Table 1 Study characteristics.

From: Risk of developing a second primary cancer in male breast cancer survivors: a systematic review and meta-analysis

Author and publication year

Period of first BC dxa for cohort/end of follow-up (if different)

Study design

Country and centre of data derivation

Definition of cohort

Definition of SPCsb

AIRTUM Working Group, 2013 [6]

Dx 1976–2010

Retrospective cohort

Italy (multiple cancer registries covering up to 48% of the population)

All patients dx with a first cancer, although melanoma skin cancer cases, cases based on death certificate only, cases based on autopsy only, and cases with follow-up time equal to zero were excluded. Cohort was stratified by first cancer site, allowing analysis for first BC.

According to IARC/IACRc rules

Chen, 2015 [3]

Dx 1997–2010

Retrospective cohort

Sweden (FCDd) and Germany (12 German cancer registries covering 33% of the population)

Patients aged 15 ye or over at dx of a first primary malignant tumour. Patients with only death certificate/autopsy information were excluded. Cohort was stratified by first cancer site, allowing analysis for first BC.

Germany: According to IARC/IACR rules, not including non-melanoma skin cancer. Sweden: SPC coding rules unstated, but Swedish FCD is linked to the national registry, which uses IARC/IACR rules. Malignancies had to be “clearly separated” to be registered as multiple primaries.

Dong, 2001 [9]

Dx 1958–1996

Retrospective cohort

Sweden—FCD

All patients dx with an invasive cancer as a first primary malignancy that was reported to the Swedish FCD. Cohort was stratified by first cancer site, allowing analysis for first BC.

SPC coding rules unstated, but Swedish FCD is linked to Swedish national cancer registry, which uses IARC/AICR rules.

Hemminki, 2005 [5]

All Dx; Australia, New South Wales: 1972–1997, Canada, British Colombia: 1970–1998, Canada, Manitoba: 1970–1998, Canada, Saskatchewan: 1967–1998, Denmark: 1943–1997, Finland: 1953–1998, Iceland: 1955–2000, Norway: 1953–1999, Singapore, Chinese: 1968–1992, Slovenia: 1961–1998, Spain, Zaragoza: 1978–1998, Sweden: 1961–1998, UK, Scotland: 1975–1996

Retrospective cohort

13 large cancer registries. Canada (British Columbia, Manitoba and Saskatchewan), Singapore, Slovenia, Norway, Denmark, Scotland, Australia (New South Wales), Sweden, Finland, Iceland, Spain (Zaragoza)

Men dx with a first BC.

According to IARC/IACR rules. Tumours recorded according to the practice of the participating centres.

Hung, 2016 [7]

Dx 1997–2010, follow-up until 2011

Retrospective cohort

Taiwan (Registry of Catastrophic Illness)

Patients dx with a first BC.

SPC coding rules unstated, but the registry histologically confirms cancer cases, and oncologists are required to give evidence of the diagnosis for review by commissioned expert panels. This evidence could include cytology reports, pathology reports, laboratory studies, and imaging studies.

Jégu, 2014 [4]

Dx 1989–2004, follow-up until 2007

Retrospective cohort

France (10 registries covering the Bas-Rhin, Calvados, Doubs, Hérault, Isère, Manche, Somme and Tarn administrative regions)

Patients dx with a first cancer. Cohort was stratified by first cancer site, allowing analysis for first BC.

According to IARC/IACR rules, with second primary cancers occurring at least 2 mf (≥61 days) after a first cancer.

Satram-Hoang, 2007 [8]

Dx 1988–2003

Retrospective cohort

USA—California Cancer Registry

Men aged under 85 dx with first primary BC, registered at California Cancer Registry.

According to SEERg rules. Accepted SPCs had to be malignant, metachronous, and develop at least 2 m post-BC dx. Synchronous SPCs developing before this were excluded.

Sung, 2020 [12]

Dx 1992–2011, follow-up until 2017

Retrospective cohort

USA—12 large cancer registries covering 13% of the USA population (Atlanta (Metropolitan), Connecticut, Detroit (Metropolitan), Hawaii, Iowa, Los Angeles, New Mexico, Rural Georgia, San Francisco (Oakland), San Jose (Monterey), Seattle (Puget Sound), Utah)

Patients aged 20–84 dx with a first primary malignant cancer, who had survived at least 5 years since dx. Cohort was stratified by the first cancer site, allowing analysis for first BC.

According to SEER rules.

  1. BC breast cancer.
  2. aDiagnosis/diagnoses/diagnosed.
  3. bSecond primary cancer.
  4. cInternational Association of Cancer Registries/International Agency for Research on Cancer.
  5. dFamily cancer database.
  6. eYear/years.
  7. fMonth/months.
  8. gSurveillance, epidemiology and end results.