Evidence map›Paper›PMID 33409776›Full record

ArticleEuropean radiology2021

Breast density, benign breast disease, and risk of breast cancer over time.

Marta Román, Javier Louro, Margarita Posso, Rodrigo Alcántara, Lupe Peñalva, Maria Sala, Javier Del Riego, Miguel Prieto, Carmen Vidal, Mar Sánchez and 3 more

Abstract read
PubMed Publisher
In one paragraph

Article in European radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Long-Term Risk of Breast Cancer after Diagnosis of Benign Breast Disease by Screening Mammography.International journal of environmental research and public health · 2022
    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

13 authors at 6 institutions in 2 countries.

Marta RománDepartment of Epidemiology and Evaluation, IMIM (Hospital del Mar Medical Research Institute), Passeig Marítim 25-29, 08003, Barcelona, Spain.
Javier LouroDepartment of Epidemiology and Evaluation, IMIM (Hospital del Mar Medical Research Institute), Passeig Marítim 25-29, 08003, Barcelona, Spain.
Margarita PossoDepartment of Epidemiology and Evaluation, IMIM (Hospital del Mar Medical Research Institute), Passeig Marítim 25-29, 08003, Barcelona, Spain.
Rodrigo AlcántaraDepartment of Radiology, IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain.
Lupe PeñalvaBreast Cancer Screening Technical Office, Private Foundation Asil Hospital, Granollers, Spain.
Maria SalaDepartment of Epidemiology and Evaluation, IMIM (Hospital del Mar Medical Research Institute), Passeig Marítim 25-29, 08003, Barcelona, Spain.
Javier Del RiegoDepartment of Radiology, Parc Taulí University Hospital-UAB, Sabadell, Catalonia, Spain.
Miguel PrietoGeneral Directorate of Public Health, Principality of Asturias Health Service, Asturias, Spain.
Carmen VidalCancer Prevention and Monitoring Program, Catalan Institute of Oncology, Barcelona, Spain.
Mar SánchezGeneral Directorate of Public Health, Government of Cantabria, Santander, Spain.
Xavier BargallóDepartment of Radiology, Hospital Clinic, Barcelona, Spain.
Ignasi TusquetsDepartment of Medical Oncology, IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain.
Xavier CastellsDepartment of Epidemiology and Evaluation, IMIM (Hospital del Mar Medical Research Institute), Passeig Marítim 25-29, 08003, Barcelona, Spain. xcastells@parcdesalutmar.cat.ORCID http://orcid.org/0000-0002-2528-0382
Spanish Clinical Research Network · ESHospital Del Mar · ESGobierno del Principado de Asturias · ESHospital Clínic de Barcelona · ESInstitut Català d'Ornitologia · ESUniversitat Autònoma de Barcelona · ES

Funding

Instituto de Salud Carlos III PI15/00098Instituto de Salud Carlos III PI17/00047
6 · The paper itself

Abstract

objectivesAssessing the combined effect of mammographic density and benign breast disease is of utmost importance to design personalized screening strategies.

methodsWe analyzed individual-level data from 294,943 women aged 50-69 years with at least one mammographic screening participation in any of four areas of the Spanish Breast Cancer Screening Program from 1995 to 2015, and followed up until 2017. We used partly conditional Cox models to assess the association between benign breast disease, breast density, and the risk of breast cancer.

resultsDuring a median follow-up of 8.0 years, 3697 (1.25%) women had a breast cancer diagnosis and 5941 (2.01%) had a benign breast disease. More than half of screened women had scattered fibroglandular density (55.0%). The risk of breast cancer independently increased with the presence of benign breast disease and with the increase in breast density (p for interaction = 0.84). Women with benign breast disease and extremely dense breasts had a threefold elevated risk of breast cancer compared with those with scattered fibroglandular density and without benign breast disease (hazard ratio [HR] = 3.07; 95%CI = 2.01-4.68). Heterogeneous density and benign breast disease was associated with nearly a 2.5 elevated risk (HR = 2.48; 95%CI = 1.66-3.70). Those with extremely dense breast without a benign breast disease had a 2.27 increased risk (95%CI = 2.07-2.49).

conclusionsWomen with benign breast disease had an elevated risk for over 15 years independently of their breast density category. Women with benign breast disease and dense breasts are at high risk for future breast cancer. KEY POINTS: • Benign breast disease and breast density were independently associated with breast cancer. • Women with benign breast disease had an elevated risk for up to 15 years independently of their mammographic density category.

Indexed as

Breast NeoplasmsFibrocystic Breast DiseaseBreast DensityFemaleHumansMammographyRisk FactorsBenign breast diseaseBreast neoplasmsLongitudinal studiesMammographic densityMass screening

Identifiers

PMID33409776
OpenAlexW3119151271

What OpenQuestion holds

Textmetadata
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.