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                  <mods:namePart>Jimenez-Moleon, Jose J.</mods:namePart>
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                  <mods:namePart>Pollan-Santamaria, Marina</mods:namePart>
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                  <mods:namePart>Perez-Gomez, Beatriz</mods:namePart>
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               <mods:identifier type="citation">Cancers (Basel). 2021 Nov 26;13(23):5952.</mods:identifier>
               <mods:identifier type="doi">10.3390/cancers13235952</mods:identifier>
               <mods:identifier type="e-issn">2072-6694</mods:identifier>
               <mods:identifier type="journal">Cancers</mods:identifier>
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               <mods:identifier type="uri">http://hdl.handle.net/20.500.12105/14335</mods:identifier>
               <mods:abstract>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.</mods:abstract>
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                  <mods:languageTerm authority="rfc3066">eng</mods:languageTerm>
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               <mods:subject>
                  <mods:topic>Breast cancer</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Menopausal status</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Meta-analysis</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Nightshift work</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Occupational exposure</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Recent exposure</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Retirement age</mods:topic>
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                  <mods:title>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</mods:title>
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