<?xml version="1.0" encoding="UTF-8"?><?xml-stylesheet type="text/xsl" href="static/style.xsl"?><OAI-PMH xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/ http://www.openarchives.org/OAI/2.0/OAI-PMH.xsd"><responseDate>2026-06-14T03:42:01Z</responseDate><request verb="GetRecord" identifier="oai:repisalud.isciii.es:20.500.12105/14335" metadataPrefix="marc">https://repisalud.isciii.es/rest/oai/request</request><GetRecord><record><header><identifier>oai:repisalud.isciii.es:20.500.12105/14335</identifier><datestamp>2025-05-05T13:32:14Z</datestamp><setSpec>com_20.500.12105_2052</setSpec><setSpec>com_20.500.12105_2051</setSpec><setSpec>col_20.500.12105_19608</setSpec><setSpec>col_20.500.12105_19613</setSpec></header><metadata><record xmlns="http://www.loc.gov/MARC21/slim" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:doc="http://www.lyncode.com/xoai" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.loc.gov/MARC21/slim http://www.loc.gov/standards/marcxml/schema/MARC21slim.xsd">
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      <subfield code="a">Schwarz, Christine</subfield>
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      <subfield code="a">Pedraza-Flechas, Ana Maria</subfield>
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      <subfield code="a">Pastor-Barriuso, Roberto</subfield>
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      <subfield code="a">Lope Carvajal, Virginia</subfield>
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      <subfield code="a">Fernandez de Larrea-Baz, Nerea</subfield>
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      <subfield code="a">Jimenez-Moleon, Jose J.</subfield>
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      <subfield code="a">Pollan-Santamaria, Marina</subfield>
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      <subfield code="a">Perez-Gomez, Beatriz</subfield>
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      <subfield code="c">2021-11</subfield>
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      <subfield code="a">This systematic review discusses long-term NSW and female BC risk, with special attention to differences between pre- and postmenopausal BC, to test the association with recent NSW. The review follows PRISMA guidelines (Prospero registry: CRD42018102515). We searched PubMed, Embase, and WOS for case-control, nested case-control, and cohort studies addressing long-term NSW (≥15 years) as risk exposure and female BC as outcome until 31 December 2020. Risk of bias was evaluated with the Newcastle-Ottawa scale. Eighteen studies were finally included (eight cohorts; five nested case-control; five case-control). We performed meta-analyses on long-term NSW and BC risk; overall and by menopausal status; a subanalysis on recent long-term NSW, based on studies involving predominantly women below retirement age; and a dose-response meta-analysis on NSW duration. The pooled estimate for long-term NSW and BC was 1.13 (95%CI = 1.01-1.27; 18 studies, I2 = 56.8%, p = 0.002). BC risk increased 4.7% per 10 years of NSW (95%CI = 0.94-1.09; 16 studies, I2 = 33.4%, p = 0.008). The pooled estimate for premenopausal BC was 1.27 (95%CI = 0.96-1.68; six studies, I2 = 32.0%, p = 0.196) and for postmenopausal BC 1.05 (95%CI = 0.90-1.24,I2 = 52.4%; seven studies, p = 0.050). For recent long-term exposure, the pooled estimate was 1.23 (95%CI = 1.06-1.42; 15 studies; I2 = 48.4%, p = 0.018). Our results indicate that long-term NSW increases the risk for BC and that menopausal status and time since exposure might be relevant.</subfield>
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      <subfield code="a">Cancers (Basel). 2021 Nov 26;13(23):5952.</subfield>
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      <subfield code="a">10.3390/cancers13235952</subfield>
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      <subfield code="a">2072-6694</subfield>
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      <subfield code="a">Cancers</subfield>
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      <subfield code="a">34885062</subfield>
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      <subfield code="a">http://hdl.handle.net/20.500.12105/14335</subfield>
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      <subfield code="a">Breast cancer</subfield>
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      <subfield code="a">Menopausal status</subfield>
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      <subfield code="a">Meta-analysis</subfield>
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      <subfield code="a">Nightshift work</subfield>
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      <subfield code="a">Occupational exposure</subfield>
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      <subfield code="a">Recent exposure</subfield>
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      <subfield code="a">Retirement age</subfield>
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      <subfield code="a">Long-Term Nightshift Work and Breast Cancer Risk: An Updated Systematic Review and Meta-Analysis with Special Attention to Menopausal Status and to Recent Nightshift Work</subfield>
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