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Pre-diagnostic polyphenol intake and breast cancer survival: the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort.

Identifieur interne : 002714 ( PubMed/Corpus ); précédent : 002713; suivant : 002715

Pre-diagnostic polyphenol intake and breast cancer survival: the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort.

Auteurs : Cecilie Kyr ; Raul Zamora-Ros ; Augustin Scalbert ; Anne Tj Nneland ; Laure Dossus ; Christoffer Johansen ; Pernille Envold Bidstrup ; Elisabete Weiderpass ; Jane Christensen ; Heather Ward ; Dagfinn Aune ; Elio Riboli ; Mathilde His ; Françoise Clavel-Chapelon ; Laura Baglietto ; Verena Katzke ; Tilman Kühn ; Heiner Boeing ; Anna Floegel ; Kim Overvad ; Cristina Lasheras ; Noémie Travier ; Maria-José Sánchez ; Pilar Amiano ; Maria-Dolores Chirlaque ; Eva Ardanaz ; Kay-Tee Khaw ; Nick Wareham ; Aurora Perez-Cornago ; Antonia Trichopoulou ; Pagona Lagiou ; Effie Vasilopoulou ; Giovanna Masala ; Sara Grioni ; Franco Berrino ; Rosario Tumino ; Carlotta Sacerdote ; Amalia Mattiello ; H Bas Bueno-De-Mesquita ; Petra H. Peeters ; Carla Van Gils ; Signe Borgquist ; Salma Butt ; Anne Zeleniuch-Jacquotte ; Malin Sund ; Anette Hjart Ker ; Guri Skeie ; Anja Olsen ; Isabelle Romieu

Source :

RBID : pubmed:26531755

English descriptors

Abstract

The aim was to investigate the association between pre-diagnostic intakes of polyphenol classes (flavonoids, lignans, phenolic acids, stilbenes, and other polyphenols) in relation to breast cancer survival (all-cause and breast cancer-specific mortality). We used data from the European Prospective Investigation into Cancer and Nutrition cohort. Pre-diagnostic usual diet was assessed using dietary questionnaires, and polyphenol intakes were estimated using the Phenol-Explorer database. We followed 11,782 breast cancer cases from time of diagnosis until death, end of follow-up or last day of contact. During a median of 6 years, 1482 women died (753 of breast cancer). We related polyphenol intake to all-cause and breast cancer-specific mortality using Cox proportional hazard models with time since diagnosis as underlying time and strata for age and country. Among postmenopausal women, an intake of lignans in the highest versus lowest quartile was related to a 28 % lower risk of dying from breast (adjusted model: HR, quartile 4 vs. quartile 1, 0.72, 95 % CI 0.53; 0.98). In contrast, in premenopausal women, a positive association between lignan intake and all-cause mortality was found (adjusted model: HR, quartile 4 vs. quartile 1, 1.63, 95 % CI 1.03; 2.57). We found no association for other polyphenol classes. Intake of lignans before breast cancer diagnosis may be related to improved survival among postmenopausal women, but may on the contrary worsen the survival for premenopausal women. This suggests that the role of phytoestrogens in breast cancer survival is complex and may be dependent of menopausal status.

DOI: 10.1007/s10549-015-3595-9
PubMed: 26531755

Links to Exploration step

pubmed:26531755

Le document en format XML

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<name sortKey="Weiderpass, Elisabete" sort="Weiderpass, Elisabete" uniqKey="Weiderpass E" first="Elisabete" last="Weiderpass">Elisabete Weiderpass</name>
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<name sortKey="Christensen, Jane" sort="Christensen, Jane" uniqKey="Christensen J" first="Jane" last="Christensen">Jane Christensen</name>
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<name sortKey="Ward, Heather" sort="Ward, Heather" uniqKey="Ward H" first="Heather" last="Ward">Heather Ward</name>
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<nlm:affiliation>Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.</nlm:affiliation>
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<name sortKey="Aune, Dagfinn" sort="Aune, Dagfinn" uniqKey="Aune D" first="Dagfinn" last="Aune">Dagfinn Aune</name>
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<name sortKey="Riboli, Elio" sort="Riboli, Elio" uniqKey="Riboli E" first="Elio" last="Riboli">Elio Riboli</name>
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<name sortKey="His, Mathilde" sort="His, Mathilde" uniqKey="His M" first="Mathilde" last="His">Mathilde His</name>
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<name sortKey="Clavel Chapelon, Francoise" sort="Clavel Chapelon, Francoise" uniqKey="Clavel Chapelon F" first="Françoise" last="Clavel-Chapelon">Françoise Clavel-Chapelon</name>
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<nlm:affiliation>Inserm, CESP Centre for Research in Epidemiology and Population Health, Villejuif, France.</nlm:affiliation>
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<name sortKey="Baglietto, Laura" sort="Baglietto, Laura" uniqKey="Baglietto L" first="Laura" last="Baglietto">Laura Baglietto</name>
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<nlm:affiliation>Inserm, CESP Centre for Research in Epidemiology and Population Health, Villejuif, France.</nlm:affiliation>
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<name sortKey="Katzke, Verena" sort="Katzke, Verena" uniqKey="Katzke V" first="Verena" last="Katzke">Verena Katzke</name>
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<nlm:affiliation>Division of Cancer Epidemiology, German Cancer Research Center, DKFZ, Heidelberg, Germany.</nlm:affiliation>
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<name sortKey="Kuhn, Tilman" sort="Kuhn, Tilman" uniqKey="Kuhn T" first="Tilman" last="Kühn">Tilman Kühn</name>
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<nlm:affiliation>Division of Cancer Epidemiology, German Cancer Research Center, DKFZ, Heidelberg, Germany.</nlm:affiliation>
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<name sortKey="Boeing, Heiner" sort="Boeing, Heiner" uniqKey="Boeing H" first="Heiner" last="Boeing">Heiner Boeing</name>
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<nlm:affiliation>Department of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany.</nlm:affiliation>
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<name sortKey="Floegel, Anna" sort="Floegel, Anna" uniqKey="Floegel A" first="Anna" last="Floegel">Anna Floegel</name>
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<nlm:affiliation>Department of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany.</nlm:affiliation>
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<name sortKey="Overvad, Kim" sort="Overvad, Kim" uniqKey="Overvad K" first="Kim" last="Overvad">Kim Overvad</name>
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<nlm:affiliation>Section for Epidemiology, Department of Public Health, Aarhus University, Aarhus, Denmark.</nlm:affiliation>
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<name sortKey="Lasheras, Cristina" sort="Lasheras, Cristina" uniqKey="Lasheras C" first="Cristina" last="Lasheras">Cristina Lasheras</name>
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<nlm:affiliation>Department of Functional Biology, Faculty of Medicine, University of Oviedo, Asturias, Spain.</nlm:affiliation>
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<name sortKey="Travier, Noemie" sort="Travier, Noemie" uniqKey="Travier N" first="Noémie" last="Travier">Noémie Travier</name>
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<nlm:affiliation>Unit of Nutrition and Cancer, Catalan Institute of Oncology (ICO-IDIBELL), Barcelona, Spain.</nlm:affiliation>
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<name sortKey="Sanchez, Maria Jose" sort="Sanchez, Maria Jose" uniqKey="Sanchez M" first="Maria-José" last="Sánchez">Maria-José Sánchez</name>
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<nlm:affiliation>Escuela Andaluza de Salud Pública, Instituto de Investigación Biosanitaria ibs.GRANADA, Hospitales Universitarios de Granada/Universidad de Granada, Granada, Spain.</nlm:affiliation>
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<name sortKey="Amiano, Pilar" sort="Amiano, Pilar" uniqKey="Amiano P" first="Pilar" last="Amiano">Pilar Amiano</name>
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<nlm:affiliation>CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</nlm:affiliation>
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<name sortKey="Chirlaque, Maria Dolores" sort="Chirlaque, Maria Dolores" uniqKey="Chirlaque M" first="Maria-Dolores" last="Chirlaque">Maria-Dolores Chirlaque</name>
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<nlm:affiliation>CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</nlm:affiliation>
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<name sortKey="Ardanaz, Eva" sort="Ardanaz, Eva" uniqKey="Ardanaz E" first="Eva" last="Ardanaz">Eva Ardanaz</name>
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<nlm:affiliation>CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</nlm:affiliation>
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<name sortKey="Khaw, Kay Tee" sort="Khaw, Kay Tee" uniqKey="Khaw K" first="Kay-Tee" last="Khaw">Kay-Tee Khaw</name>
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<nlm:affiliation>Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.</nlm:affiliation>
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<name sortKey="Wareham, Nick" sort="Wareham, Nick" uniqKey="Wareham N" first="Nick" last="Wareham">Nick Wareham</name>
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<nlm:affiliation>MRC Epidemiology Unit, University of Cambridge, Cambridge, UK.</nlm:affiliation>
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<name sortKey="Perez Cornago, Aurora" sort="Perez Cornago, Aurora" uniqKey="Perez Cornago A" first="Aurora" last="Perez-Cornago">Aurora Perez-Cornago</name>
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<nlm:affiliation>Cancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.</nlm:affiliation>
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<name sortKey="Trichopoulou, Antonia" sort="Trichopoulou, Antonia" uniqKey="Trichopoulou A" first="Antonia" last="Trichopoulou">Antonia Trichopoulou</name>
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<nlm:affiliation>Hellenic Health Foundation, Athens, Greece.</nlm:affiliation>
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<name sortKey="Lagiou, Pagona" sort="Lagiou, Pagona" uniqKey="Lagiou P" first="Pagona" last="Lagiou">Pagona Lagiou</name>
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<nlm:affiliation>Hellenic Health Foundation, Athens, Greece.</nlm:affiliation>
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<name sortKey="Vasilopoulou, Effie" sort="Vasilopoulou, Effie" uniqKey="Vasilopoulou E" first="Effie" last="Vasilopoulou">Effie Vasilopoulou</name>
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<nlm:affiliation>Hellenic Health Foundation, Athens, Greece.</nlm:affiliation>
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<name sortKey="Masala, Giovanna" sort="Masala, Giovanna" uniqKey="Masala G" first="Giovanna" last="Masala">Giovanna Masala</name>
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<nlm:affiliation>Molecular and Nutritional Epidemiology Unit, Cancer Research and Prevention Institute - ISPO, Florence, Italy.</nlm:affiliation>
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<name sortKey="Grioni, Sara" sort="Grioni, Sara" uniqKey="Grioni S" first="Sara" last="Grioni">Sara Grioni</name>
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<nlm:affiliation>Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.</nlm:affiliation>
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<name sortKey="Berrino, Franco" sort="Berrino, Franco" uniqKey="Berrino F" first="Franco" last="Berrino">Franco Berrino</name>
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<nlm:affiliation>Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Tumino, Rosario" sort="Tumino, Rosario" uniqKey="Tumino R" first="Rosario" last="Tumino">Rosario Tumino</name>
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<nlm:affiliation>Cancer Registry and Histopathology Unit, "Civile-M.P. Arezzo" Hospital, ASP, Ragusa, Italy.</nlm:affiliation>
</affiliation>
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<name sortKey="Sacerdote, Carlotta" sort="Sacerdote, Carlotta" uniqKey="Sacerdote C" first="Carlotta" last="Sacerdote">Carlotta Sacerdote</name>
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<nlm:affiliation>Cancer Epidemiology Unit, San Giovanni Battista Hospital, CPO Piemonte and University of Turin, Turin, Italy.</nlm:affiliation>
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<author>
<name sortKey="Mattiello, Amalia" sort="Mattiello, Amalia" uniqKey="Mattiello A" first="Amalia" last="Mattiello">Amalia Mattiello</name>
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<nlm:affiliation>Dipartimento di Medicina Clinica e Chirurgia, Federico II University, Naples, Italy.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Bueno De Mesquita, H Bas" sort="Bueno De Mesquita, H Bas" uniqKey="Bueno De Mesquita H" first="H Bas" last="Bueno-De-Mesquita">H Bas Bueno-De-Mesquita</name>
<affiliation>
<nlm:affiliation>Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Peeters, Petra H" sort="Peeters, Petra H" uniqKey="Peeters P" first="Petra H" last="Peeters">Petra H. Peeters</name>
<affiliation>
<nlm:affiliation>Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Van Gils, Carla" sort="Van Gils, Carla" uniqKey="Van Gils C" first="Carla" last="Van Gils">Carla Van Gils</name>
<affiliation>
<nlm:affiliation>Department of Epidemiology, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands.</nlm:affiliation>
</affiliation>
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<author>
<name sortKey="Borgquist, Signe" sort="Borgquist, Signe" uniqKey="Borgquist S" first="Signe" last="Borgquist">Signe Borgquist</name>
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<nlm:affiliation>Division of Oncology and Pathology, Department of Clinical Sciences, Lund University, Lund, Sweden.</nlm:affiliation>
</affiliation>
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<name sortKey="Butt, Salma" sort="Butt, Salma" uniqKey="Butt S" first="Salma" last="Butt">Salma Butt</name>
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<nlm:affiliation>Department of Surgery, Clinical Sciences, Skåne University Hospital, Lund University, Malmö, Sweden.</nlm:affiliation>
</affiliation>
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<name sortKey="Zeleniuch Jacquotte, Anne" sort="Zeleniuch Jacquotte, Anne" uniqKey="Zeleniuch Jacquotte A" first="Anne" last="Zeleniuch-Jacquotte">Anne Zeleniuch-Jacquotte</name>
<affiliation>
<nlm:affiliation>Department of Population Health, NYU School of Medicine, New York, NY, USA.</nlm:affiliation>
</affiliation>
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<name sortKey="Sund, Malin" sort="Sund, Malin" uniqKey="Sund M" first="Malin" last="Sund">Malin Sund</name>
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<nlm:affiliation>Department of Surgical and Perioperative Sciences, Umeå University, Umeå, Sweden.</nlm:affiliation>
</affiliation>
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<author>
<name sortKey="Hjart Ker, Anette" sort="Hjart Ker, Anette" uniqKey="Hjart Ker A" first="Anette" last="Hjart Ker">Anette Hjart Ker</name>
<affiliation>
<nlm:affiliation>Department of Nutrition, Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway.</nlm:affiliation>
</affiliation>
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<author>
<name sortKey="Skeie, Guri" sort="Skeie, Guri" uniqKey="Skeie G" first="Guri" last="Skeie">Guri Skeie</name>
<affiliation>
<nlm:affiliation>Department of Community Medicine, Faculty of Health Sciences, University of Tromsø, The Arctic University of Norway, Tromsø, Norway.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Olsen, Anja" sort="Olsen, Anja" uniqKey="Olsen A" first="Anja" last="Olsen">Anja Olsen</name>
<affiliation>
<nlm:affiliation>Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen, Denmark.</nlm:affiliation>
</affiliation>
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<author>
<name sortKey="Romieu, Isabelle" sort="Romieu, Isabelle" uniqKey="Romieu I" first="Isabelle" last="Romieu">Isabelle Romieu</name>
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<nlm:affiliation>International Agency for Research on Cancer (WHO-IARC), Lyon, France.</nlm:affiliation>
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<title xml:lang="en">Pre-diagnostic polyphenol intake and breast cancer survival: the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort.</title>
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<name sortKey="Kyr, Cecilie" sort="Kyr, Cecilie" uniqKey="Kyr C" first="Cecilie" last="Kyr">Cecilie Kyr</name>
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<nlm:affiliation>Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen, Denmark. ceciliek@cancer.dk.</nlm:affiliation>
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<name sortKey="Zamora Ros, Raul" sort="Zamora Ros, Raul" uniqKey="Zamora Ros R" first="Raul" last="Zamora-Ros">Raul Zamora-Ros</name>
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<nlm:affiliation>International Agency for Research on Cancer (WHO-IARC), Lyon, France.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Scalbert, Augustin" sort="Scalbert, Augustin" uniqKey="Scalbert A" first="Augustin" last="Scalbert">Augustin Scalbert</name>
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<nlm:affiliation>International Agency for Research on Cancer (WHO-IARC), Lyon, France.</nlm:affiliation>
</affiliation>
</author>
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<name sortKey="Tj Nneland, Anne" sort="Tj Nneland, Anne" uniqKey="Tj Nneland A" first="Anne" last="Tj Nneland">Anne Tj Nneland</name>
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<nlm:affiliation>Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen, Denmark.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Dossus, Laure" sort="Dossus, Laure" uniqKey="Dossus L" first="Laure" last="Dossus">Laure Dossus</name>
<affiliation>
<nlm:affiliation>Inserm, CESP Centre for Research in Epidemiology and Population Health, Villejuif, France.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Johansen, Christoffer" sort="Johansen, Christoffer" uniqKey="Johansen C" first="Christoffer" last="Johansen">Christoffer Johansen</name>
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<nlm:affiliation>Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen, Denmark.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Bidstrup, Pernille Envold" sort="Bidstrup, Pernille Envold" uniqKey="Bidstrup P" first="Pernille Envold" last="Bidstrup">Pernille Envold Bidstrup</name>
<affiliation>
<nlm:affiliation>Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen, Denmark.</nlm:affiliation>
</affiliation>
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<name sortKey="Weiderpass, Elisabete" sort="Weiderpass, Elisabete" uniqKey="Weiderpass E" first="Elisabete" last="Weiderpass">Elisabete Weiderpass</name>
<affiliation>
<nlm:affiliation>Department of Community Medicine, Faculty of Health Sciences, University of Tromsø, The Arctic University of Norway, Tromsø, Norway.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Christensen, Jane" sort="Christensen, Jane" uniqKey="Christensen J" first="Jane" last="Christensen">Jane Christensen</name>
<affiliation>
<nlm:affiliation>Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen, Denmark.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Ward, Heather" sort="Ward, Heather" uniqKey="Ward H" first="Heather" last="Ward">Heather Ward</name>
<affiliation>
<nlm:affiliation>Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Aune, Dagfinn" sort="Aune, Dagfinn" uniqKey="Aune D" first="Dagfinn" last="Aune">Dagfinn Aune</name>
<affiliation>
<nlm:affiliation>Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Riboli, Elio" sort="Riboli, Elio" uniqKey="Riboli E" first="Elio" last="Riboli">Elio Riboli</name>
<affiliation>
<nlm:affiliation>Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="His, Mathilde" sort="His, Mathilde" uniqKey="His M" first="Mathilde" last="His">Mathilde His</name>
<affiliation>
<nlm:affiliation>Inserm, CESP Centre for Research in Epidemiology and Population Health, Villejuif, France.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Clavel Chapelon, Francoise" sort="Clavel Chapelon, Francoise" uniqKey="Clavel Chapelon F" first="Françoise" last="Clavel-Chapelon">Françoise Clavel-Chapelon</name>
<affiliation>
<nlm:affiliation>Inserm, CESP Centre for Research in Epidemiology and Population Health, Villejuif, France.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Baglietto, Laura" sort="Baglietto, Laura" uniqKey="Baglietto L" first="Laura" last="Baglietto">Laura Baglietto</name>
<affiliation>
<nlm:affiliation>Inserm, CESP Centre for Research in Epidemiology and Population Health, Villejuif, France.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Katzke, Verena" sort="Katzke, Verena" uniqKey="Katzke V" first="Verena" last="Katzke">Verena Katzke</name>
<affiliation>
<nlm:affiliation>Division of Cancer Epidemiology, German Cancer Research Center, DKFZ, Heidelberg, Germany.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Kuhn, Tilman" sort="Kuhn, Tilman" uniqKey="Kuhn T" first="Tilman" last="Kühn">Tilman Kühn</name>
<affiliation>
<nlm:affiliation>Division of Cancer Epidemiology, German Cancer Research Center, DKFZ, Heidelberg, Germany.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Boeing, Heiner" sort="Boeing, Heiner" uniqKey="Boeing H" first="Heiner" last="Boeing">Heiner Boeing</name>
<affiliation>
<nlm:affiliation>Department of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Floegel, Anna" sort="Floegel, Anna" uniqKey="Floegel A" first="Anna" last="Floegel">Anna Floegel</name>
<affiliation>
<nlm:affiliation>Department of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Overvad, Kim" sort="Overvad, Kim" uniqKey="Overvad K" first="Kim" last="Overvad">Kim Overvad</name>
<affiliation>
<nlm:affiliation>Section for Epidemiology, Department of Public Health, Aarhus University, Aarhus, Denmark.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Lasheras, Cristina" sort="Lasheras, Cristina" uniqKey="Lasheras C" first="Cristina" last="Lasheras">Cristina Lasheras</name>
<affiliation>
<nlm:affiliation>Department of Functional Biology, Faculty of Medicine, University of Oviedo, Asturias, Spain.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Travier, Noemie" sort="Travier, Noemie" uniqKey="Travier N" first="Noémie" last="Travier">Noémie Travier</name>
<affiliation>
<nlm:affiliation>Unit of Nutrition and Cancer, Catalan Institute of Oncology (ICO-IDIBELL), Barcelona, Spain.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Sanchez, Maria Jose" sort="Sanchez, Maria Jose" uniqKey="Sanchez M" first="Maria-José" last="Sánchez">Maria-José Sánchez</name>
<affiliation>
<nlm:affiliation>Escuela Andaluza de Salud Pública, Instituto de Investigación Biosanitaria ibs.GRANADA, Hospitales Universitarios de Granada/Universidad de Granada, Granada, Spain.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Amiano, Pilar" sort="Amiano, Pilar" uniqKey="Amiano P" first="Pilar" last="Amiano">Pilar Amiano</name>
<affiliation>
<nlm:affiliation>CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Chirlaque, Maria Dolores" sort="Chirlaque, Maria Dolores" uniqKey="Chirlaque M" first="Maria-Dolores" last="Chirlaque">Maria-Dolores Chirlaque</name>
<affiliation>
<nlm:affiliation>CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Ardanaz, Eva" sort="Ardanaz, Eva" uniqKey="Ardanaz E" first="Eva" last="Ardanaz">Eva Ardanaz</name>
<affiliation>
<nlm:affiliation>CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Khaw, Kay Tee" sort="Khaw, Kay Tee" uniqKey="Khaw K" first="Kay-Tee" last="Khaw">Kay-Tee Khaw</name>
<affiliation>
<nlm:affiliation>Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Wareham, Nick" sort="Wareham, Nick" uniqKey="Wareham N" first="Nick" last="Wareham">Nick Wareham</name>
<affiliation>
<nlm:affiliation>MRC Epidemiology Unit, University of Cambridge, Cambridge, UK.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Perez Cornago, Aurora" sort="Perez Cornago, Aurora" uniqKey="Perez Cornago A" first="Aurora" last="Perez-Cornago">Aurora Perez-Cornago</name>
<affiliation>
<nlm:affiliation>Cancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Trichopoulou, Antonia" sort="Trichopoulou, Antonia" uniqKey="Trichopoulou A" first="Antonia" last="Trichopoulou">Antonia Trichopoulou</name>
<affiliation>
<nlm:affiliation>Hellenic Health Foundation, Athens, Greece.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Lagiou, Pagona" sort="Lagiou, Pagona" uniqKey="Lagiou P" first="Pagona" last="Lagiou">Pagona Lagiou</name>
<affiliation>
<nlm:affiliation>Hellenic Health Foundation, Athens, Greece.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Vasilopoulou, Effie" sort="Vasilopoulou, Effie" uniqKey="Vasilopoulou E" first="Effie" last="Vasilopoulou">Effie Vasilopoulou</name>
<affiliation>
<nlm:affiliation>Hellenic Health Foundation, Athens, Greece.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Masala, Giovanna" sort="Masala, Giovanna" uniqKey="Masala G" first="Giovanna" last="Masala">Giovanna Masala</name>
<affiliation>
<nlm:affiliation>Molecular and Nutritional Epidemiology Unit, Cancer Research and Prevention Institute - ISPO, Florence, Italy.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Grioni, Sara" sort="Grioni, Sara" uniqKey="Grioni S" first="Sara" last="Grioni">Sara Grioni</name>
<affiliation>
<nlm:affiliation>Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Berrino, Franco" sort="Berrino, Franco" uniqKey="Berrino F" first="Franco" last="Berrino">Franco Berrino</name>
<affiliation>
<nlm:affiliation>Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Tumino, Rosario" sort="Tumino, Rosario" uniqKey="Tumino R" first="Rosario" last="Tumino">Rosario Tumino</name>
<affiliation>
<nlm:affiliation>Cancer Registry and Histopathology Unit, "Civile-M.P. Arezzo" Hospital, ASP, Ragusa, Italy.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Sacerdote, Carlotta" sort="Sacerdote, Carlotta" uniqKey="Sacerdote C" first="Carlotta" last="Sacerdote">Carlotta Sacerdote</name>
<affiliation>
<nlm:affiliation>Cancer Epidemiology Unit, San Giovanni Battista Hospital, CPO Piemonte and University of Turin, Turin, Italy.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Mattiello, Amalia" sort="Mattiello, Amalia" uniqKey="Mattiello A" first="Amalia" last="Mattiello">Amalia Mattiello</name>
<affiliation>
<nlm:affiliation>Dipartimento di Medicina Clinica e Chirurgia, Federico II University, Naples, Italy.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Bueno De Mesquita, H Bas" sort="Bueno De Mesquita, H Bas" uniqKey="Bueno De Mesquita H" first="H Bas" last="Bueno-De-Mesquita">H Bas Bueno-De-Mesquita</name>
<affiliation>
<nlm:affiliation>Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Peeters, Petra H" sort="Peeters, Petra H" uniqKey="Peeters P" first="Petra H" last="Peeters">Petra H. Peeters</name>
<affiliation>
<nlm:affiliation>Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Van Gils, Carla" sort="Van Gils, Carla" uniqKey="Van Gils C" first="Carla" last="Van Gils">Carla Van Gils</name>
<affiliation>
<nlm:affiliation>Department of Epidemiology, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Borgquist, Signe" sort="Borgquist, Signe" uniqKey="Borgquist S" first="Signe" last="Borgquist">Signe Borgquist</name>
<affiliation>
<nlm:affiliation>Division of Oncology and Pathology, Department of Clinical Sciences, Lund University, Lund, Sweden.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Butt, Salma" sort="Butt, Salma" uniqKey="Butt S" first="Salma" last="Butt">Salma Butt</name>
<affiliation>
<nlm:affiliation>Department of Surgery, Clinical Sciences, Skåne University Hospital, Lund University, Malmö, Sweden.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Zeleniuch Jacquotte, Anne" sort="Zeleniuch Jacquotte, Anne" uniqKey="Zeleniuch Jacquotte A" first="Anne" last="Zeleniuch-Jacquotte">Anne Zeleniuch-Jacquotte</name>
<affiliation>
<nlm:affiliation>Department of Population Health, NYU School of Medicine, New York, NY, USA.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Sund, Malin" sort="Sund, Malin" uniqKey="Sund M" first="Malin" last="Sund">Malin Sund</name>
<affiliation>
<nlm:affiliation>Department of Surgical and Perioperative Sciences, Umeå University, Umeå, Sweden.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Hjart Ker, Anette" sort="Hjart Ker, Anette" uniqKey="Hjart Ker A" first="Anette" last="Hjart Ker">Anette Hjart Ker</name>
<affiliation>
<nlm:affiliation>Department of Nutrition, Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Skeie, Guri" sort="Skeie, Guri" uniqKey="Skeie G" first="Guri" last="Skeie">Guri Skeie</name>
<affiliation>
<nlm:affiliation>Department of Community Medicine, Faculty of Health Sciences, University of Tromsø, The Arctic University of Norway, Tromsø, Norway.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Olsen, Anja" sort="Olsen, Anja" uniqKey="Olsen A" first="Anja" last="Olsen">Anja Olsen</name>
<affiliation>
<nlm:affiliation>Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen, Denmark.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Romieu, Isabelle" sort="Romieu, Isabelle" uniqKey="Romieu I" first="Isabelle" last="Romieu">Isabelle Romieu</name>
<affiliation>
<nlm:affiliation>International Agency for Research on Cancer (WHO-IARC), Lyon, France.</nlm:affiliation>
</affiliation>
</author>
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<series>
<title level="j">Breast cancer research and treatment</title>
<idno type="eISSN">1573-7217</idno>
<imprint>
<date when="2015" type="published">2015</date>
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<term>Adult</term>
<term>Aged</term>
<term>Biomarkers, Tumor</term>
<term>Breast Neoplasms (diagnosis)</term>
<term>Breast Neoplasms (epidemiology)</term>
<term>Breast Neoplasms (etiology)</term>
<term>Breast Neoplasms (mortality)</term>
<term>Diet</term>
<term>Dietary Supplements</term>
<term>Europe (epidemiology)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Health Surveys</term>
<term>Humans</term>
<term>Life Style</term>
<term>Middle Aged</term>
<term>Mortality</term>
<term>Neoplasm Grading</term>
<term>Neoplasm Staging</term>
<term>Nutrition Surveys</term>
<term>Polyphenols (administration & dosage)</term>
<term>Proportional Hazards Models</term>
<term>Risk Factors</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en">
<term>Polyphenols</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Biomarkers, Tumor</term>
</keywords>
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<term>Europe</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Breast Neoplasms</term>
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<term>Breast Neoplasms</term>
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<term>Adult</term>
<term>Aged</term>
<term>Diet</term>
<term>Dietary Supplements</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Health Surveys</term>
<term>Humans</term>
<term>Life Style</term>
<term>Middle Aged</term>
<term>Mortality</term>
<term>Neoplasm Grading</term>
<term>Neoplasm Staging</term>
<term>Nutrition Surveys</term>
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<front>
<div type="abstract" xml:lang="en">The aim was to investigate the association between pre-diagnostic intakes of polyphenol classes (flavonoids, lignans, phenolic acids, stilbenes, and other polyphenols) in relation to breast cancer survival (all-cause and breast cancer-specific mortality). We used data from the European Prospective Investigation into Cancer and Nutrition cohort. Pre-diagnostic usual diet was assessed using dietary questionnaires, and polyphenol intakes were estimated using the Phenol-Explorer database. We followed 11,782 breast cancer cases from time of diagnosis until death, end of follow-up or last day of contact. During a median of 6 years, 1482 women died (753 of breast cancer). We related polyphenol intake to all-cause and breast cancer-specific mortality using Cox proportional hazard models with time since diagnosis as underlying time and strata for age and country. Among postmenopausal women, an intake of lignans in the highest versus lowest quartile was related to a 28 % lower risk of dying from breast (adjusted model: HR, quartile 4 vs. quartile 1, 0.72, 95 % CI 0.53; 0.98). In contrast, in premenopausal women, a positive association between lignan intake and all-cause mortality was found (adjusted model: HR, quartile 4 vs. quartile 1, 1.63, 95 % CI 1.03; 2.57). We found no association for other polyphenol classes. Intake of lignans before breast cancer diagnosis may be related to improved survival among postmenopausal women, but may on the contrary worsen the survival for premenopausal women. This suggests that the role of phytoestrogens in breast cancer survival is complex and may be dependent of menopausal status.</div>
</front>
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<PMID Version="1">26531755</PMID>
<DateCreated>
<Year>2015</Year>
<Month>11</Month>
<Day>20</Day>
</DateCreated>
<DateCompleted>
<Year>2016</Year>
<Month>09</Month>
<Day>09</Day>
</DateCompleted>
<DateRevised>
<Year>2017</Year>
<Month>11</Month>
<Day>10</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1573-7217</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>154</Volume>
<Issue>2</Issue>
<PubDate>
<Year>2015</Year>
<Month>Nov</Month>
</PubDate>
</JournalIssue>
<Title>Breast cancer research and treatment</Title>
<ISOAbbreviation>Breast Cancer Res. Treat.</ISOAbbreviation>
</Journal>
<ArticleTitle>Pre-diagnostic polyphenol intake and breast cancer survival: the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort.</ArticleTitle>
<Pagination>
<MedlinePgn>389-401</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1007/s10549-015-3595-9</ELocationID>
<Abstract>
<AbstractText>The aim was to investigate the association between pre-diagnostic intakes of polyphenol classes (flavonoids, lignans, phenolic acids, stilbenes, and other polyphenols) in relation to breast cancer survival (all-cause and breast cancer-specific mortality). We used data from the European Prospective Investigation into Cancer and Nutrition cohort. Pre-diagnostic usual diet was assessed using dietary questionnaires, and polyphenol intakes were estimated using the Phenol-Explorer database. We followed 11,782 breast cancer cases from time of diagnosis until death, end of follow-up or last day of contact. During a median of 6 years, 1482 women died (753 of breast cancer). We related polyphenol intake to all-cause and breast cancer-specific mortality using Cox proportional hazard models with time since diagnosis as underlying time and strata for age and country. Among postmenopausal women, an intake of lignans in the highest versus lowest quartile was related to a 28 % lower risk of dying from breast (adjusted model: HR, quartile 4 vs. quartile 1, 0.72, 95 % CI 0.53; 0.98). In contrast, in premenopausal women, a positive association between lignan intake and all-cause mortality was found (adjusted model: HR, quartile 4 vs. quartile 1, 1.63, 95 % CI 1.03; 2.57). We found no association for other polyphenol classes. Intake of lignans before breast cancer diagnosis may be related to improved survival among postmenopausal women, but may on the contrary worsen the survival for premenopausal women. This suggests that the role of phytoestrogens in breast cancer survival is complex and may be dependent of menopausal status.</AbstractText>
</Abstract>
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<Author ValidYN="Y">
<LastName>Kyrø</LastName>
<ForeName>Cecilie</ForeName>
<Initials>C</Initials>
<AffiliationInfo>
<Affiliation>Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen, Denmark. ceciliek@cancer.dk.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>International Agency for Research on Cancer (WHO-IARC), Lyon, France. ceciliek@cancer.dk.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Zamora-Ros</LastName>
<ForeName>Raul</ForeName>
<Initials>R</Initials>
<AffiliationInfo>
<Affiliation>International Agency for Research on Cancer (WHO-IARC), Lyon, France.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Scalbert</LastName>
<ForeName>Augustin</ForeName>
<Initials>A</Initials>
<AffiliationInfo>
<Affiliation>International Agency for Research on Cancer (WHO-IARC), Lyon, France.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Tjønneland</LastName>
<ForeName>Anne</ForeName>
<Initials>A</Initials>
<AffiliationInfo>
<Affiliation>Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen, Denmark.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Dossus</LastName>
<ForeName>Laure</ForeName>
<Initials>L</Initials>
<AffiliationInfo>
<Affiliation>Inserm, CESP Centre for Research in Epidemiology and Population Health, Villejuif, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Université Paris-Sud, Villejuif, France.</Affiliation>
</AffiliationInfo>
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<LastName>Johansen</LastName>
<ForeName>Christoffer</ForeName>
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<AffiliationInfo>
<Affiliation>Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen, Denmark.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>5073, Oncology Clinic, Finsen Centre, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.</Affiliation>
</AffiliationInfo>
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<LastName>Bidstrup</LastName>
<ForeName>Pernille Envold</ForeName>
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</AffiliationInfo>
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<LastName>Weiderpass</LastName>
<ForeName>Elisabete</ForeName>
<Initials>E</Initials>
<AffiliationInfo>
<Affiliation>Department of Community Medicine, Faculty of Health Sciences, University of Tromsø, The Arctic University of Norway, Tromsø, Norway.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Research, Cancer Registry of Norway, Institute of Population Based Cancer Research, Oslo, Norway.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Genetic Epidemiology Group, Folkhälsan Research Center, Samfundet Folkhälsan, Helsinki, Finland.</Affiliation>
</AffiliationInfo>
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<LastName>Christensen</LastName>
<ForeName>Jane</ForeName>
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</AffiliationInfo>
</Author>
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<LastName>Ward</LastName>
<ForeName>Heather</ForeName>
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<AffiliationInfo>
<Affiliation>Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.</Affiliation>
</AffiliationInfo>
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<LastName>Aune</LastName>
<ForeName>Dagfinn</ForeName>
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<Affiliation>Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.</Affiliation>
</AffiliationInfo>
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<LastName>Riboli</LastName>
<ForeName>Elio</ForeName>
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<AffiliationInfo>
<Affiliation>Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.</Affiliation>
</AffiliationInfo>
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<LastName>His</LastName>
<ForeName>Mathilde</ForeName>
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<AffiliationInfo>
<Affiliation>Inserm, CESP Centre for Research in Epidemiology and Population Health, Villejuif, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Université Paris-Sud, Villejuif, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Gustave Roussy, Villejuif, France.</Affiliation>
</AffiliationInfo>
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<LastName>Clavel-Chapelon</LastName>
<ForeName>Françoise</ForeName>
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<Affiliation>Inserm, CESP Centre for Research in Epidemiology and Population Health, Villejuif, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Université Paris-Sud, Villejuif, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Gustave Roussy, Villejuif, France.</Affiliation>
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<LastName>Baglietto</LastName>
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<Affiliation>Inserm, CESP Centre for Research in Epidemiology and Population Health, Villejuif, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Université Paris-Sud, Villejuif, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Gustave Roussy, Villejuif, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Cancer Epidemiology Centre, Cancer Council of Victoria, Melbourne, VIC, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Centre for Epidemiology and Biostatistics, School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Katzke</LastName>
<ForeName>Verena</ForeName>
<Initials>V</Initials>
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<Affiliation>Division of Cancer Epidemiology, German Cancer Research Center, DKFZ, Heidelberg, Germany.</Affiliation>
</AffiliationInfo>
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<LastName>Kühn</LastName>
<ForeName>Tilman</ForeName>
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<AffiliationInfo>
<Affiliation>Division of Cancer Epidemiology, German Cancer Research Center, DKFZ, Heidelberg, Germany.</Affiliation>
</AffiliationInfo>
</Author>
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