Evidence map›Paper›PMID 42909681›Full record

ArticleBreast cancer research and treatment2026

Change in alcohol consumption and all-cause mortality among postmenopausal women diagnosed with breast cancer.

Samantha Rees, Clara Bodelon, Saptarshi Chakraborty, Amy E Millen, Ying Wang, Kierstin Faw, Lauren R Teras, Marissa M Shams-White, Alpa V Patel, Jo L Freudenheim

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Article in Breast cancer research and treatment, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Samantha ReesDepartment of Epidemiology and Environmental Health, School of Public Health and Health Professions, University at Buffalo, The State University of New York, 270 Farber Hall, 360 Hayes Road, Buffalo, NY, 14214, USA. ssmith67@buffalo.edu.ORCID http://orcid.org/0000-0003-1466-9357
Clara BodelonDepartment of Population Science, American Cancer Society, Atlanta, GA, USA.
Saptarshi ChakrabortyDepartment of Actuarial Mathematics and Statistics, School of Mathematical and Computer Science, Heriot Watt University, Edinburgh, UK.
Amy E MillenDepartment of Epidemiology and Environmental Health, School of Public Health and Health Professions, University at Buffalo, The State University of New York, 270 Farber Hall, 360 Hayes Road, Buffalo, NY, 14214, USA.
Ying WangDepartment of Population Science, American Cancer Society, Atlanta, GA, USA.
Kierstin FawDepartment of Population Science, American Cancer Society, Atlanta, GA, USA.
Lauren R TerasDepartment of Population Science, American Cancer Society, Atlanta, GA, USA.
Marissa M Shams-WhiteDepartment of Population Science, American Cancer Society, Atlanta, GA, USA.
Alpa V PatelDepartment of Population Science, American Cancer Society, Atlanta, GA, USA.
Jo L FreudenheimDepartment of Epidemiology and Environmental Health, School of Public Health and Health Professions, University at Buffalo, The State University of New York, 270 Farber Hall, 360 Hayes Road, Buffalo, NY, 14214, USA.

Funding

American Association of University Women Dissertation Fellowship
6 · The paper itself

Abstract

purposeEvidence is inconsistent regarding an association between alcohol consumption and survival following a breast cancer diagnosis; therefore, we examined how change in alcohol consumption affects all-cause mortality (ACM) in a population of breast cancer survivors.

methodsWe prospectively assessed pre-diagnosis, pre- to post-diagnosis, and post-diagnosis change in alcohol consumption among 1,558 postmenopausal women (mean age-at-diagnosis: 71 years) diagnosed with non-metastatic invasive breast cancer from the American Cancer Society Cancer Prevention Study-II Nutrition Cohort (baseline: 1992-1993). Five categories of alcohol intake were determined at each assessment; change in alcohol consumption was categorized as stable, quit, reduced, and increased. Change occurred at a median of two years before (pre-diagnosis) and two years after (post-diagnosis) diagnosis. Cox proportional hazards regression was used to estimate adjusted hazard ratios (HR) and 95% confidence intervals (CI) for the associations between change groups and ACM.

resultsOver a median follow-up of 12.6 years, 750 women died (130 breast cancer deaths). Compared to stable consumption, the association between cessation and ACM varied by change interval: pre-diagnosis (HR:0.91, CI:0.69-1.21), pre- to post-diagnosis: (HR:1.39, CI:1.12-1.73), post-diagnosis: (HR:0.98, CI:0.70-1.35). Alcohol reduction was not associated with ACM. Among women consuming ≥ 1 drink/day pre-diagnosis, increasing consumption elevated ACM risk (HR:1.83, 95%CI:1.02-3.31).

conclusionAlcohol reduction or cessation was not associated with a decrease in ACM among older breast cancer survivors. Among those drinking ≥ 1 drink/day, an increase in consumption pre-diagnosis was associated with higher mortality. Findings may be limited by uncontrolled confounding, a low prevalence of heavy drinking, or an insufficient duration of sustained change.

Indexed as

Alcohol DrinkingBreast NeoplasmsPostmenopauseAgedCancer SurvivorsCause of DeathFemaleHumansMiddle AgedProportional Hazards ModelsProspective StudiesRisk FactorsAlcohol consumptionAll-cause mortalityBehavior changeBreast cancer survivors

Identifiers

PMID42909681

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