Evidence map›Paper›PMID 29997145›Full record

ArticleBMJ (Clinical research ed.)2018

Risks of ovarian, breast, and corpus uteri cancer in women treated with assisted reproductive technology in Great Britain, 1991-2010: data linkage study including 2.2 million person years of observation.

Carrie L Williams, Michael E Jones, Anthony J Swerdlow, Beverley J Botting, Melanie C Davies, Ian Jacobs, Kathryn J Bunch, Michael F G Murphy, Alastair G Sutcliffe

Open access · hybridAbstract read
In one paragraph

Article in BMJ (Clinical research ed.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 3 pooled it
9.0field-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

31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 65 citations in OpenAlex.

  1. Pooled it
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  12. Estrogens and breast cancer.Annals of oncology : official journal of the European Society for Medical Oncology · 2025
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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

9 authors at 5 institutions in 2 countries.

Carrie L WilliamsUCL Great Ormond Street Institute of Child Health, London, UK.
Michael E JonesInstitute of Cancer Research, London, UK.
Anthony J SwerdlowInstitute of Cancer Research, London, UK.
Beverley J BottingUCL Great Ormond Street Institute of Child Health, London, UK.
Melanie C DaviesInstitute for Women's Health, University College London Hospitals, London, UK.
Ian JacobsInstitute for Women's Health, University College London Hospitals, London, UK.
Kathryn J BunchNational Perinatal Epidemiology Unit, University of Oxford, Oxford, UK.
Michael F G MurphyNuffield Department of Obstetrics and Gynaecology, University of Oxford, Oxford, UK.
Alastair G SutcliffeUCL Great Ormond Street Institute of Child Health, London, UK a.sutcliffe@ucl.ac.uk.ORCID http://orcid.org/0000-0001-8542-6155
Great Ormond Street Hospital · GBInstitute of Cancer Research · GBUniversity of Oxford · GBUniversity College London · GBUNSW Sydney · AU

Funding

Cancer Research UK 11704Department of Health DRF-2011-04-148Medical Research Council MR/L020335/1
6 · The paper itself

Abstract

objectiveTo investigate the risks of ovarian, breast, and corpus uteri cancer in women who have had assisted reproduction.

designLarge, population based, data linkage cohort study. SETTING AND

participantsAll women who had assisted reproduction in Great Britain, 1991-2010, as recorded by the Human Fertilisation and Embryology Authority (HFEA).

interventionsHFEA fertility records for cohort members were linked to national cancer registrations.

main outcome measuresObserved first diagnosis of ovarian, breast, and corpus uteri cancer in cohort members were compared with age, sex, and period specific expectation. Standardised incidence ratios (SIRs) were calculated by use of age, sex, and period specific national incidence rates.

results255 786 women contributed 2 257 789 person years' follow-up. No significant increased risk of corpus uteri cancer (164 cancers observed

conclusionsNo increased risk of corpus uteri or invasive breast cancer was detected in women who had had assisted reproduction, but increased risks of in situ breast cancer and invasive and borderline ovarian tumours were found in this study. Our results suggest that ovarian tumour risks could be due to patient characteristics, rather than assisted reproduction itself, although both surveillance bias and the effect of treatment are also possibilities. Ongoing monitoring of this population is essential.

Indexed as

Reproductive Techniques, AssistedAdultBreast NeoplasmsCohort StudiesFemaleHumansIncidenceMiddle AgedOvarian NeoplasmsRiskUnited KingdomUterine Neoplasms

Identifiers

PMID29997145
PMCPMC6039832
OpenAlexW2867943842

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.