Worse survival after breast cancer in women with anorexia nervosa

Bens, Annet; Papadopoulos, Fotios C.; Pukkala, Eero; Ekbom, Anders; Gissler, Mika; Mellemkjær, Lene

doi:10.1007/s10549-017-4618-5

Cited by 8 publications

(22 citation statements)

References 33 publications

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“…We screened 358 titles and abstracts, followed by 59 full-text articles ( Figure 1 ). Seven cohort studies published in 10 articles, 12 , 13 , 23 , 24 , 25 , 29 , 30 , 31 , 32 , 33 including 42 602 participants with anorexia nervosa, met our inclusion criteria.…”

Section: Resultsmentioning

confidence: 99%

“…Five studies were from Europe (Denmark, 12 , 29 , 32 Finland, 29 , 32 Sweden, 13 , 23 , 24 , 25 , 29 , 32 and the United Kingdom 31 ) and 2 studies 30 , 33 were from North America (the United States). Six studies were retrospective cohorts 12 , 13 , 23 , 24 , 25 , 29 , 30 , 31 , 32 and 1 was a prospective cohort. 33 Median (range) follow-up was 13.3 (5.4-27.1) years.…”

Section: Resultsmentioning

confidence: 99%

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Association of Anorexia Nervosa With Risk of Cancer

et al. 2019

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Association of Anorexia Nervosa With Risk of Cancer

et al. 2019

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“…Publication dates from the included articles ranged from 1985 to 2017. There were six case reports [14][15][16][17][18][19], eight retrospective register-based cohorts, and one prospective register-based cohort [20][21][22][23][24][25][26][27] covering a population from Sweden, Denmark, Finland, Scotland, France, USA and Japan. Of the cohort studies (including 47,049 individuals), only four included men (n = 2230, two cohorts did analyses split by sex) and only two included also non-AN eating disorders (n = 1783 individuals).…”

Section: Results Of the Searchmentioning

confidence: 99%

“…Mean follow-up of the patients varied from 5.4 to 15.2 years. All of the studies looked at cancer incidence as the outcome of interest, and two studies also included cancer mortality [23,26]. Breast cancer was the most often researched cancer site across publications.…”

Section: Results Of the Searchmentioning

confidence: 99%

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Eating disorders and the risk of developing cancer: a systematic review

et al. 2020

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Eating disorders and the risk of esophageal and stomach cancers‐A nationwide, population‐based cohort study in Taiwan

Yeh

Chien

Chung

et al. 2020

Intl J Eating Disorders

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Background: Previous studies have shown elevated cancer risk in anorexia nervosa but the literature on other eating disorders (EDs) is scarce. This study aimed to investigate the association between all EDs and esophageal, stomach, and other cancers.Methods: We used a retrospective cohort design, based on a two-million randomized longitudinal health insurance dataset, a sub-dataset of Taiwan's National Health Insurance Research Database. From all the potential participants aged 20 years or more, a total of 6,628 participants were enrolled, including 1,657 patients with EDs, with sex-, age-, and indexed date-matched (1:3) 4,971 controls. Each participant was individually tracked from 2000 to 2015 to identify incident cases of cancers, including esophageal cancer (EC), stomach cancer (SC), and all other cancers (AOC). The multivariate Cox proportional hazards model was employed to estimate the hazard ratios (HRs) and 95% confidence intervals (CIs) for the association between EDs and cancer.Results: Of the total 6,628 enrollees, 222 in 1,657 individuals with EDs and 810 in the 4,971 non-ED control individuals developed cancer (1,262.40 vs. 1,472.15 per 100,000 person-years), and the Kaplan-Meier survival analysis was not statistically significant (log-rank, p = .324). However, after adjusting for covariates, the risk of EC and SC among the individuals with an ED was significantly higher, with adjusted HRs of 5.32 (95% CI: 1.07-26.49, p < .001) and 4.61 (95% CI: 1.91-11.14, p < .001), respectively. EDs were not associated with other cancers. Conclusions:This study provides evidence for the association between EDs and the risk for EC and SC. Further research on mechanisms and prevention is therefore needed.

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Worse survival after breast cancer in women with anorexia nervosa

Abstract: We found that female breast cancer patients with a prior diagnosis of anorexia nervosa have a worse survival compared with other breast cancer patients.

Cited by 8 publications

References 33 publications

Association of Anorexia Nervosa With Risk of Cancer

Association of Anorexia Nervosa With Risk of Cancer

Eating disorders and the risk of developing cancer: a systematic review

Eating disorders and the risk of esophageal and stomach cancers‐A nationwide, population‐based cohort study in Taiwan

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