Evidence map›Paper›PMID 21930957›Full record

ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2011

The impact of obesity on the rise in esophageal adenocarcinoma incidence: estimates from a disease simulation model.

Chung Yin Kong, Kevin J Nattinger, Tristan J Hayeck, Zehra B Omer, Y Claire Wang, Stuart J Spechler, Pamela M McMahon, G Scott Gazelle, Chin Hur

Open access · bronzeAbstract read
In one paragraph

Article in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Computing lifetime incidence of esophageal adenocarcinoma and age-specific prevalence of Barrett's esophagus.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2025
    Article
  3. Review
  4. The Salivary Microbiome and Predicted Metabolite Production Are Associated with Barrett's Esophagus and High-Grade Dysplasia or Adenocarcinoma.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2024
    Article
  5. Review
  6. Global burden and epidemiology of Barrett oesophagus and oesophageal cancer.Nature reviews. Gastroenterology & hepatology · 2021
    Review
  7. Article
  8. Alterations to the Esophageal Microbiome Associated with Progression from Barrett's Esophagus to Esophageal Adenocarcinoma.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2019
    Article
  9. Emerging Insights into the Esophageal Microbiome.Current treatment options in gastroenterology · 2018
    Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. The role of obesity in oesophageal cancer development.Therapeutic advances in gastroenterology · 2014
    Review
  18. Article
  19. Exploring the recent trend in esophageal adenocarcinoma incidence and mortality using comparative simulation modeling.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2014
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Chung Yin KongInstitute for Technology Assessment, Harvard Medical School, Boston, MA 02114, USA.
Kevin J Nattinger
Tristan J Hayeck
Zehra B Omer
Y Claire Wang
Stuart J Spechler
Pamela M McMahon
G Scott Gazelle
Chin Hur
Harvard University · USMassachusetts General Hospital · USVA North Texas Health Care System · US

Funding

GRADUATE TRAINING IN BIOSTATISTICST32ES007142 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI Brent Andrew Coull · 1985 to 2026
$11.9M
Controlling Esophageal Cancer in the US.: A Colloraborative Modeling ProjectU01CA152926 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI HUR, CHIN, INADOMI, JOHN MATTHEW · 2010 to 2014
$3.9M
Improving Esophageal Adenocarcinoma Prevention, Screening and TreatmentR01CA140574 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI HUR, CHIN · 2010 to 2018
$3.4M
Applications of Multi-Criteria Optimization (AMCO) to Cancer Simulation ModelingK25CA133141 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI KONG, CHUNG YIN · 2009 to 2013
$844k
Developing approaches for modeling genomic and proteomic profiles in lung cancerR00CA126147 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI MCMAHON, PAMELA MARKELL · 2009 to 2011
$718k
NCI NIH HHS K25 CA133141NCI NIH HHS K25CA133141NCI NIH HHS R00 CA126147NCI NIH HHS R00CA126147NCI NIH HHS R01 CA140574NCI NIH HHS R01CA140574NCI NIH HHS U01 CA152926NCI NIH HHS U01CA152926NIEHS NIH HHS T32 ES007142
6 · The paper itself

Abstract

backgroundThe United States has experienced an alarming and unexplained increase in the incidence of esophageal adenocarcinoma (EAC) since the 1970s. A concurrent increase in obesity has led some to suggest a relationship between the two trends. We explore the extent of this relationship.

methodsUsing a previously validated disease simulation model of white males in the United States, we estimated EAC incidence 1973 to 2005 given constant obesity prevalence and low population progression rates consistent with the early 1970s. Introducing only the observed, rising obesity prevalence, we calculated the incremental incidence caused by obesity. We compared these with EAC incidence data from the National Cancer Institute's Surveillance, Epidemiology, and End Results (SEER) registry to determine obesity's contribution to the rise therein. Incidences were converted to absolute numbers of cases using U.S. population data.

resultsUsing constant obesity prevalence, we projected a total of 30,555 EAC cases cumulatively over 1973 to 2005 and 1,151 in 2005 alone. Incorporating the observed obesity trend resulted in 35,767 cumulative EACs and 1,608 in 2005. Estimates derived from SEER data showed 111,223 cumulative and 7,173 cases in 2005. We conclude that the rise in obesity accounted for 6.5% of the increase in EAC cases that occurred from 1973 to 2005 and 7.6% in the year 2005.

conclusionUsing published OR for EAC among obese individuals, we found that only a small percentage of the rise in EAC incidence is attributable to secular trends in obesity. IMPACT: Other factors, alone and in combination, should be explored as causes of the EAC epidemic.

Indexed as

AdenocarcinomaComputer SimulationEsophageal NeoplasmsFemaleHumansIncidenceMaleModels, StatisticalObesityRegistriesRisk FactorsSEER ProgramUnited StatesWhite People

Identifiers

PMID21930957
PMCPMC3382986
OpenAlexW1977240594

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.