Evidence map›Paper›PMID 39167287›Full record

ArticleBreast cancer research and treatment2024

Polycystic ovary syndrome and risk of breast cancer in premenopausal and postmenopausal women: a nationwide population-based cohort study.

Clarissa L B Frandsen, Bugge Nøhr, Mathilde Gottschau, Jakob H Viuff, Thomas Maltesen, Susanne K Kjær, Pernille F Svendsen, Allan Jensen

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Article in Breast cancer research and treatment, 2024. 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
–field-weighted citation impact
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.

  1. Review
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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

8 authors.

Clarissa L B FrandsenVirus, Lifestyle and Genes, Danish Cancer Institute, Strandboulevarden 49, 2100, Copenhagen, Denmark.ORCID http://orcid.org/0000-0003-0956-9765
Bugge NøhrDepartment of Obstetrics and Gynecology, University Hospital of Herlev and Gentofte, Copenhagen, Denmark.ORCID https://orcid.org/0009-0009-9744-4452
Mathilde GottschauVirus, Lifestyle and Genes, Danish Cancer Institute, Strandboulevarden 49, 2100, Copenhagen, Denmark.ORCID https://orcid.org/0000-0002-3524-2646
Jakob H ViuffDiet, Cancer and Health, Danish Cancer Institute, Copenhagen, Denmark.ORCID https://orcid.org/0000-0002-5370-2589
Thomas MaltesenStatistics and Data Analysis, Danish Cancer Institute, Copenhagen, Denmark.ORCID https://orcid.org/0000-0002-3988-2456
Susanne K KjærVirus, Lifestyle and Genes, Danish Cancer Institute, Strandboulevarden 49, 2100, Copenhagen, Denmark.ORCID https://orcid.org/0000-0002-8347-1398
Pernille F SvendsenDepartment of Obstetrics and Gynecology, University Hospital of Herlev and Gentofte, Copenhagen, Denmark.ORCID https://orcid.org/0000-0002-8534-7868
Allan JensenVirus, Lifestyle and Genes, Danish Cancer Institute, Strandboulevarden 49, 2100, Copenhagen, Denmark. allan@cancer.dk.ORCID https://orcid.org/0000-0001-8124-4880

Funding

Danish Cancer Institute (Internal grant)Department of Gynecology and Obstetrics, University Hospital of Herlev and Gentofte (Internal grant)Helsefonden 21-B-0261
6 · The paper itself

Abstract

purposeAlthough some reproductive and metabolic characteristics of polycystic ovary syndrome (PCOS) are known risk factors for breast cancer, the evidence regarding a potential association between PCOS and breast cancer is scarce. In this population-based cohort study including all 1,719,452 women born in Denmark between 1940 and 1993, we investigated the association between PCOS and breast cancer.

methodsPCOS diagnoses, cancer diagnoses, covariates, migrations, and vital status were all obtained from national population and health registers. Hazard ratios (HR) and 95% confidence intervals (CI) for breast cancer overall and for histological subtypes separately were calculated based on adjusted cox proportional hazards models.

resultsDuring a median follow-up of 26 years, 63,078 women were diagnosed with breast cancer. We found an increased risk of breast cancer overall among women with PCOS compared with women without PCOS (HR: 1.21, 95% CI 1.02-1.44). In analyses stratified for menopausal status, the increased risk was restricted to postmenopausal women (HR: 1.63, 95% CI 1.23-2.15). The results for ductal and lobular histological subtypes analyses separately resembled those observed for breast cancer overall.

conclusionThis is the first study to report an increased risk of breast cancer among women with a history of PCOS. The increased risk was seemingly confined to postmenopausal women. Our results therefore contribute to an increased knowledge of the etiology of breast cancer, but our findings should be further confirmed in other large cohort studies with an appropriately long follow-up period.

Indexed as

Breast NeoplasmsPolycystic Ovary SyndromePostmenopausePremenopauseAdultAgedCohort StudiesDenmarkFemaleHumansMiddle AgedPopulation SurveillanceProportional Hazards ModelsRegistriesRisk FactorsBreast cancerDenmarkDuctalLobularPCOSPopulation-based cohort study

Identifiers

PMID39167287

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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.