Evidence map›Paper›PMID 30044713›Full record

ArticleRadiation research2018

Incidence of Breast Cancer in the Life Span Study of Atomic Bomb Survivors: 1958-2009.

Alina V Brenner, Dale L Preston, Ritsu Sakata, Hiromi Sugiyama, Amy Berrington de Gonzalez, Benjamin French, Mai Utada, Elizabeth K Cahoon, Atsuko Sadakane, Kotaro Ozasa and 2 more

Open access · bronzeAbstract readHistorical Article
In one paragraph

Article in Radiation research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 1 pooled it
8.4field-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

63 citing papers in PubMed, 1 synthesis or guideline pooled it, 110 citations in OpenAlex.

  1. Pooled it
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  15. Obesity increases DNA damage in the breast epithelium.Breast cancer research : BCR · 2025
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3 more citing papers are in PubMed but not listed here.

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

12 authors at 2 institutions in 2 countries.

Alina V Brennera   Radiation Effects Research Foundation, Hiroshima and Nagasaki, Japan.
Dale L Prestonb   Hirosoft International, Eureka, California.
Ritsu Sakataa   Radiation Effects Research Foundation, Hiroshima and Nagasaki, Japan.
Hiromi Sugiyamaa   Radiation Effects Research Foundation, Hiroshima and Nagasaki, Japan.
Amy Berrington de Gonzalezc   Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Department of Health and Human Services, Bethesda, Maryland.
Benjamin Frencha   Radiation Effects Research Foundation, Hiroshima and Nagasaki, Japan.
Mai Utadaa   Radiation Effects Research Foundation, Hiroshima and Nagasaki, Japan.
Elizabeth K Cahoonc   Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Department of Health and Human Services, Bethesda, Maryland.
Atsuko Sadakanea   Radiation Effects Research Foundation, Hiroshima and Nagasaki, Japan.
Kotaro Ozasaa   Radiation Effects Research Foundation, Hiroshima and Nagasaki, Japan.
Eric J Granta   Radiation Effects Research Foundation, Hiroshima and Nagasaki, Japan.
Kiyohiko Mabuchic   Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Department of Health and Human Services, Bethesda, Maryland.
Radiation Effects Research Foundation · JPNational Cancer Institute · US

Funding

Studies of Populations Exposed to Environmental Sources of RadiationZIACP010132 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI CAHOON, ELIZABETH · 2009 to 2025
$35.2M
Studies of Atomic Bomb SurvivorsZIACP010134 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI CAHOON, ELIZABETH · 2009 to 2020
$4.8M
Intramural NIH HHS ZIA CP010134NCI NIH HHS HHSN261201400009C
6 · The paper itself

Abstract

The importance of reproductive history in breast tissue development and etiology of sporadic breast cancer in females is well established. However, there is limited evidence of factors, other than age, that modify risk of radiation-related breast cancer. In this study, we evaluated breast cancer incidence in the Life Span Study cohort of atomic bomb survivors, adding 11 years of follow-up and incorporating reproductive history data. We used Poisson regression models to describe radiation risks and modifying effects of age and reproductive factors. Among 62,534 females, we identified 1,470 breast cancers between 1958 and 2009. Of 397 new cases diagnosed since 1998, 75% were exposed before age 20. We found a strong linear dose response with excess relative risk (ERR) of 1.12 per Gy [95% confidence interval (CI): 0.73 to 1.59] for females at age 70 after exposure at age 30. The ERR decreased with increasing attained age ( P = 0.007) while excess absolute rate (EAR) increased with attained age up to age 70 ( P < 0.001). Age at menarche was a strong modifier of the radiation effect: for a given dose, both the ERR and EAR decreased with increasing age at menarche ( P = 0.007 and P < 0.001). Also, independently, age-at-exposure effects on ERR and EAR differed before and after menarche ( P = 0.043 and P = 0.015, respectively, relative to log-linear trends), with highest risks for exposures around menarche. Despite the small number of male breast cancers (n = 10), the data continue to suggest a dose response (ERR per Gy = 5.7; 95% CI: 0.3 to 30.8; P = 0.018). Persistently increased risk of female breast cancer after radiation exposure and its modification pattern suggests heightened breast sensitivity during puberty.

Indexed as

Nuclear WeaponsSurvivorsAdultAgedAged, 80 and overBreast NeoplasmsFemaleHistory, 20th CenturyHistory, 21st CenturyHumansIncidenceJapanMiddle AgedNeoplasms, Radiation-InducedRadiation Exposure

Identifiers

PMID30044713
PMCPMC10284068
OpenAlexW2883283279

What OpenQuestion holds

Textmetadata
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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.