Evidence map›Paper›PMID 31228785›Full record

ArticleEnvironment international2019

Urinary concentrations of environmental phenols and their associations with breast cancer incidence and mortality following breast cancer.

Humberto Parada, Marilie D Gammon, Hope L Ettore, Jia Chen, Antonia M Calafat, Alfred I Neugut, Regina M Santella, Mary S Wolff, Susan L Teitelbaum

Open access · goldAbstract read
In one paragraph

Article in Environment international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 4 pooled it
5.3field-weighted citation impact, top 3% 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

42 citing papers in PubMed, 4 syntheses or guidelines pooled it, 91 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. The Association of Bisphenol A and Phthalates with Risk of Breast Cancer: A Meta-Analysis.International journal of environmental research and public health · 2021
    Pooled it
  5. Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Urinary Levels of Endocrine-Disrupting Chemicals and Breast Density in Young Women.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Article
  19. Review
  20. 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

9 authors at 5 institutions in 1 country.

Humberto ParadaDivision of Epidemiology and Biostatistics, School of Public Health, San Diego State University, San Diego, CA, USA; Moores Cancer Center, University of California, San Diego, La Jolla, CA, USA. Electronic address: hparada@sdsu.edu.
Marilie D GammonDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. Electronic address: gammon@unc.edu.
Hope L EttoreDivision of Epidemiology and Biostatistics, School of Public Health, San Diego State University, San Diego, CA, USA. Electronic address: hetorre@sdsu.edu.
Jia ChenDepartment of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA. Electronic address: jia.chen@mssm.edu.
Antonia M CalafatCenters for Disease Control and Prevention, Atlanta, GA, USA. Electronic address: aic7@cdc.gov.
Alfred I NeugutDepartment of Medicine, Vagelos College of Physicians and Surgeons and Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA. Electronic address: ain1@cumc.columbia.edu.
Regina M SantellaDepartment of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, NY, USA. Electronic address: rps1@cumc.columbia.edu.
Mary S WolffDepartment of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA. Electronic address: mary.wolff@mssm.edu.
Susan L TeitelbaumDepartment of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA. Electronic address: susan.teitelbaum@mssm.edu.
Icahn School of Medicine at Mount Sinai · USColumbia University · USSan Diego State University · USCenters for Disease Control and Prevention · USUniversity of North Carolina at Chapel Hill · US

Funding

True Metal fac coreP30ES009089 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MATTHEW S PERZANOWSKI · 1998 to 2026
$44.7M
Biostatstics for Research in Environmental HealthT32ES007018 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Stephanie Engel, Rebecca Fry · 1985 to 2026
$31.3M
Breast Cancer Genomics in Windows of Susceptibility to Endocrine DisruptorsU01ES019459 · NIEHS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI CHEN, JIA, TEITELBAUM, SUSAN L · 2010 to 2014
$2.6M
BREAST CANCER AND THE ENVIRONMENT ON LONG ISLANDU01CA066572 · NCI · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · PI GAMMON, MARILIE D · 1995 to 2004
$1.7M
Gene-Nutrient Interactions and Breast CancerK07CA102640 · NCI · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI STECK, SUSAN E · 2003 to 2007
$621k
Molecular Epidemiology of Xenoestrogen ExposureK01ES012645 · NIEHS · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI TEITELBAUM, SUSAN L · 2004 to 2008
$604k
NCI NIH HHS K07 CA102640NCI NIH HHS U01 CA066572NIEHS NIH HHS K01 ES012645NIEHS NIH HHS P30 ES009089NIEHS NIH HHS T32 ES007018NIEHS NIH HHS U01 ES019459
6 · The paper itself

Abstract

backgroundEnvironmental phenols, compounds used widely in personal care and consumer products, are known endocrine disruptors. Few epidemiologic studies have examined the association of phenol biomarkers with breast cancer incidence and, to our knowledge, none have considered associations with mortality following breast cancer. We examined seven urinary phenol biomarkers in association with breast cancer incidence and subsequent mortality, and examined effect measure modification by body mass index (BMI).

methodsParticipants included 711 women with breast cancer and 598 women without breast cancer who were interviewed for the population-based Long Island Breast Cancer Study Project. Among women with breast cancer, phenol biomarkers were quantified in spot urine samples collected on average within three months of a first diagnosis of primary in situ or invasive breast cancer in 1996-1997. Women with breast cancer were monitored for vital status using the National Death Index. After a median follow-up of 17.6 years, we identified 271 deaths, including 98 deaths from breast cancer. We examined creatinine-corrected phenol concentrations and the sum of parabens (Σparabens) in association with breast cancer incidence using logistic regression to estimate odds ratios (ORs) and 95% confidence intervals (CIs), and with mortality using Cox regression to estimate hazard ratios (HRs) and 95% CIs. We evaluated multiplicative effect measure modification using cross-product terms in nested models.

resultsThe highest (vs lowest) quintiles of urinary methylparaben, propylparaben, and Σparabens were associated with risk of breast cancer with ORs ranging from 1.31 to 1.50. Methylparaben, propylparaben, and Σparabens were also associated with all-cause mortality HRs ranging from 0.68 to 0.77. Associations for breast cancer incidence were more pronounced among women with BMI < 25.0 kg/m

conclusionsSelect parabens may have differential associations with risk of developing breast cancer and mortality following breast cancer.

Indexed as

Breast NeoplasmsCohort StudiesEnvironmental ExposureFemaleHumansIncidencePhenolsPhenolsBPABreast cancerEnvironmental phenolsIncidenceMortalityParabensPersonal care productsTriclosan

Identifiers

PMID31228785
PMCPMC6679996
OpenAlexW2949942504

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.