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@ARTICLE{CastroEspin:265114,
      author       = {C. Castro-Espin and C. Bonet and M. Crous-Bou and V.
                      Katzke$^*$ and C. Le Cornet and F. Jannasch and M. B.
                      Schulze and A. Olsen and A. Tjønneland and C. C. Dahm and
                      C. S. Antoniussen and M. J. Sánchez and P. Amiano and M. D.
                      Chirlaque and M. Guevara and C. Agnoli and R. Tumino and C.
                      Sacerdote and M. S. De Magistris and M. Sund and S. Bodén
                      and T. E. Jensen and K. S. Olsen and G. Skeie and M. J.
                      Gunter and S. Rinaldi and E. M. Gonzalez-Gil and E.
                      Weiderpass and S. Christakoudi and A. K. Heath and L. Dossus
                      and A. Agudo},
      title        = {{D}ietary patterns related to biological mechanisms and
                      survival after breast cancer diagnosis: results from a
                      cohort study.},
      journal      = {British journal of cancer},
      volume       = {128},
      number       = {7},
      issn         = {0007-0920},
      address      = {Edinburgh},
      publisher    = {Nature Publ. Group},
      reportid     = {DKFZ-2023-00276},
      pages        = {1301-1310},
      year         = {2023},
      note         = {2023 Mar;128(7):1301-1310},
      abstract     = {Inflammatory, insulin and oestrogenic pathways have been
                      linked to breast cancer (BC). We aimed to examine the
                      relationship between pre-diagnostic dietary patterns related
                      to these mechanisms and BC survival.The diabetes risk
                      reduction diet (DRRD), inflammatory score of diet (ISD) and
                      oestrogen-related dietary pattern (ERDP) were calculated
                      using dietary data from the European Prospective
                      Investigation into Cancer and Nutrition (EPIC) study. Cox
                      proportional hazards models were used to assess associations
                      between dietary patterns and overall mortality and competing
                      risk models for associations with BC-specific mortality.We
                      included 13,270 BC cases with a mean follow-up after
                      diagnosis of 8.6 years, representing 2340 total deaths,
                      including 1475 BC deaths. Higher adherence to the DRRD score
                      was associated with lower overall mortality (HR1-SD 0.92;
                      $95\%CI$ 0.87-0.96). Greater adherence to pro-inflammatory
                      diets was borderline associated with $6\%$ higher mortality
                      HR1-SD 1.06; $95\%CI$ 1.00-1.12. No significant association
                      with the oestrogen-related dietary pattern was observed.
                      None of the dietary patterns were associated with
                      BC-specific mortality.Greater adherence to an anti-diabetic
                      and anti-inflammatory diet prior to diagnosis is associated
                      with lower overall mortality among BC survivors. Long-term
                      adherence to these dietary patterns could be a means to
                      improve the prognosis of BC survivors.},
      cin          = {C020},
      ddc          = {610},
      cid          = {I:(DE-He78)C020-20160331},
      pnm          = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
      pid          = {G:(DE-HGF)POF4-313},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:36737658},
      doi          = {10.1038/s41416-023-02169-2},
      url          = {https://inrepo02.dkfz.de/record/265114},
}