Evidence map›Paper›PMID 33942262›Full record

ArticleEnvironmental science and pollution research international2021

Evaluation of lifestyle risk factor differences in global patterns of breast cancer mortality and DALYs during 1990-2017 using hierarchical age-period-cohort analysis.

Sumaira Mubarik, Xiaoxue Liu, Saima Shakil Malik, Lijun Wang, Yong Yu, Chuanhua Yu

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Article in Environmental science and pollution research international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 13 papers.

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13citing papers in PubMed
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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

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3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Sumaira MubarikDepartment of Epidemiology and Biostatistics, School of Health Sciences, Wuhan University, Wuhan, 430071, China. sumairaawan86@gmail.com.ORCID https://orcid.org/0000-0001-6041-1061
Xiaoxue LiuDepartment of Epidemiology and Biostatistics, School of Health Sciences, Wuhan University, Wuhan, 430071, China.
Saima Shakil MalikDepartment of Zoology, University of Gujrat, Gujrat, 50700, Pakistan.
Lijun WangDepartment of Epidemiology and Biostatistics, School of Health Sciences, Wuhan University, Wuhan, 430071, China.
Yong YuSchool of Public Health and Management, Hubei University of Medicine, 30# South Renmin Road, Shiyan, 442000, Hubei, China.
Chuanhua YuDepartment of Epidemiology and Biostatistics, School of Health Sciences, Wuhan University, Wuhan, 430071, China. yuchua@whu.edu.cn.ORCID http://orcid.org/0000-0002-5467-2481

Funding

National Key Research and Development Program of China 2017YFC1200502, 2018YFC1315302National Natural Science Foundation of China 37 81773552
6 · The paper itself

Abstract

backgroundStatistical evidence on breast cancer (BC) burden related to health and lifestyle risk factors are valuable for health policy-making. This study aimed to compare the trends in BC mortality and disability adjusted life years (DALYs) attributable to various health and life style risk factors among different world's regions according to sociodemographic index (SDI).

methodsWe extracted the age-standardized and age-specific rate of mortality and DALYs of women BC during 1990-2017 using the comparative risk assessment framework of the 2017 global burden of disease (GBD) study. We performed hierarchical age-period-cohort analysis to estimate age- and time-related trends, and effect of interactions between different risk factors on BC risk.

resultsDuring 1990-2017, the age-standardized rate of mortality and DALYs of women BC was increasing in less developed and under developing regions. The risk factor alcohol use [RR 51.3(95%CI 17.6-149.7)] and smoking [5.9(2.0-17.3)] were significantly highly contributor to increased mortality risk in high SDI region. Whereas in the low-SDI region, the greater mortality risk was observed in alcohol use [6.9(2.4-17)] and high FPG [2.7(1.5-3.1)]-related deaths. The adjusting for individual age, period, and risk factor effects, the significant interaction effect between metabolic risk factors and older ages were observed in all SDI regions and globally as well. However, an increasing cohort effect of alcohol, high fasting plasma glucose (FPG) and smoking-related death, and DALYs was observed during 1960 to 1985 cohorts among low-SDI regions.

conclusionsThe age-standardized rates of mortality and DALYs due to BC has been increasing in low-SDI region. Alcohol consumption, high body mass index (BMI), high FPG, and smoking are potential BC risk factors particularly in older ages that leading to adverse disease outcomes. Therefore, rapid aging and prevalence of these prospective risk factors may strengthen the increasing mortality and DALYs of BC in low-SDI region. Hence, preventive measure along with strict action against concerned BC risk factors should be taken to reduce the disease burden specifically among lower-SDI regions.

Indexed as

Breast NeoplasmsAgedCohort StudiesFemaleGlobal Burden of DiseaseGlobal HealthHumansLife StyleMiddle AgedProspective StudiesQuality-Adjusted Life YearsRisk FactorsBreast cancerHierarchical age-period-cohort modelMortalityRisk factorsWorld regions

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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.