Evidence map›Paper›PMID 35847886›Full record

ArticleFrontiers in oncology2022

The Risk Factors, Incidence and Prognosis of Postpartum Breast Cancer: A Nationwide Study by the SMARTSHIP Group.

Sungmin Park, Ji Sung Lee, Jae Sun Yoon, Nam Hyoung Kim, Seho Park, Hyun Jo Youn, Jong Won Lee, Jung Eun Lee, Jihyoun Lee, Ho Hur and 3 more

Abstract read
In one paragraph

Article in Frontiers in oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Article
  6. Environmental basis for early onset breast cancer.Reproductive toxicology (Elmsford, N.Y.) · 2025
    Article
  7. Article
  8. Article
  9. Review
  10. Review
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.

Sungmin ParkDepartment of Surgery, Chungbuk National University Hospital, College of Medicine, Chungbuk National University, Cheongju, South Korea.
Ji Sung LeeClinical Research Center, Asan Institute for Life Sciences, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
Jae Sun YoonDepartment of Biostatistics, Korea University, Seoul, South Korea.
Nam Hyoung KimAdvertising and Branding, Kaywon University of Art and Design, Uiwang-si, South Korea.
Seho ParkDivision of Breast Surgery, Department of Surgery, Yonsei University College of Medicine, Seoul, South Korea.
Hyun Jo YounDepartment of Surgery, Jeonbuk National University Medical School, Jeonju, South Korea.
Jong Won LeeDepartment of Surgery, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea.
Jung Eun LeeDepartment of Food and Nutrition, College of Human Ecology, Seoul National University, Seoul, South Korea.
Jihyoun LeeDepartment of Surgery, Soonchunhyang University Seoul Hospital, Seoul, South Korea.
Ho HurDepartment of Surgery, National Health Insurance Service Ilsan Hospital, Koyang-si, South Korea.
Joon JeongDepartment of Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea.
Kweon-Cheon KimDepartment of Surgery, Chosun University Medical School, Gwangju, South Korea.
Soo Youn BaeDepartment of Surgery, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, South Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The term 'pregnancy-associated breast cancer' is no longer used as it has been consistently reported that breast cancer during pregnancy and breast cancer after delivery (postpartum breast cancer) have different characteristics and prognosis. The purpose of this study is to define postpartum breast cancer by analyzing the incidence rate, related factors, and prognosis according to the timing of breast cancer. Data from the Korean National Health Insurance Service were used to analyze 1,292,727 women aged 20-49 years who birthed their first child between 2007 and 2012. The annual incidence rate of breast cancer after delivery increased every year (7.7 per 10,000 person-years after 5 years, 19.36 per 10,000 person-years after 10 years). The risk of breast cancer was significantly higher (hazard ratio 1.15, 95% CI 1.05-1.27, P=0.0037) in women diagnosed with gestational diabetes, but that was not associated with overall survival (OS). Patients diagnosed with breast cancer within 5 years of delivery had a poorer prognosis than those diagnosed later (5-year OS, <5 years: 91.1% vs. 5-10 years: 96.0%). In multivariate analysis of OS, the hazard ratio of patients diagnosed within 5 years after delivery was twice as high as of patients diagnosed between 5 and 10 years. Women diagnosed with gestational diabetes had an increased risk of breast cancer. Breast cancer patients diagnosed within 5 years of delivery had a poorer prognosis than those diagnosed later. In this regard, careful screening for early diagnosis of high-risk patients and intensive research on new treatment strategies are needed.

Indexed as

breast neoplasmdeliverydiabetesgestationalpostpartumpregnancy

Identifiers

PMID35847886
PMCPMC9283825

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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.