Evidence map›Paper›PMID 37978105›Full record

ArticleAnnals of surgical oncology2024

Associations Between Neighborhood-Level Income and Triple-Negative Breast Cancer in a Majority-Minority Population.

Alexandra E Hernandez, Ashly C Westrick, Justin Stoler, Susan B Kesmodel, Paulo S Pinheiro, Maria Figueroa, Erin N Kobetz, Timothy Rebbeck, Neha Goel

Abstract read
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In one paragraph

Article in Annals of surgical oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.2field-weighted citation impact, top 7% 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

10 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Residential Proximity to NPL Superfund Sites and High Particulate Matter Exposure Is Associated with Increased Likelihood of Triple-Negative Breast Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article
  3. Article
  4. Article
  5. Distinct Sources of Social Adversity, Stress, and Coping Mechanisms among Patients with Breast Cancer to Identify Areas for Intervention.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Article
  6. Applying a Novel Measure of Community-Level Healthcare Access to Assess Breast Cancer Care Timeliness.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Article
  7. Role of PARP Inhibitors: A New Hope for Breast Cancer Therapy.International journal of molecular sciences · 2025
    Review
  8. Article
  9. Review
  10. Response to: Comment on Genetic Ancestry-Specific Molecular and Survival Differences in Admixed Breast Cancer Patients.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024
    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

9 authors at 4 institutions in 1 country.

Alexandra E HernandezDivision of Surgical Oncology, Department of Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.
Ashly C WestrickCenter for Social Epidemiology and Population Health, University of Michigan, Ann Arbor, MI, USA.
Justin StolerDepartment of Geography and Sustainable Development, University of Miami, Coral Gables, FL, USA.
Susan B KesmodelDivision of Surgical Oncology, Department of Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.
Paulo S PinheiroDepartment of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA.
Maria FigueroaSylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, FL, USA.
Erin N KobetzSylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, FL, USA.
Timothy RebbeckHarvard T.H. Chan School of Public Health and Dana-Farber Cancer Institute, Boston, MA, USA.
Neha GoelDivision of Surgical Oncology, Department of Surgery, University of Miami Miller School of Medicine, Miami, FL, USA. Neha.goel@med.miami.edu.
University of Miami · USSylvester Comprehensive Cancer Center · USDana-Farber Cancer Institute · USUniversity of Michigan–Ann Arbor · US

Funding

Foundation for the National Institutes of Health K12CA226330Foundation for the National Institutes of Health T32CA211034Sylvester Comprehensive Cancer Center, University of Miami Health Systems 5P30 240139-02
6 · The paper itself

Abstract

backgroundPrevious studies on disparities in triple-negative breast cancer (TNBC) focus on race/ethnicity, with few exploring the impact of contextual factors such as neighborhood-level income. This study evaluates the effect of neighborhood-level income on disparities in TNBC among a racially and ethnically diverse cohort, after accounting for granular individual-level risk factors of TNBC. PATIENTS AND

methodsPatients with stage I-IV breast cancer from 2005 to 2017 were identified from our local tumor registry. The primary outcome was diagnosis of TNBC. Using 5-years estimates from the American Community Survey, we obtained median household income for each census tract which was categorized into quartiles. Mixed effects logistic regression was conducted and stratified by race and ethnicity, controlling for individual-level sociodemographic, comorbidities, and tumor characteristics.

resultsAmong 5377 breast cancer registry patients, 16.5% were diagnosed with TNBC. The majority were Hispanic (50.1%) followed by non-Hispanic Black (NHB) (28.0%). After controlling for individual-level covariables including race and ethnicity, comorbidities, and tumor characteristics, women from low-income neighborhoods had increased odds of TNBC compared with other breast cancer subtypes, compared with those in high-income neighborhoods [odds ratio (OR) 1.33; 95% confidence interval (CI) 1.04, 1.70, p < 0.001]. In stratified analyses, NHB patients from low-income neighborhoods had two times the odds of TNBC diagnosis compared with those from high-income neighborhoods (OR 2.11; 95% CI 1.02, 4.37).

conclusionWe found that living in a low-income neighborhood is associated with an increased odds of TNBC independent of granular individual-level TNBC risk factors, particularly NHB race. More striking, NHB living in low-income neighborhoods had increased odds of TNBC compared with NHB living in high-income neighborhoods. Our results suggest potential unaccounted gene-environment and/or social (api)genomic interactions between neighborhood-level income and TNBC subtype development.

Indexed as

Triple Negative Breast NeoplasmsBlack or African AmericanEthnicityFemaleHispanic or LatinoHumansIncomeResidence Characteristics

Identifiers

PMID37978105
OpenAlexW4388752779

What OpenQuestion holds

Textmetadata
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.