Evidence map›Paper›PMID 30249004›Full record

ReviewCancers2018

Epidemiology of Moderate Alcohol Consumption and Breast Cancer: Association or Causation?

Samir Zakhari, Jan B Hoek

Abstract readReview
In one paragraph

Review in Cancers, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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

15 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Review
  5. SCGAN: Sparse CounterGAN for Counterfactual Explanations in Breast Cancer Prediction.IEEE transactions on automation science and engineering : a publication of the IEEE Robotics and Automation Society · 2024
    Article
  6. Generating Counterfactual Explanations For Causal Inference in Breast Cancer Treatment Response.IEEE International Conference on Automation Science and Engineering (CASE) : [proceedings]. IEEE Conference on Automation Science and Engineering · 2022
    Article
  7. Article
  8. Article
  9. Review
  10. Alcohol's Effects on Breast Cancer in Women.Alcohol research : current reviews · 2020
    Review
  11. Review
  12. Article
  13. Article
  14. Review
  15. Male Breast Cancer: Current Scenario and Future Perspectives.Technology in cancer research & treatment
    Review
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

2 authors.

Samir ZakhariScience Office, Distilled Spirits Council, Washington, DC 20005, USA. samir.zakhari@distilledspirits.org.
Jan B HoekDepartment of Pathology, Anatomy and Cell Biology, Thomas Jefferson University, Philadelphia, PA 19107, USA. Jan.Hoek@jefferson.edu.

Funding

National Institutes of Health AA018873
6 · The paper itself

Abstract

Epidemiological studies have been used to show associations between modifiable lifestyle habits and the incidence of breast cancer. Among such factors, a history of alcohol use has been reported in multiple studies and meta-analyses over the past decades. However, associative epidemiological studies that were interpreted as evidence that even moderate alcohol consumption increases breast cancer incidence have been controversial. In this review, we consider the literature on the relationship between moderate or heavy alcohol use, both in possible biological mechanisms and in variations in susceptibility due to genetic or epigenetic factors. We argue that there is a need to incorporate additional approaches to move beyond the associations that are reported in traditional epidemiological analyses and incorporate information on molecular pathologic signatures as a requirement to posit causal inferences. In particular, we point to the efforts of the transdisciplinary field of molecular pathological epidemiology (MPE) to evaluate possible causal relationships, if any, of alcohol consumption and breast cancer. A wider application of the principles of MPE to this field would constitute a giant step that could enhance our understanding of breast cancer and multiple modifiable risk factors, a step that would be particularly suited to the era of "personalized medicine".

Indexed as

alcoholbreast cancerepidemiologyepigeneticsgeneticsmeta-analysismoderate drinkingmolecular pathological epidemiologyrisk factors

Identifiers

PMID30249004
PMCPMC6210419

What OpenQuestion holds

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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.