Evidence map›Paper›PMID 28570827›Full record

ArticleJournal of women's health (2002)2018

Race, Menopausal Hormone Therapy, and Invasive Breast Cancer in the Carolina Breast Cancer Study.

Nathan L DeBono, Whitney R Robinson, Jennifer L Lund, Chiu Kit Tse, Patricia G Moorman, Andrew F Olshan, Melissa A Troester

Open access · greenAbstract read
In one paragraph

Article in Journal of women's health (2002), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 22% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
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

7 authors at 2 institutions in 1 country.

Nathan L DeBono1 Department of Epidemiology, University of North Carolina at Chapel Hill , Chapel Hill, North Carolina.
Whitney R Robinson1 Department of Epidemiology, University of North Carolina at Chapel Hill , Chapel Hill, North Carolina.
Jennifer L Lund1 Department of Epidemiology, University of North Carolina at Chapel Hill , Chapel Hill, North Carolina.
Chiu Kit Tse1 Department of Epidemiology, University of North Carolina at Chapel Hill , Chapel Hill, North Carolina.
Patricia G Moorman4 Department of Community and Family Medicine, Duke University Medical Center , Durham, North Carolina.
Andrew F Olshan1 Department of Epidemiology, University of North Carolina at Chapel Hill , Chapel Hill, North Carolina.
Melissa A Troester1 Department of Epidemiology, University of North Carolina at Chapel Hill , Chapel Hill, North Carolina.
University of North Carolina at Chapel Hill · USDuke Medical Center · US

Funding

Virology Research Program (Program 4)P30CA016086 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI David Darr · 1985 to 2026
$201.5M
Tissue Procurement & PathologyP50CA058223 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CHARLES M PEROU · 1992 to 2026
$59.3M
UNC-CH CENTER FOR ENVIRONMENTAL HEALTH &SUSCEPTIBILITYP30ES010126 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Stephanie Engel · 2001 to 2026
$36.3M
Targeting the MEKK2-ERK5 Signaling Node in Triple Negative Breast CancerU54CA156735 · NCI · NORTH CAROLINA CENTRAL UNIVERSITY · PI RICHARDSON, MICHELER RICARDO · 2010 to 2021
$13.0M
Carolina Population CenterR24HD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MORGAN, SAMUEL PHILIP · 2005 to 2014
$10.0M
Targeting the MEKK2-ERK5 Signaling Node in Triple Negative Breast CancerU54CA156733 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LINNAN, LAURA A · 2010 to 2020
$9.7M
Training Program in Nigeria for NCD Research (TRAPING - NCD)D43TW009106 · FIC · UNIVERSITY OF MARYLAND BALTIMORE · PI ADEBAMOWO, CLEMENT ADEBAYO · 2011 to 2015
$1.1M
Racial disparities in cancer outcomes: quantifying modifiable mechanismsK01CA172717 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ROBINSON, WHITNEY RAGAN · 2012 to 2016
$639k
NCI NIH HHS K01 CA172717NCI NIH HHS P30 CA016086NCI NIH HHS P50 CA058223NCI NIH HHS U54 CA156733NCI NIH HHS U54 CA156735NICHD NIH HHS R24 HD050924NIEHS NIH HHS P30 ES010126
6 · The paper itself

Abstract

purposeThe use of combined estrogen-progestin menopausal hormone therapy (MHT) has been shown to increase the risk of breast cancer, however, recent observational studies have suggested that the association between MHT and breast cancer may be modified by race. The objective of this study was to investigate the association between MHT use and incidence of invasive breast cancer in Black and White women aged ≥40 years at diagnosis after accounting for racial differences in patterns of MHT use and formulation.

methodsData from the Carolina Breast Cancer Study, a population-based case-control study of Black and White women in North Carolina conducted between 1993 and 2001, was used to analyze 1474 invasive breast cancer cases and 1339 controls using unconditional logistic regression.

resultsBlack women were less likely than White women to use any MHT and were more likely to use an unopposed-estrogen formulation. Combined estrogen-progestin MHT use was associated with a greater odds of breast cancer in White (adjusted odds ratio [OR] 1.48, 95% confidence interval [CI]: 1.03-2.13) and Black (OR 1.43, 95% CI: 0.76-2.70) women, although the estimate in Black women was imprecise. In contrast, use of unopposed-estrogen MHT among women with prior hysterectomy was not associated with breast cancer in women of either race.

conclusionThe association between MHT and invasive breast cancer appears to be similar in both Black and White women after accounting for differences in formulation and prior hysterectomy. These findings emphasize the importance of accounting for MHT formulation in race-stratified analyses of breast cancer risk.

Indexed as

MenopauseAdultAgedBlack or African AmericanBreast NeoplasmsCase-Control StudiesEstrogen Replacement TherapyEstrogensFemaleHealth Status DisparitiesHormone Replacement TherapyHumansHysterectomyIncidenceLogistic ModelsMiddle AgedEstrogensProgestinsAfrican Americanbreast cancerhormone therapyhysterectomymenopause

Identifiers

PMID28570827
PMCPMC5865240
OpenAlexW2620615073

What OpenQuestion holds

Textmetadata
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.