Evidence map›Paper›PMID 37421504›Full record

SynthesisCancer causes & control : CCC2023

Breastfeeding and risk of childhood brain tumors: a report from the Childhood Cancer and Leukemia International Consortium.

Jeremy M Schraw, Eleni Th Petridou, Audrey Bonaventure, John D Dockerty, Maria Karalexi, Evangelia Ntzani, Claire Infante-Rivard, Jacqueline Clavel, Paige M Bracci, Roberta McKean-Cowdin and 6 more

Open access · greenAbstract readMeta-Analysis
In one paragraph

Synthesis in Cancer causes & control : CCC, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Article
  3. 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

16 authors at 14 institutions in 7 countries.

Jeremy M SchrawDepartment of Pediatrics, Section of Hematology-Oncology, Baylor College of Medicine, Houston, TX, USA. schraw@bcm.edu.
Eleni Th PetridouDepartment of Hygiene, Epidemiology, and Medical Statistics, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Audrey BonaventureUMR-1153, CRESS, Université de Paris, INSERM, Epidemiology of Childhood and Adolescent Cancers Team, Villejuif, France.
John D DockertyDepartment of Preventative and Social Medicine, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand.
Maria KaralexiHellenic Society for Social Pediatrics and Health Promotion, Athens, Greece.
Evangelia NtzaniCenter for Evidence-Based Medicine, Department of Health Services, Policy and Practice, School of Public Health, Brown University, Providence, RI, USA.
Claire Infante-RivardDepartment of Epidemiology, Biostatistics and Occupational Health, Faculty of Medicine, McGill University, Montréal, Québec, Canada.
Jacqueline ClavelUMR-1153, CRESS, Université de Paris, INSERM, Epidemiology of Childhood and Adolescent Cancers Team, Villejuif, France.
Paige M BracciDepartment of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA.
Roberta McKean-CowdinKeck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Eve RomanEpidemiology and Cancer Statistics Group, Department of Health Sciences, University of York, York, UK.
Eleanor KaneEpidemiology and Cancer Statistics Group, Department of Health Sciences, University of York, York, UK.
Friederike ErdmannEnvironment and Lifestyle Epidemiology Branch, International Agency for Research on Cancer, World Health Organization (IARC/WHO), Lyon, France.
Joachim SchüzSection of Environment and Radiation, International Agency for Research On Cancer (IARC/WHO), Lyon, France.
Beth A MuellerPublic Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Michael E ScheurerDepartment of Pediatrics, Section of Hematology-Oncology, Baylor College of Medicine, Houston, TX, USA.
Baylor College of Medicine · USUniversity of York · GBCentre International de Recherche sur le Cancer · FRFred Hutch Cancer Center · USHôpital Paul-Brousse · FRInserm · FRJohannes Gutenberg University Mainz · DEMcGill University · CANational and Kapodistrian University of Athens · GRSenologic Hellenic Society · GRUCSF Helen Diller Family Comprehensive Cancer Center · USUniversity of Ioannina · GRUniversity of Otago · NZUniversity of Southern California · US

Funding

Environmental and Molecular Epidemiology of Childhood LeukemiaR01ES009137 · NIEHS · UNIVERSITY OF CALIFORNIA BERKELEY · PI METAYER, CATHERINE · 1999 to 2013
$21.1M
Project 3: Prenatal Exposure, DNA Methylation & Childhood LeukemiaP01ES018172 · NIEHS · UNIVERSITY OF CALIFORNIA BERKELEY · PI METAYER, CATHERINE · 2009 to 2013
$3.7M
Childhood Leukemia International Consortium (CLIC)R03CA132172 · NCI · UNIVERSITY OF CALIFORNIA BERKELEY · PI BUFFLER, PATRICIA A · 2007 to 2008
$125k
Childhood Leukemia International Consortium Scientific Annual MeetingsU13ES026496 · NIEHS · UNIVERSITY OF CALIFORNIA BERKELEY · PI METAYER, CATHERINE · 2015 to 2018
$51k
2012 Annual Scientific Meeting of the International Childhood Leukemia ConsortiumR13ES022868 · NIEHS · UNIVERSITY OF CALIFORNIA BERKELEY · PI METAYER, CATHERINE · 2012 to 2012
$18k
2019 Scientific Annual Meeting for CLIC and CLIC+R13ES031473 · NIEHS · BAYLOR COLLEGE OF MEDICINE · PI SCHEURER, MICHAEL E. · 2019 to 2019
$12k
2011 Annual Scientific Meeting of the International Childhood Leukemia ConsortiumR13ES021145 · NIEHS · UNIVERSITY OF CALIFORNIA BERKELEY · PI BUFFLER, PATRICIA A · 2011 to 2011
$10k
2014 Childhood Leukemia International Consortium Annual Scientific MeetingR13ES024632 · NIEHS · UNIVERSITY OF CALIFORNIA BERKELEY · PI METAYER, CATHERINE · 2014 to 2014
$10k
CHILDHOOD BRAIN TUMORS AND N-NITROSO EXPOSURES--US STUDYR01CA047082 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI PRESTON-MARTIN, SUSAN · 1988 to 1994
–
NCI NIH HHS CA47082NCI NIH HHS R03 CA132172NIEHS NIH HHS P01 ES018172NIEHS NIH HHS R01 ES009137NIEHS NIH HHS R13 ES021145NIEHS NIH HHS R13 ES022868NIEHS NIH HHS R13 ES024632NIEHS NIH HHS R13 ES031473NIEHS NIH HHS R13ES031473NIEHS NIH HHS U13 ES026496World Health Organization 001
6 · The paper itself

Abstract

purposeStudies report mixed findings regarding the association of breastfeeding with childhood brain tumors (CBT), the leading causes of cancer-related mortality in young people. Our objective was to determine whether breastfeeding is associated with CBT incidence.

methodsWe pooled data on N = 2610 cases with CBT (including 697 cases with astrocytoma, 447 cases with medulloblastoma/primitive neuroectodermal tumor [PNET], 167 cases with ependymoma) and N = 8128 age- and sex-matched controls in the Childhood Cancer and Leukemia International Consortium. We computed unconditional logistic regression models to estimate the odds ratio (OR) and 95% confidence interval (CI) of CBT, astrocytoma, medulloblastoma/PNET, and ependymoma according to breastfeeding status, adjusting for study, sex, mode of delivery, birthweight, age at diagnosis/interview, maternal age at delivery, maternal educational attainment, and maternal race/ethnicity. We evaluated any breastfeeding versus none and breastfeeding ≥ 6 months versus none. We subsequently performed random effects meta-analysis to confirm our findings, identify potential sources of heterogeneity, and evaluate for outliers or influential studies.

resultsBreastfeeding was reported by 64.8% of control mothers and 64.5% of case mothers and was not associated with CBT (OR 1.04, 95% CI 0.94-1.15), astrocytoma (OR 1.01, 95% CI 0.87-1.17), medulloblastoma/PNET (OR 1.11, 95% CI 0.93-1.32), or ependymoma (OR 1.06, 95% CI 0.81-1.40). Results were similar when we restricted to breastfeeding ≥ 6 months and in meta-analyses.

conclusionOur data suggest that breastfeeding does not protect against CBT.

Indexed as

AstrocytomaBrain NeoplasmsCerebellar NeoplasmsEpendymomaLeukemiaMedulloblastomaNeuroectodermal Tumors, PrimitiveBreast FeedingCase-Control StudiesChildFemaleHumansInfantMaleRisk FactorsBreastfeedingChildhood brain tumorsChildhood cancerChildhood CancerEpidemiologyInfant feedingLeukemia International Consortium

Identifiers

PMID37421504
PMCPMC12713113
OpenAlexW4383621476

What OpenQuestion holds

Textmetadata
LicenceTDM
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.