Evidence map›Paper›PMID 34342765›Full record

ArticleBreast cancer research and treatment2021

Risk factors for breast cancer subtypes among Black women undergoing screening mammography.

Tara M Friebel-Klingner, Sarah Ehsan, Emily F Conant, Despina Kontos, Susan M Domchek, Anne Marie McCarthy

Abstract read
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In one paragraph

Article in Breast cancer research and treatment, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

10 citing papers in PubMed, 23 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

6 authors at 1 institution in 1 country.

Tara M Friebel-KlingnerPerelman School of Medicine, University of Pennsylvania, Philadelphia, USA. tfriebel@pennmedicine.upenn.edu.ORCID http://orcid.org/0000-0002-3726-9527
Sarah EhsanPerelman School of Medicine, University of Pennsylvania, Philadelphia, USA.
Emily F ConantPerelman School of Medicine, University of Pennsylvania, Philadelphia, USA.
Despina KontosPerelman School of Medicine, University of Pennsylvania, Philadelphia, USA.
Susan M DomchekPerelman School of Medicine, University of Pennsylvania, Philadelphia, USA.
Anne Marie McCarthyPerelman School of Medicine, University of Pennsylvania, Philadelphia, USA.
University of Pennsylvania · US

Funding

Effect of Breast Density on Screening Recall with Digital Breast TomosynthesisR01CA161749 · NCI · UNIVERSITY OF PENNSYLVANIA · PI KONTOS, DESPINA · 2012 to 2021
$3.6M
American Cancer Society 131052-MRSG-17-144-01-CCENCI NIH HHS R01 CA161749Susan G. Komen CCR17480662
6 · The paper itself

Abstract

purposeBlack women are more likely than non-Hispanic White women to be diagnosed with triple negative breast cancer (TNBC), an aggressive subtype with limited treatment options. The study objective was to evaluate the associations of known breast cancer risk factors, including breast density, with TNBC among Black women.

methodsThis study included Black women who underwent screening mammography between the ages of 40-84 years at a University of Pennsylvania Health System between 2010 and 2015. Cox proportional hazard models using multiple imputation with chained equations were used to estimate hazard ratios and 95% confidence intervals for risk factors for ER/PR+/HER2- and TNBC.

resultsAmong 25,013 Black women, there were 330 incident breast cancers (1.3%) during a mean follow-up of 5.8 years; 218 (66.1%) ER/PR+ HER- and 61 (18.1%) TNBC. Having dense breasts (heterogeneously dense or extremely dense) vs. non-dense breasts (almost entirely fatty or scattered areas of fibroglandular density) increased risk of ER/PR+/HER2- breast cancer almost 80% (HR 1.79, 95% CI 1.32-2.43) and TNBC more than twofold (HR 2.53, 1.45-4.44). Older age was associated with an increased risk for ER/PR+/HER2- (HR 1.04, 1.03-1.06) and TNBC (HR 1.03, 1.00-1.05). Having a BMI of > 30 kg/m

conclusionOur results suggest that breast density and obesity are strong risk factors for TNBC among Black women. Understanding breast cancer subtype specific risk factors among Black women can help improve risk assessment.

Indexed as

Breast NeoplasmsTriple Negative Breast NeoplasmsAdultAgedAged, 80 and overEarly Detection of CancerErb-b2 Receptor Tyrosine KinasesFemaleHumansMammographyMiddle AgedRisk FactorsErb-b2 Receptor Tyrosine KinasesBreast cancerEpidemiologyHealth disparitiesRisk factors

Identifiers

PMID34342765
OpenAlexW3190335315

What OpenQuestion holds

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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.