacement therapy, were significantly associated with bone biomarkers, while vitamin D or calcium supplements and tumor characteristics were not. When prior BP users were included in, recent history of osteoporosis and fracture was also associated.

conclusionsOur findings support further investigation of these biomarkers with bone health outcomes after endocrine therapy initiation in women with breast cancer.

Indexed as

Bone RemodelingAdultAgedAged, 80 and overBiomarkersBiomarkers, TumorBone DensityBone DiseasesBone NeoplasmsBreast NeoplasmsExerciseFemaleFractures, BoneHumansLife StyleMiddle AgedBiomarkersBiomarkers, TumorAromatase inhibitorBiomarkerBoneBreast cancerTamoxifen

Identifiers

PMID27915435
PMCPMC5243170

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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.