Evidence map›Paper›PMID 36995491›Full record

ArticleBreast cancer research and treatment2023

Cholesterol and breast cancer risk: a cohort study using health insurance claims and health checkup databases.

Nobuhiro Narii, Ling Zha, Masayo Komatsu, Tetsuhisa Kitamura, Tomotaka Sobue, Toshio Ogawa

Open access · hybridAbstract 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 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
6.9field-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

18 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
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  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. The role of statins in breast cancer survivors.Breast cancer research and treatment · 2025
    Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Prognostic Value ofCancers · 2024
    Article
  17. Article
  18. 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 3 institutions in 1 country.

Nobuhiro NariiDepartment of Social and Environmental Medicine, Graduate School of Medicine, Osaka University, Osaka, Japan.
Ling ZhaDepartment of Social and Environmental Medicine, Graduate School of Medicine, Osaka University, Osaka, Japan.
Masayo KomatsuDepartment of Social and Environmental Medicine, Graduate School of Medicine, Osaka University, Osaka, Japan.
Tetsuhisa KitamuraDepartment of Social and Environmental Medicine, Graduate School of Medicine, Osaka University, Osaka, Japan.
Tomotaka SobueDepartment of Social and Environmental Medicine, Graduate School of Medicine, Osaka University, Osaka, Japan. tsobue@envi.med.osaka-u.ac.jp.ORCID http://orcid.org/0000-0003-2817-3483
Toshio OgawaDepartment of Food and Nutrition, Faculty of Agriculture, Setsunan University, Osaka, Japan.
The University of Osaka · JPOsaka University of Economics · JPSetsunan University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to investigate the association between serum cholesterol and triglyceride levels and breast cancer risk in Japanese women.

methodsWe retrospectively evaluated the association between the levels of low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), and triglycerides (TGs) and the incidence of breast cancer in a cohort study by using the health insurance claims and health checkup data from a database provided by JMDC Inc. We included 956,390 women who were insured between April 2008 and June 2019, identified breast cancer cases by using validated definitions, and estimated the risk of breast cancer by using multivariable Cox proportional hazards regression models adjusted for potential confounders.

resultsDuring the 2,832,277 person-years observation period (median 2.4 years), 6284 participants were diagnosed with breast cancer. There was marginally significant association between LDL-C and breast cancer risk when comparing the highest and lowest quintiles and at the clinical cutoff values for diagnosing hyperlipidemia. HDL-C was not associated with breast cancer. However, when stratified by age groups (< 50 and ≥ 50), HDL-C was inversely associated with breast cancer risk in women over 50 years old. TG was not associated with breast cancer risk.

conclusionIn this population, there was a modest association of LDL-C at the clinical cutoff values for diagnosing hyperlipidemia (140 mg/mL), and there were no associations of HDL-C and TG with breast cancer risk.

Indexed as

Breast NeoplasmsHyperlipidemiasCholesterolCholesterol, HDLCholesterol, LDLCohort StudiesFemaleHumansInsurance, HealthMiddle AgedRetrospective StudiesRisk FactorsTriglyceridesCholesterolCholesterol, HDLCholesterol, LDLTriglyceridesBreast cancerCholesterolHealth insurance claimsJapaneseTriglyceride

Identifiers

PMID36995491
PMCPMC10175375
OpenAlexW4361280416

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.