Evidence map›Paper›PMID 36765408›Full record

SynthesisBreast cancer research : BCR2023

Risks of second non-breast primaries following breast cancer in women: a systematic review and meta-analysis.

Isaac Allen, Hend Hassan, Eleni Sofianopoulou, Diana Eccles, Clare Turnbull, Marc Tischkowitz, Paul Pharoah, Antonis C Antoniou

Registry-linked trialOpen access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Breast cancer research : BCR, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07253987 (Cancer Survivors Program), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 5% 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.

NCT07253987 narecruitingnot on this mapstarted 2025, after this paper: background citation

Cancer Survivors Program: Effectiveness of Monitoring Adverse Events After Completion of Curative Treatment for Breast and Prostate Cancer

TypeinterventionalSponsorMasaryk Memorial Cancer InstituteRan2025 to 2026Enrolled200ConditionsProstate Cancer Patients, Breast Cancer PatientsArmsactive screening of adverse effects of anticancer therapy based on specific questionnaire + quality of life screening
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Bladder cancer risk factors: a comprehensive umbrella review of meta-analyses.International journal of surgery (London, England) · 2026
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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.

Isaac AllenDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK. ia377@medschl.cam.ac.uk.ORCID 0000-0003-4640-3617
Hend HassanDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Eleni SofianopoulouDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Diana EcclesDepartment of Cancer Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
Clare TurnbullTranslational Genetics Team, Division of Genetics and Epidemiology, Institute of Cancer Research, London, UK.
Marc TischkowitzDepartment of Medical Genetics, Cambridge Biomedical Research Centre, National Institute for Health Research, University of Cambridge, Cambridge, UK.
Paul PharoahDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Antonis C AntoniouDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
University of Cambridge · GBInstitute of Cancer Research · GBUniversity of Southampton · GB

Funding

Cancer Research UK 27223Cancer Research UK C61296/A27223
6 · The paper itself

Abstract

backgroundSecond primary cancer incidence is rising among breast cancer survivors. We examined the risks of non-breast second primaries, in combination and at specific cancer sites, through a systematic review and meta-analysis.

methodsWe conducted a systematic search of PubMed, Embase, and Web of Science, seeking studies published by March 2022. We included studies that reported standardized incidence ratios (SIRs), with associated standard errors, assessing the combined risk of second non-breast primaries following breast cancer. We performed meta-analyses of combined second primary risks, stratifying by age, follow-up duration, and geographic region. We also assessed second primary risks at several specific sites, stratifying by age. The inverse variance method with DerSimonian-Laird estimators was used in all meta-analyses, assuming a random-effects model. Associated biases and study quality were evaluated using the Newcastle-Ottawa scale.

resultsOne prospective and twenty-seven retrospective cohort studies were identified. SIRs for second non-breast primaries combined ranged from 0.84 to 1.84. The summary SIR estimate was 1.24 (95% CI 1.14-1.36, I

conclusionsBreast cancer survivors are at significantly increased risk of second primaries at many sites. Risks are higher for those diagnosed with breast cancer before age 50 and in Asian breast cancer survivors compared to European breast cancer survivors. This study is limited by a lack of data on potentially confounding variables. The conclusions may inform clinical management decisions following breast cancer, although specific clinical recommendations lie outside the scope of this review.

Indexed as

Breast NeoplasmsNeoplasms, Second PrimaryFemaleHumansIncidenceMiddle AgedProspective StudiesRetrospective StudiesRisk FactorsBreast neoplasmsEpidemiologyIncidenceMeta-analysisMultiple cancerMultiple primaryRiskSecond cancerSecond primarySystematic review

Identifiers

PMID36765408
PMCPMC9912682
OpenAlexW4319968648

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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.