Evidence map›Paper›PMID 30941541›Full record

ArticleCancer causes & control : CCC2019

Diabetes, obesity, and subsequent risk of postmenopausal breast cancer among white and black women in the Southern Community Cohort Study.

Maureen Sanderson, Loren Lipworth, Martha J Shrubsole, Shaneda Warren Andersen, Xiao-Ou Shu, Wei Zheng, Margaret K Hargreaves, William J Blot

Open access · greenAbstract read
In one paragraph

Article in Cancer causes & control : CCC, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 45% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. A prospective study of type 2 diabetes, metformin use, and risk of breast cancer.Annals of oncology : official journal of the European Society for Medical Oncology · 2021
    Article
  2. Molecular Links between Central Obesity and Breast Cancer.International journal of molecular sciences · 2019
    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

8 authors at 3 institutions in 1 country.

Maureen SandersonDepartment of Family and Community Medicine, Meharry Medical College, 1005 Dr. D.B. Todd Jr. Blvd., Nashville, TN, 37208, USA. msanderson@mmc.edu.ORCID http://orcid.org/0000-0002-3914-6870
Loren LipworthDivision of Epidemiology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, 37232, USA.
Martha J ShrubsoleDivision of Epidemiology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, 37232, USA.
Shaneda Warren AndersenDepartment of Population Health Sciences, University of Wisconsin-Madison, Madison, WI, 53726, USA.
Xiao-Ou ShuDivision of Epidemiology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, 37232, USA.
Wei ZhengDivision of Epidemiology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, 37232, USA.
Margaret K HargreavesDepartment of Internal Medicine, Meharry Medical College, Nashville, TN, 37208, USA.
William J BlotDivision of Epidemiology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, 37232, USA.
Vanderbilt University Medical Center · USMeharry Medical College · USUniversity of Wisconsin–Madison · US

Funding

Tumor Immunology and Microenvironment Research ProgramP30CA068485 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MATTHEW J TYSKA · 1995 to 2026
$172.8M
Southern Community Cohort StudyR01CA092447 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BLOT, WILLIAM J., ZHENG, WEI · 2001 to 2015
$74.0M
The RCMI Program in Health Disparities Research at Meharry Medical College - SupplementU54MD007586 · NIMHD · MEHARRY MEDICAL COLLEGE · PI Maureen Sanderson · 2017 to 2026
$48.2M
Southern Community Cohort StudyU01CA202979 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BLOT, WILLIAM J., SHRUBSOLE, MARTHA J. · 2016 to 2025
$22.0M
Translational Pathology CoreU54CA163069 · NCI · MEHARRY MEDICAL COLLEGE · PI BALLARD, BILLY RAY · 2011 to 2025
$18.8M
Vitamin D and colorectal cancer risk: an integrated molecular and genetic epidemiologic studyR00CA207848 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI WARREN ANDERSEN, SHANEDA · 2018 to 2020
$601k
NCI NIH HHS P30 CA068485NCI NIH HHS P30 CA68485NCI NIH HHS R00 CA207848NCI NIH HHS R01 CA092447NCI NIH HHS U01 CA202979NCI NIH HHS U54 CA163069NIMHD NIH HHS U54 MD007586
6 · The paper itself

Abstract

purposeMeta-analyses have reported a small but positive association between diabetes and postmenopausal breast cancer risk, with summary relative risks of approximately 1.15. We analyzed data from the Southern Community Cohort Study (SCCS) following an underserved population with high diabetes prevalence to prospectively examine whether diabetes was associated with subsequent postmenopausal breast cancer risk and whether obesity modified this effect.

methodsWomen with incident breast cancer were identified through linkage with state cancer registries and the National Death Index (213 white, 418 black cases). Person-years were calculated from date of entry into the SCCS until the earliest of date of breast cancer diagnosis, date of death, or date of last follow-up (8,277 white, 16,458 black noncases). Data on diabetes diagnosis were obtained through baseline and follow-up surveys. Cox regression was applied to examine the association between diabetes and postmenopausal breast cancer risk.

resultsAfter adjustment for confounding, there was no association between self-reported diabetes and postmenopausal breast cancer risk among white (hazard ratio [HR] 1.02, 95% confidence interval [CI] 0.75-1.40) or black (HR 1.00, 95% CI 0.81-1.22) women. Nor was there evidence that obesity modified the effect of diabetes on postmenopausal breast cancer in women of either race.

conclusionsWe found no evidence of the hypothesized increased risk of breast cancer among women with diabetes. The breast cancer risks among those with diabetes in this population suggest that the association between these two illnesses is complex.

Indexed as

PostmenopauseAdultAgedBlack or African AmericanBreast NeoplasmsCohort StudiesDiabetes MellitusFemaleHumansMiddle AgedObesityProportional Hazards ModelsRiskSurveys and QuestionnairesWhite PeopleDiabetesObesityPostmenopausal breast cancerProspective cohort study

Identifiers

PMID30941541
PMCPMC6467525
OpenAlexW2926745583

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.