Evidence map›Paper›PMID 36773184›Full record

ArticleBreast cancer research and treatment2023

Estrogen therapy after breast cancer diagnosis and breast cancer mortality risk.

Maria Sund, Hans Garmo, Anne Andersson, Sara Margolin, Johan Ahlgren, Antonis Valachis

Open access · hybridFull text read
In one paragraph

Article in Breast cancer research and treatment, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
4.3field-weighted citation impact, top 6% 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

9 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Response to Van Cauwenberge, Borremans, Van Houdt, et al.Journal of the National Cancer Institute · 2023
    Article
  7. Article
  8. Article
  9. How to help patients navigate genitourinary syndrome of menopause.Canadian family physician Medecin de famille canadien
    Article
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 5 institutions in 1 country.

Maria SundDepartment of Oncology, Faculty of Medicine and Health, Örebro University Hospital, Örebro University, 70182, Örebro, Sweden.
Hans GarmoSweden Regional Cancer Center, Uppsala University Hospital, Uppsala University, Uppsala, Sweden.
Anne AnderssonDepartment of Radiation Sciences, Oncology, Umeå University, Umeå, Sweden.
Sara MargolinDepartment of Oncology, Södersjukhuset, Stockholm, Sweden.
Johan AhlgrenSweden Regional Cancer Center, Uppsala University Hospital, Uppsala University, Uppsala, Sweden.
Antonis ValachisDepartment of Oncology, Faculty of Medicine and Health, Örebro University Hospital, Örebro University, 70182, Örebro, Sweden. antonios.valachis@oru.se.ORCID http://orcid.org/0000-0001-6059-0194
Uppsala University Hospital · SEKarolinska Institutet · SEÖrebro University · SEÖrebro University Hospital · SEUmeå University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe safety of local estrogen therapy in patients on adjuvant endocrine treatment is questioned, but evidence on the issue is scarce. This nested case-control registry-based study aimed to investigate whether estrogen therapy affects breast cancer mortality risk in women on adjuvant endocrine treatment.

methodsIn a cohort of 15,198 women diagnosed with early hormone receptor (HR)-positive breast cancer and adjuvant endocrine treatment, 1262 women died due to breast cancer and were identified as cases. Each case was matched with 10 controls. Exposure to estrogen therapy with concurrent use of aromatase inhibitors (AIs), tamoxifen, or both sequentially, was compared between cases and controls.

resultsNo statistically significant difference in breast cancer mortality risk was seen in patients with exposure to estrogen therapy concurrent to endocrine treatment, neither in short-term or in long-term estrogen therapy use.

conclusionsThe study strengthens current evidence on local estrogen therapy use in breast cancer survivors, showing no increased risk for breast cancer mortality in patients on adjuvant AIs or tamoxifen.

Indexed as

Breast NeoplasmsAntineoplastic Agents, HormonalAromatase InhibitorsCase-Control StudiesChemotherapy, AdjuvantEstrogensFemaleHumansTamoxifenAntineoplastic Agents, HormonalAromatase InhibitorsEstrogensTamoxifenBreast cancerEndocrine therapyEstrogen therapySurvivors

Identifiers

PMID36773184
PMCPMC10020306
OpenAlexW4320032508

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read10
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.