Evidence map›Paper›PMID 35725814›Full record

SynthesisBritish journal of cancer2022

β-blockers and breast cancer survival by molecular subtypes: a population-based cohort study and meta-analysis.

L Lukas Løfling, Nathalie C Støer, Erica K Sloan, Aeson Chang, Sara Gandini, Giske Ursin, Edoardo Botteri

Abstract readMeta-Analysis
In one paragraph

Synthesis in British journal of cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

38 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Beta-blocker use and breast cancer outcomes: a meta-analysis.Breast cancer research and treatment · 2024
    Pooled it
  3. Review
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  10. Key role of the autonomic nervous system in breast cancer (Review).Experimental and therapeutic medicine · 2026
    Review
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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

7 authors.

L Lukas LøflingDepartment of Research, Cancer Registry of Norway, Oslo, Norway.ORCID http://orcid.org/0000-0002-2731-8532
Nathalie C StøerDepartment of Research, Cancer Registry of Norway, Oslo, Norway.
Erica K SloanDrug Discovery Biology Theme, Monash Institute of Pharmaceutical Science, Monash University, Parkville, VIC, Australia.ORCID http://orcid.org/0000-0002-2355-1433
Aeson ChangDrug Discovery Biology Theme, Monash Institute of Pharmaceutical Science, Monash University, Parkville, VIC, Australia.
Sara GandiniDepartment of Experimental Oncology, European Institute of Oncology IRCCS, Milan, Italy.
Giske UrsinCancer Registry of Norway, Oslo, Norway.
Edoardo BotteriDepartment of Research, Cancer Registry of Norway, Oslo, Norway. edoardo.botteri@kreftregisteret.no.ORCID http://orcid.org/0000-0002-9023-8068

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe association between use of β-blockers and breast cancer (BC) prognosis has been investigated in several observational studies, with conflicting results. We performed a nationwide cohort study and a meta-analysis to investigate the association, and assess if it varied between molecular subtypes of BC.

methodsWe identified women aged ≥50 years with BC diagnosed between 2004 and 2018 in Norway. We used Cox regression models to estimate the association between β-blocker use at diagnosis and BC-specific survival, overall and by molecular subtype. We performed a meta-analysis of observational studies that reported molecular subtype-specific estimates of this association.

resultsWe included 30,060 women, of which 4461 (15%) used β-blockers. After a median follow-up of 5.1 years, 2826 (9%) died of BC. Overall, β-blocker use was not associated with BC-specific survival (hazard ratio [HR] = 1.07; 95% confidence interval [CI]: 0.97-1.19). We found an association only in triple-negative BC (TNBC) patients (HR = 0.66; 95% CI: 0.47-0.91). This was confirmed in the meta-analysis: β-blocker use was associated with progression/recurrence-free (HR = 0.58; 95% CI: 0.38-0.89) and BC-specific survival (HR = 0.74; 95% CI: 0.55-1.00) in TNBC patients only.

conclusionIn our cohort of BC patients and in the meta-analysis, β-blocker use was associated with prolonged BC-specific survival only in TNBC patients.

Indexed as

Breast NeoplasmsTriple Negative Breast NeoplasmsAdrenergic beta-AntagonistsCohort StudiesFemaleHumansObservational Studies as TopicPrognosisProportional Hazards ModelsAdrenergic beta-Antagonists

Identifiers

PMID35725814
PMCPMC9470740

What OpenQuestion holds

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Registered trials

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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.