Evidence map›Paper›PMID 34460030›Full record

ArticleBreast cancer research and treatment2021

Cholesterol lowering drug use and breast cancer survival: the Multiethnic Cohort Study.

Nafeesa Moksud, Lenora W M Loo, Juan Yang, Chiung-Yu Huang, Christopher A Haiman, Loïc Le Marchand, Lynne R Wilkens, Iona Cheng

Open access · hybridAbstract read
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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 49% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
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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

8 authors at 3 institutions in 1 country.

Nafeesa MoksudDepartment of Epidemiology and Biostatistics, University of California, San Francisco, 550 16th Street, San Francisco, CA, 94158, USA.ORCID http://orcid.org/0000-0001-8467-2661
Lenora W M LooCancer Biology Program, University of Hawaii Cancer Center, Honolulu, HI, USA.
Juan YangDepartment of Epidemiology and Biostatistics, University of California, San Francisco, 550 16th Street, San Francisco, CA, 94158, USA.
Chiung-Yu HuangDepartment of Epidemiology and Biostatistics, University of California, San Francisco, 550 16th Street, San Francisco, CA, 94158, USA.
Christopher A HaimanDepartment of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Loïc Le MarchandPopulation Sciences in the Pacific Program, University of Hawaii Cancer Center, Honolulu, HI, USA.
Lynne R WilkensPopulation Sciences in the Pacific Program, University of Hawaii Cancer Center, Honolulu, HI, USA.
Iona ChengDepartment of Epidemiology and Biostatistics, University of California, San Francisco, 550 16th Street, San Francisco, CA, 94158, USA. iona.cheng@ucsf.edu.
University of California, San Francisco · USUniversity of Hawaiʻi at Mānoa · USUniversity of Southern California · US

Funding

Understanding Population Differences in Cancer: The MEC StudyU01CA164973 · NCI · UNIVERSITY OF HAWAII AT MANOA · PI HAIMAN, CHRISTOPHER ALAN, LE MARCHAND, LOIC · 2015 to 2025
$37.4M
The Role of 27-hydroxycholesterol in Breast Cancer: A Population-Based Multiethnic StudyR01CA229815 · NCI · UNIVERSITY OF HAWAII AT MANOA · PI CHENG, IONA C, LOO, LENORA WM · 2019 to 2023
$3.5M
NCI NIH HHS R01 CA229815NCI NIH HHS R01CA229815NCI NIH HHS U01CA164973
6 · The paper itself

Abstract

purposePrior studies conducted primarily in white populations have suggested that pre-diagnostic cholesterol lowering drugs (CLDs) improved survival among women with breast cancer (BC). However, this association had not been well characterized in diverse racial/ethnic populations. We investigated whether pre-diagnostic CLD use is associated with all-cause and BC-specific mortality among female BC cases of the Multiethnic Cohort (MEC).

methodsCLD use was ascertained through questionnaires administered in 2003-2008. A total of 1448 incident BC cases were identified by linkage to SEER cancer registries in Hawaii and California from 2003 to 2014. Multivariable Cox regression was conducted to estimate hazard ratios (HR) and 95% confidence intervals (CI) of the associations of pre-diagnostic CLD use with all-cause and BC-specific mortality, adjusting for tumor characteristics, first course of treatment, health behaviors, co-morbidities, and demographics. Subgroup analyses by stage and hormone receptor status were conducted for all-cause mortality.

resultsThere were 224 all-cause and 87 BC-specific deaths among the 1448 BC cases during a median follow-up of 4.5 years after diagnosis. Women with BC who ever used CLDs had a 27% lower hazard of all-cause mortality (HR 0.73, 95% CI 0.54-0.98) and 17% lower hazard of BC-specific mortality (HR 0.83, 95% CI 0.49-1.39) compared to never users. CLD use reduced mortality among women with advanced-stage tumors and hormone receptor-positive breast tumors (HR 0.54 95% CI 0.33-0.90; HR 0.69, 95% CI 0.48-0.99, respectively).

conclusionThese findings demonstrate an improved survival associated with CLD use prior to diagnosis in a multiethnic population of women with BC.

Indexed as

Breast NeoplasmsPharmaceutical PreparationsCholesterolCohort StudiesFemaleHumansProportional Hazards ModelsCholesterolPharmaceutical PreparationsBreast cancerCholesterol lowering drugMortalityMultiethnic CohortSurvival

Identifiers

PMID34460030
PMCPMC8557195
OpenAlexW3198287014

What OpenQuestion holds

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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.