Diabetes and breast cancer risk: a meta-analysis

Background: The potential of an increased risk of breast cancer in women with diabetes has been the subject of a great deal of recent research. Methods: A meta-analysis was undertaken using a random effects model to investigate the association between diabetes and breast cancer risk. Results: Thirty...

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Published inBreast cancer research and treatment Vol. 107; no. 9; pp. 1608 - 1617
Main Authors Boyle, P, Boniol, M, Koechlin, A, Robertson, C, Valentini, F, Coppens, K, Fairley, L-L, Zheng, T, Zhang, Y, Pasterk, M, Smans, M, Curado, M P, Mullie, P, Gandini, S, Bota, M, Bolli, G B, Rosenstock, J, Autier, P
Format Journal Article
LanguageEnglish
Published London Nature Publishing Group UK 23.10.2012
Nature Publishing Group
Springer Verlag
Subjects
692/308/2779/174
692/699/2743/137/773
692/699/67/1347
Age
Biological and medical sciences
Biomedical and Life Sciences
Biomedicine
Body mass
Body Mass Index
Breast cancer
Breast Neoplasms - epidemiology
Breast Neoplasms - etiology
Cancer
Cancer Research
Diabetes mellitus
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - epidemiology
Diabetes. Impaired glucose tolerance
Drug Resistance
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Epidemiology
Etiopathogenesis. Screening. Investigations. Target tissue resistance
Female
Humans
Life Sciences
Medical sciences
Molecular Medicine
Oncology
Risk Assessment
Risk Factors
Santé publique et épidémiologie
Tumors
meta-analysis
breast cancer
diabetes
body mass index
Endocrinopathy
Breast disease
Diabetes mellitus
Breast cancer
Malignant tumor
Risk analysis
Metaanalysis
Mammary gland diseases
Body mass index
Cancerology
Cancer
Type 2/complications/epidemiology Female Humans Risk Assessment Risk Factors
Body Mass Index Breast Neoplasms/epidemiology/etiology Diabetes Mellitus
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Abstract Background: The potential of an increased risk of breast cancer in women with diabetes has been the subject of a great deal of recent research. Methods: A meta-analysis was undertaken using a random effects model to investigate the association between diabetes and breast cancer risk. Results: Thirty-nine independent risk estimates were available from observational epidemiological studies. The summary relative risk (SRR) for breast cancer in women with diabetes was 1.27 (95% confidence interval (CI), 1.16–1.39) with no evidence of publication bias. Prospective studies showed a lower risk (SRR 1.23 (95% CI, 1.12–1.35)) than retrospective studies (SRR 1.36 (95% CI, 1.13–1.63)). Type 1 diabetes, or diabetes in pre-menopausal women, were not associated with risk of breast cancer (SRR 1.00 (95% CI, 0.74–1.35) and SRR 0.86 (95% CI, 0.66–1.12), respectively). Studies adjusting for body mass index (BMI) showed lower estimates (SRR 1.16 (95% CI, 1.08–1.24)) as compared with those studies that were not adjusted for BMI (SRR 1.33 (95% CI, 1.18–1.51)). Conclusion: The risk of breast cancer in women with type 2 diabetes is increased by 27%, a figure that decreased to 16% after adjustment for BMI. No increased risk was seen for women at pre-menopausal ages or with type 1 diabetes.
AbstractList BACKGROUND: The potential of an increased risk of breast cancer in women with diabetes has been the subject of a great deal of recent research. METHODS: A meta-analysis was undertaken using a random effects model to investigate the association between diabetes and breast cancer risk. RESULTS: Thirty-nine independent risk estimates were available from observational epidemiological studies. The summary relative risk (SRR) for breast cancer in women with diabetes was 1.27 (95% confidence interval (CI), 1.16-1.39) with no evidence of publication bias. Prospective studies showed a lower risk (SRR 1.23 (95% CI, 1.12-1.35)) than retrospective studies (SRR 1.36 (95% CI, 1.13-1.63)). Type 1 diabetes, or diabetes in pre-menopausal women, were not associated with risk of breast cancer (SRR 1.00 (95% CI, 0.74-1.35) and SRR 0.86 (95% CI, 0.66-1.12), respectively). Studies adjusting for body mass index (BMI) showed lower estimates (SRR 1.16 (95% CI, 1.08-1.24)) as compared with those studies that were not adjusted for BMI (SRR 1.33 (95% CI, 1.18-1.51)). CONCLUSION: The risk of breast cancer in women with type 2 diabetes is increased by 27%, a figure that decreased to 16% after adjustment for BMI. No increased risk was seen for women at pre-menopausal ages or with type 1 diabetes.
Background: The potential of an increased risk of breast cancer in women with diabetes has been the subject of a great deal of recent research. Methods: A meta-analysis was undertaken using a random effects model to investigate the association between diabetes and breast cancer risk. Results: Thirty-nine independent risk estimates were available from observational epidemiological studies. The summary relative risk (SRR) for breast cancer in women with diabetes was 1.27 (95% confidence interval (CI), 1.16–1.39) with no evidence of publication bias. Prospective studies showed a lower risk (SRR 1.23 (95% CI, 1.12–1.35)) than retrospective studies (SRR 1.36 (95% CI, 1.13–1.63)). Type 1 diabetes, or diabetes in pre-menopausal women, were not associated with risk of breast cancer (SRR 1.00 (95% CI, 0.74–1.35) and SRR 0.86 (95% CI, 0.66–1.12), respectively). Studies adjusting for body mass index (BMI) showed lower estimates (SRR 1.16 (95% CI, 1.08–1.24)) as compared with those studies that were not adjusted for BMI (SRR 1.33 (95% CI, 1.18–1.51)). Conclusion: The risk of breast cancer in women with type 2 diabetes is increased by 27%, a figure that decreased to 16% after adjustment for BMI. No increased risk was seen for women at pre-menopausal ages or with type 1 diabetes.
The potential of an increased risk of breast cancer in women with diabetes has been the subject of a great deal of recent research.BACKGROUNDThe potential of an increased risk of breast cancer in women with diabetes has been the subject of a great deal of recent research.A meta-analysis was undertaken using a random effects model to investigate the association between diabetes and breast cancer risk.METHODSA meta-analysis was undertaken using a random effects model to investigate the association between diabetes and breast cancer risk.Thirty-nine independent risk estimates were available from observational epidemiological studies. The summary relative risk (SRR) for breast cancer in women with diabetes was 1.27 (95% confidence interval (CI), 1.16-1.39) with no evidence of publication bias. Prospective studies showed a lower risk (SRR 1.23 (95% CI, 1.12-1.35)) than retrospective studies (SRR 1.36 (95% CI, 1.13-1.63)). Type 1 diabetes, or diabetes in pre-menopausal women, were not associated with risk of breast cancer (SRR 1.00 (95% CI, 0.74-1.35) and SRR 0.86 (95% CI, 0.66-1.12), respectively). Studies adjusting for body mass index (BMI) showed lower estimates (SRR 1.16 (95% CI, 1.08-1.24)) as compared with those studies that were not adjusted for BMI (SRR 1.33 (95% CI, 1.18-1.51)).RESULTSThirty-nine independent risk estimates were available from observational epidemiological studies. The summary relative risk (SRR) for breast cancer in women with diabetes was 1.27 (95% confidence interval (CI), 1.16-1.39) with no evidence of publication bias. Prospective studies showed a lower risk (SRR 1.23 (95% CI, 1.12-1.35)) than retrospective studies (SRR 1.36 (95% CI, 1.13-1.63)). Type 1 diabetes, or diabetes in pre-menopausal women, were not associated with risk of breast cancer (SRR 1.00 (95% CI, 0.74-1.35) and SRR 0.86 (95% CI, 0.66-1.12), respectively). Studies adjusting for body mass index (BMI) showed lower estimates (SRR 1.16 (95% CI, 1.08-1.24)) as compared with those studies that were not adjusted for BMI (SRR 1.33 (95% CI, 1.18-1.51)).The risk of breast cancer in women with type 2 diabetes is increased by 27%, a figure that decreased to 16% after adjustment for BMI. No increased risk was seen for women at pre-menopausal ages or with type 1 diabetes.CONCLUSIONThe risk of breast cancer in women with type 2 diabetes is increased by 27%, a figure that decreased to 16% after adjustment for BMI. No increased risk was seen for women at pre-menopausal ages or with type 1 diabetes.
The potential of an increased risk of breast cancer in women with diabetes has been the subject of a great deal of recent research. A meta-analysis was undertaken using a random effects model to investigate the association between diabetes and breast cancer risk. Thirty-nine independent risk estimates were available from observational epidemiological studies. The summary relative risk (SRR) for breast cancer in women with diabetes was 1.27 (95% confidence interval (CI), 1.16-1.39) with no evidence of publication bias. Prospective studies showed a lower risk (SRR 1.23 (95% CI, 1.12-1.35)) than retrospective studies (SRR 1.36 (95% CI, 1.13-1.63)). Type 1 diabetes, or diabetes in pre-menopausal women, were not associated with risk of breast cancer (SRR 1.00 (95% CI, 0.74-1.35) and SRR 0.86 (95% CI, 0.66-1.12), respectively). Studies adjusting for body mass index (BMI) showed lower estimates (SRR 1.16 (95% CI, 1.08-1.24)) as compared with those studies that were not adjusted for BMI (SRR 1.33 (95% CI, 1.18-1.51)). The risk of breast cancer in women with type 2 diabetes is increased by 27%, a figure that decreased to 16% after adjustment for BMI. No increased risk was seen for women at pre-menopausal ages or with type 1 diabetes.
The potential of an increased risk of breast cancer in women with diabetes has been the subject of a great deal of recent research. A meta-analysis was undertaken using a random effects model to investigate the association between diabetes and breast cancer risk. Thirty-nine independent risk estimates were available from observational epidemiological studies. The summary relative risk (SRR) for breast cancer in women with diabetes was 1.27 (95% confidence interval (CI), 1.16-1.39) with no evidence of publication bias. Prospective studies showed a lower risk (SRR 1.23 (95% CI, 1.12-1.35)) than retrospective studies (SRR 1.36 (95% CI, 1.13-1.63)). Type 1 diabetes, or diabetes in pre-menopausal women, were not associated with risk of breast cancer (SRR 1.00 (95% CI, 0.74-1.35) and SRR 0.86 (95% CI, 0.66-1.12), respectively). Studies adjusting for body mass index (BMI) showed lower estimates (SRR 1.16 (95% CI, 1.08-1.24)) as compared with those studies that were not adjusted for BMI (SRR 1.33 (95% CI, 1.18-1.51)). The risk of breast cancer in women with type 2 diabetes is increased by 27%, a figure that decreased to 16% after adjustment for BMI. No increased risk was seen for women at pre-menopausal ages or with type 1 diabetes.
Author Pasterk, M
Gandini, S
Fairley, L-L
Coppens, K
Valentini, F
Boyle, P
Bota, M
Autier, P
Zhang, Y
Robertson, C
Curado, M P
Koechlin, A
Zheng, T
Mullie, P
Bolli, G B
Boniol, M
Rosenstock, J
Smans, M
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  email: mathieu.boniol@i-pri.org
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2015 INIST-CNRS
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Copyright © 2012 Cancer Research UK 2012 Cancer Research UK
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Issue 9
Keywords meta-analysis
breast cancer
diabetes
body mass index
Endocrinopathy
Breast disease
Diabetes mellitus
Breast cancer
Malignant tumor
Risk analysis
Metaanalysis
Mammary gland diseases
Body mass index
Cancerology
Cancer
Type 2/complications/epidemiology Female Humans Risk Assessment Risk Factors
Body Mass Index Breast Neoplasms/epidemiology/etiology Diabetes Mellitus
Language English
License http://www.springer.com/tdm
CC BY 4.0
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PublicationTitle Breast cancer research and treatment
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Snippet Background: The potential of an increased risk of breast cancer in women with diabetes has been the subject of a great deal of recent research. Methods: A...
The potential of an increased risk of breast cancer in women with diabetes has been the subject of a great deal of recent research. A meta-analysis was...
The potential of an increased risk of breast cancer in women with diabetes has been the subject of a great deal of recent research. A meta-analysis was...
The potential of an increased risk of breast cancer in women with diabetes has been the subject of a great deal of recent research.BACKGROUNDThe potential of...
Background: The potential of an increased risk of breast cancer in women with diabetes has been the subject of a great deal of recent research. Methods: A...
BACKGROUND: The potential of an increased risk of breast cancer in women with diabetes has been the subject of a great deal of recent research. METHODS: A...
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SubjectTerms 692/308/2779/174
692/699/2743/137/773
692/699/67/1347
Age
Biological and medical sciences
Biomedical and Life Sciences
Biomedicine
Body mass
Body Mass Index
Breast cancer
Breast Neoplasms - epidemiology
Breast Neoplasms - etiology
Cancer
Cancer Research
Diabetes mellitus
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - epidemiology
Diabetes. Impaired glucose tolerance
Drug Resistance
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Epidemiology
Etiopathogenesis. Screening. Investigations. Target tissue resistance
Female
Humans
Life Sciences
Medical sciences
Molecular Medicine
Oncology
Risk Assessment
Risk Factors
Santé publique et épidémiologie
Tumors
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Title Diabetes and breast cancer risk: a meta-analysis
URI https://link.springer.com/article/10.1038/bjc.2012.414
https://www.ncbi.nlm.nih.gov/pubmed/22996614
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