Evidence map›Paper›PMID 38363402›Full record

ArticleCancer causes & control : CCC2024

Sex-steroid hormones and risk of postmenopausal estrogen receptor-positive breast cancer: a case-cohort analysis.

Frances E M Albers, Makayla W C Lou, S Ghazaleh Dashti, Christopher T V Swain, Sabina Rinaldi, Vivian Viallon, Amalia Karahalios, Kristy A Brown, Marc J Gunter, Roger L Milne and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Cancer causes & control : CCC, 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
3.3field-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

10 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Antitumor Effects ofMolecules (Basel, Switzerland) · 2026
    Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 4 countries.

Frances E M AlbersCentre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia.ORCID http://orcid.org/0000-0002-7319-5182
Makayla W C LouCentre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia.ORCID http://orcid.org/0000-0002-4518-5219
S Ghazaleh DashtiClinical Epidemiology and Biostatistics Unit, Murdoch Children's Research Institute, Melbourne, Australia.ORCID http://orcid.org/0000-0002-1399-7220
Christopher T V SwainCancer Epidemiology Division, Cancer Council Victoria, Council Victoria, Level 8, 200 Victoria Parade, East Melbourne, Melbourne, VIC, 3002, Australia.ORCID http://orcid.org/0000-0002-0158-2511
Sabina RinaldiNutrition and Metabolism Branch, International Agency for Research on Cancer, Lyon, France.ORCID http://orcid.org/0000-0002-6846-1204
Vivian ViallonNutrition and Metabolism Branch, International Agency for Research on Cancer, Lyon, France.ORCID http://orcid.org/0000-0002-9799-4421
Amalia KarahaliosCentre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia.ORCID http://orcid.org/0000-0002-7497-1681
Kristy A BrownDepartment of Cell Biology and Physiology, University of Kansas Medical Center, Kansas City, USA.ORCID http://orcid.org/0000-0003-3382-5546
Marc J GunterNutrition and Metabolism Branch, International Agency for Research on Cancer, Lyon, France.ORCID http://orcid.org/0000-0001-5472-6761
Roger L MilneCentre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia.ORCID http://orcid.org/0000-0001-5764-7268
Dallas R EnglishCentre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia.ORCID http://orcid.org/0000-0001-7828-8188
Brigid M LynchCentre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia. Brigid.Lynch@cancervic.org.au.ORCID http://orcid.org/0000-0001-8060-547X
The University of Melbourne · AUCentre international de recherche sur le cancer · FRBaker Heart and Diabetes Institute · AUUniversity of Kansas Medical Center · US

Funding

World Health Organization 001
6 · The paper itself

Abstract

purposeSex-steroid hormones are associated with postmenopausal breast cancer but potential confounding from other biological pathways is rarely considered. We estimated risk ratios for sex-steroid hormone biomarkers in relation to postmenopausal estrogen receptor (ER)-positive breast cancer, while accounting for biomarkers from insulin/insulin-like growth factor-signaling and inflammatory pathways.

methodsThis analysis included 1208 women from a case-cohort study of postmenopausal breast cancer within the Melbourne Collaborative Cohort Study. Weighted Poisson regression with a robust variance estimator was used to estimate risk ratios (RRs) and 95% confidence intervals (CIs) of postmenopausal ER-positive breast cancer, per doubling plasma concentration of progesterone, estrogens, androgens, and sex-hormone binding globulin (SHBG). Analyses included sociodemographic and lifestyle confounders, and other biomarkers identified as potential confounders.

resultsIncreased risks of postmenopausal ER-positive breast cancer were observed per doubling plasma concentration of progesterone (RR: 1.22, 95% CI 1.03 to 1.44), androstenedione (RR 1.20, 95% CI 0.99 to 1.45), dehydroepiandrosterone (RR: 1.15, 95% CI 1.00 to 1.34), total testosterone (RR: 1.11, 95% CI 0.96 to 1.29), free testosterone (RR: 1.12, 95% CI 0.98 to 1.28), estrone (RR 1.21, 95% CI 0.99 to 1.48), total estradiol (RR 1.19, 95% CI 1.02 to 1.39) and free estradiol (RR 1.22, 95% CI 1.05 to 1.41). A possible decreased risk was observed for SHBG (RR 0.83, 95% CI 0.66 to 1.05).

conclusionProgesterone, estrogens and androgens likely increase postmenopausal ER-positive breast cancer risk, whereas SHBG may decrease risk. These findings strengthen the causal evidence surrounding the sex-hormone-driven nature of postmenopausal breast cancer.

Indexed as

Breast NeoplasmsGonadal Steroid HormonesPostmenopauseReceptors, EstrogenAgedCase-Control StudiesCohort StudiesFemaleHumansMiddle AgedRisk FactorsSex Hormone-Binding GlobulinGonadal Steroid HormonesReceptors, EstrogenSex Hormone-Binding GlobulinAndrogensBreast cancerEstrogensProgesteroneSex-hormone binding globulinSex-steroid hormones

Identifiers

PMID38363402
PMCPMC11130059
OpenAlexW4391882809

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.