Evidence map›Paper›PMID 28263368›Full record

ArticleCancer2017

Dietary isoflavone intake and all-cause mortality in breast cancer survivors: The Breast Cancer Family Registry.

Fang Fang Zhang, Danielle E Haslam, Mary Beth Terry, Julia A Knight, Irene L Andrulis, Mary B Daly, Saundra S Buys, Esther M John

Open access · bronzeAbstract read
In one paragraph

Article in Cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 9 pooled it
7.2field-weighted citation impact, top 2% 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

48 citing papers in PubMed, 9 syntheses or guidelines pooled it, 89 citations in OpenAlex.

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  8. Integrative Therapies During and After Breast Cancer Treatment: ASCO Endorsement of the SIO Clinical Practice Guideline.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2018
    Guideline
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  15. Formononetin: pharmacological properties and therapeutic potential.Naunyn-Schmiedeberg's archives of pharmacology · 2025
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 7 institutions in 2 countries.

Fang Fang ZhangFriedman School of Nutrition Science and Policy, Tufts University, Boston, Massachusetts.
Danielle E HaslamFriedman School of Nutrition Science and Policy, Tufts University, Boston, Massachusetts.
Mary Beth TerryMailman School of Public Health, Columbia University, New York, New York.
Julia A KnightLunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, Ontario, Canada.
Irene L AndrulisLunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, Ontario, Canada.
Mary B DalyClinical Genetics, Fox Chase Cancer Center, Philadelphia, Pennsylvania.
Saundra S BuysHuntsman Cancer Institute at the University of Utah Health Sciences Center, Salt Lake City, Utah.
Esther M JohnCancer Prevention Institute of California, Fremont, California.
Tufts University · USColumbia University · USFox Chase Cancer Center · USPublic Health Ontario · CASinai Health System · CAStanford University · USUniversity of Utah · US

Funding

WORD PROCESSING CENTER--COREP30CA006927 · NCI · RESEARCH INST OF FOX CHASE CAN CTR · PI Margaret von Mehren · 1985 to 2026
$138.8M
Breast Cancer Family Registry CohortUM1CA164920 · NCI · CANCER PREVENTION INSTIT OF CALIFORNIA · PI ANDRULIS, IRENE, BUYS, SAUNDRA S · 2012 to 2017
$12.7M
NCI NIH HHS P30 CA006927NCI NIH HHS UM1 CA164920
6 · The paper itself

Abstract

backgroundSoy foods possess both antiestrogenic and estrogen-like properties. It remains controversial whether women diagnosed with breast cancer should be advised to eat more or less soy foods, especially for those who receive hormone therapies as part of cancer treatment.

methodsThe association of dietary intake of isoflavone, the major phytoestrogen in soy, with all-cause mortality was examined in 6235 women with breast cancer enrolled in the Breast Cancer Family Registry. Dietary intake was assessed using a Food Frequency Questionnaire developed for the Hawaii-Los Angeles Multiethnic Cohort among 5178 women who reported prediagnosis diet and 1664 women who reported postdiagnosis diet. Cox proportional-hazard models were used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs).

resultsDuring a median follow-up of 113 months (approximately 9.4 years), 1224 deaths were documented. A 21% decrease was observed in all-cause mortality for women who had the highest versus lowest quartile of dietary isoflavone intake (≥1.5 vs < 0.3 mg daily: HR, 0.79; 95% confidence interval CI, 0.64-0.97; P

conclusionsIn this large, ethnically diverse cohort of women with breast cancer living in North America, a higher dietary intake of isoflavone was associated with reduced all-cause mortality. Cancer 2017;123:2070-2079. © 2017 American Cancer Society.

Indexed as

Cause of DeathIsoflavonesRegistriesAdultBreast NeoplasmsCohort StudiesDietFemaleHumansMiddle AgedMortalityProportional Hazards ModelsReceptors, EstrogenReceptors, ProgesteroneSurvivorsIsoflavonesReceptors, EstrogenReceptors, Progesteronebreast cancerbreast cancer survivorsisoflavonemortalitysoysurvival

Identifiers

PMID28263368
PMCPMC5444962
OpenAlexW2591824951

What OpenQuestion holds

Textmetadata
LicenceTDM
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.