Evidence map›Paper›PMID 32110975›Full record

ArticleJournal of clinical medicine2020

Going Beyond Conventional Mammographic Density to Discover Novel Mammogram-Based Predictors of Breast Cancer Risk.

John L Hopper, Tuong L Nguyen, Daniel F Schmidt, Enes Makalic, Yun-Mi Song, Joohon Sung, Gillian S Dite, James G Dowty, Shuai Li

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 7% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

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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 1 institution in 1 country.

John L HopperCentre for Epidemiology & Biostatistics/Melbourne School of Population & Global Health, Faculty of Medicine, Dentistry & Health Sciences, The University of Melbourne, Victoria 3010, Australia.
Tuong L NguyenCentre for Epidemiology & Biostatistics/Melbourne School of Population & Global Health, Faculty of Medicine, Dentistry & Health Sciences, The University of Melbourne, Victoria 3010, Australia.
Daniel F SchmidtCentre for Epidemiology & Biostatistics/Melbourne School of Population & Global Health, Faculty of Medicine, Dentistry & Health Sciences, The University of Melbourne, Victoria 3010, Australia.
Enes MakalicCentre for Epidemiology & Biostatistics/Melbourne School of Population & Global Health, Faculty of Medicine, Dentistry & Health Sciences, The University of Melbourne, Victoria 3010, Australia.ORCID 0000-0003-3017-0871
Yun-Mi SongCentre for Epidemiology & Biostatistics/Melbourne School of Population & Global Health, Faculty of Medicine, Dentistry & Health Sciences, The University of Melbourne, Victoria 3010, Australia.
Joohon SungCentre for Epidemiology & Biostatistics/Melbourne School of Population & Global Health, Faculty of Medicine, Dentistry & Health Sciences, The University of Melbourne, Victoria 3010, Australia.
Gillian S DiteCentre for Epidemiology & Biostatistics/Melbourne School of Population & Global Health, Faculty of Medicine, Dentistry & Health Sciences, The University of Melbourne, Victoria 3010, Australia.ORCID 0000-0002-2448-2548
James G DowtyCentre for Epidemiology & Biostatistics/Melbourne School of Population & Global Health, Faculty of Medicine, Dentistry & Health Sciences, The University of Melbourne, Victoria 3010, Australia.
Shuai LiCentre for Epidemiology & Biostatistics/Melbourne School of Population & Global Health, Faculty of Medicine, Dentistry & Health Sciences, The University of Melbourne, Victoria 3010, Australia.ORCID 0000-0002-8696-8594
The University of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This commentary is about predicting a woman's breast cancer risk from her mammogram, building on the work of Wolfe, Boyd and Yaffe on mammographic density. We summarise our efforts at finding new mammogram-based risk predictors, and how they combine with the conventional mammographic density, in predicting risk for interval cancers and screen-detected breast cancers across different ages at diagnosis and for both Caucasian and Asian women. Using the OPERA (odds ratio per adjusted standard deviation) concept, in which the risk gradient is measured on an appropriate scale that takes into account other factors adjusted for by design or analysis, we show that our new mammogram-based measures are the strongest of all currently known breast cancer risk factors in terms of risk discrimination on a population-basis. We summarise our findings graphically using a path diagram in which conventional mammographic density predicts interval cancer due to its role in masking, while the new mammogram-based risk measures could have a causal effect on both interval and screen-detected breast cancer. We discuss attempts by others to pursue this line of investigation, the measurement challenge that allows different measures to be compared in an open and transparent manner on the same datasets, as well as the biological and public health consequences.

Indexed as

breast cancercirrocumuluscirruscumulusmammogram-based riskmammographic densityOPERA

Identifiers

PMID32110975
PMCPMC7141100
OpenAlexW3008849341

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.