학술논문

Breast Cancer Risk Factors and Survival by Tumor Subtype: Pooled Analyses from the Breast Cancer Association ConsortiumBreast Cancer Risk Factors and Survival By Tumor Subtype
Document Type
article
Author
Morra, AnnaJung, Audrey YBehrens, SabineKeeman, RenskeAhearn, Thomas UAnton-Culver, HodaArndt, VolkerAugustinsson, AnnelieAuvinen, Päivi KFreeman, Laura E BeaneBecher, HeikoBeckmann, Matthias WBlomqvist, CarlBojesen, Stig EBolla, Manjeet KBrenner, HermannBriceno, IgnacioBrucker, Sara YCamp, Nicola JCampa, DanieleCanzian, FedericoCastelao, Jose EChanock, Stephen JChoi, Ji-YeobClarke, Christine LInvestigators, for the ABCTBCouch, Fergus JCox, AngelaCross, Simon SCzene, KamilaDörk, ThiloDunning, Alison MDwek, MiriamEaston, Douglas FEccles, Diana MEgan, Kathleen MEvans, D GarethFasching, Peter AFlyger, HenrikGago-Dominguez, ManuelaGapstur, Susan MGarcía-Sáenz, José AGaudet, Mia MGiles, Graham GGrip, MerviGuénel, PascalHaiman, Christopher AHåkansson, NiclasHall, PerHamann, UteHan, Sileny NHart, Steven NHartman, MikaelHeyworth, Jane SHoppe, ReinerHopper, John LHunter, David JIto, HidemiJager, AgnesJakimovska, MilenaJakubowska, AnnaJanni, WolfgangKaaks, RudolfKang, DaeheeKapoor, Pooja MiddhaKitahara, Cari MKoutros, StellaKraft, PeterKristensen, Vessela NCollaborators, for the NBCSLacey, James VLambrechts, DietherLe Marchand, LoicLi, JingmeiLindblom, AnnikaLubiński, JanLush, MichaelMannermaa, ArtoManoochehri, MehdiMargolin, SaraMariapun, ShivaaniMatsuo, KeitaroMavroudis, DimitriosMilne, Roger LMuranen, Taru ANewman, William GNoh, Dong-YoungNordestgaard, Børge GObi, NadiaOlshan, Andrew FOlsson, HåkanPark-Simon, Tjoung-WonPetridis, ChristosPharoah, Paul DPPlaseska-Karanfilska, DijanaPresneau, NadegeRashid, Muhammad URennert, GadRennert, Hedy SRhenius, Valerie
Source
Cancer Epidemiology Biomarkers & Prevention. 30(4)
Subject
Health Services and Systems
Biomedical and Clinical Sciences
Health Sciences
Oncology and Carcinogenesis
Clinical Research
Aging
Estrogen
Cancer
Prevention
Breast Cancer
Good Health and Well Being
Adult
Aged
Breast Neoplasms
Cause of Death
Female
Humans
Life Style
Middle Aged
Neoplasm Invasiveness
Neoplasm Staging
Prospective Studies
Risk Factors
Survival Analysis
ABCTB Investigators
NBCS Collaborators
Medical and Health Sciences
Epidemiology
Biomedical and clinical sciences
Health sciences
Language
Abstract
BackgroundIt is not known whether modifiable lifestyle factors that predict survival after invasive breast cancer differ by subtype.MethodsWe analyzed data for 121,435 women diagnosed with breast cancer from 67 studies in the Breast Cancer Association Consortium with 16,890 deaths (8,554 breast cancer specific) over 10 years. Cox regression was used to estimate associations between risk factors and 10-year all-cause mortality and breast cancer-specific mortality overall, by estrogen receptor (ER) status, and by intrinsic-like subtype.ResultsThere was no evidence of heterogeneous associations between risk factors and mortality by subtype (P adj > 0.30). The strongest associations were between all-cause mortality and BMI ≥30 versus 18.5-25 kg/m2 [HR (95% confidence interval (CI), 1.19 (1.06-1.34)]; current versus never smoking [1.37 (1.27-1.47)], high versus low physical activity [0.43 (0.21-0.86)], age ≥30 years versus 0-