Evidence map›Paper›PMID 35923559›Full record

ArticleThe Lancet regional health. Europe2022

Hormonal contraception and risk of breast cancer and breast cancer in situ among Swedish women 15-34 years of age: A nationwide register-based study.

Jenny Niemeyer Hultstrand, Kristina Gemzell-Danielsson, Helena Kopp Kallner, Henrik Lindman, Per Wikman, Inger Sundström-Poromaa

Open access · goldAbstract read
In one paragraph

Article in The Lancet regional health. Europe, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
6.8field-weighted citation impact, top 3% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Review
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  6. Review
  7. LNG-IUD and breast cancer: Number 2 - 2026.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2026
    Article
  8. Epidemiology, early detection, and management of breast cancer in China: A comprehensive review.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Estrogens and breast cancer.Annals of oncology : official journal of the European Society for Medical Oncology · 2025
    Review
  13. Article
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  16. 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

6 authors at 2 institutions in 1 country.

Jenny Niemeyer HultstrandDepartment of Women's and Children's Health, Uppsala university, SE-75185 Uppsala, Sweden.
Kristina Gemzell-DanielssonDepartment of Women's and Children's Health, Karolinska institutet, SE-17177 Stockholm, Sweden.
Helena Kopp KallnerDepartment of Women's and Children's Health, Karolinska institutet, SE-17177 Stockholm, Sweden.
Henrik LindmanDepartment of Immunology, Genetics and Pathology, Uppsala University, Rudbecklaboratoriet, SE-75185 Uppsala, Sweden.
Per WikmanDepartment of Women's and Children's Health, Uppsala university, SE-75185 Uppsala, Sweden.
Inger Sundström-PoromaaDepartment of Women's and Children's Health, Uppsala university, SE-75185 Uppsala, Sweden.
Uppsala University · SEKarolinska Institutet · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Evidence on a possible association between newer hormonal contraceptives (HC) and risk of breast cancer remains inconclusive, especially as concerns progestogen-only methods. Methods: In this nationwide prospective cohort study, all Swedish women aged 15-34 at study start on January 1 Findings: This cohort included 1.5 million women providing more than 14 million person-years. During the study period, 3842 women were diagnosed with breast cancer. Compared with never users of any HC, we found no increased risk of developing breast cancer among current users of any combined HC, IRR 1.03 (0.91-1.16), whereas current users of progestogen-only methods had an increased risk of developing breast cancer, IRR 1.32 (1.20-1.45). Across all types of HC, the risk of developing breast cancer appeared to be highest the first five years of use (combined HC IRR 1.39 (1.14-1.69); progestogen-only methods IRR 1.74 (1.44-2.10). The risk disappeared ten years after the women stopped using HC. The absolute risk of breast cancer per 100,000 women-years was 22.4 for never users, 10.9 for current users of combined HC, and 29.8 for current users of progestogen-only methods. Interpretation: Current use of progestogen-only methods is associated with a small increased risk of developing breast cancer, whereas we could only detect an increased risk among users of combined HC during the first five years of use. This may partly be explained by a selective prescription of progestogen-only methods to women with risk factors for breast cancer, like smoking or obesity. As the absolute risk of breast cancer was small, the many health benefits associated with HC must also be taken into account in contraceptive counselling. Funding: This study was funded by the Swedish Cancer Society and by the Uppsala County Council, the Faculty of Medicine at Uppsala University.

Indexed as

ATC, Anatomical Therapeutic ChemicalBreast cancerCI, Confidence IntervalDDD, Defined Daily DoseDMPA, Depot medroxyprogesterone acetateHC, Hormonal ContraceptionHormonal contraceptionICD-10, International Classification of Diseases and Related Health Problems version 10IRR, Incidence Rate RatioLNG-IUS, Levonorgestrel intrauterine systemPopulation-basedProgestagenProgestagen-only contraceptionSPDR, Swedish Prescribed Drug Register

Identifiers

PMID35923559
PMCPMC9340531
OpenAlexW4288747201

What OpenQuestion holds

Textmetadata
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.