Evidence map›Paper›PMID 24025629›Full record

SynthesisThe American journal of clinical nutrition2013

Prediagnostic plasma vitamin C and risk of gastric adenocarcinoma and esophageal squamous cell carcinoma in a Chinese population.

Tram Kim Lam, Neal D Freedman, Jin-Hu Fan, You-Lin Qiao, Sanford M Dawsey, Philip R Taylor, Christian C Abnet

Open access · bronzeAbstract readMeta-Analysis
In one paragraph

Synthesis in The American journal of clinical nutrition, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 6 pooled it
3.2field-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

26 citing papers in PubMed, 6 syntheses or guidelines pooled it, 47 citations in OpenAlex.

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  16. Overview ofDiseases (Basel, Switzerland) · 2021
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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

7 authors at 1 institution in 4 countries.

Tram Kim LamDivision of Cancer Epidemiology and Genetics, National Cancer Institute, NIH, Genetic Epidemiology Branch (TKL and PRT), Nutritional Epidemiology Branch (NDF, SMD, and CCA), and the Division of Cancer Control and Population Sciences, Epidemiology and Genomics Research Program (TKL), Rockville, MD; and the Cancer Institute, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, People's Republic of China (J-HF and Y-LQ).
Neal D Freedman
Jin-Hu Fan
You-Lin Qiao
Sanford M Dawsey
Philip R Taylor
Christian C Abnet
Chinese Academy of Medical Sciences & Peking Union Medical College · CN

Funding

Intramural NIH HHS
6 · The paper itself

Abstract

backgroundChina has some of the highest incidence rates for gastric adenocarcinoma (GA) and esophageal squamous cell carcinoma (ESCC) in the world. Prospective studies suggested that vitamin C may reduce risks; however, associations are unclear because of limited sample size.

objectiveThe objective was to examine the relation between prediagnostic plasma vitamin C and the risk of GA and ESCC.

designA case-cohort study was used to assess the association between prediagnostic plasma vitamin C and incidence of GA (n = 467) and ESCC (n = 618) in the General Population Nutrition Intervention Trial. With the use of multivariate Cox proportional hazards models, we estimated the HRs and 95% CIs. We also conducted a meta-analysis of the literature up to 1 October 2012 on the relation between circulating vitamin C and gastric cancer incidence. Two cohort studies and the current study were included to assess the body of evidence.

resultsFor GA, each 20-μmol/L increase in plasma vitamin C was associated with a 14% decrease in risk (HR: 0.86; 95% CI: 0.76, 0.96). Compared with individuals with low plasma vitamin C concentrations (≤28 μmol/L), those with normal concentrations (>28 μmol/L) had a 27% reduced risk of GA (HR: 0.73; 95% CI: 0.56, 0.94). No association between vitamin C concentrations and ESCC was seen. Meta-analysis showed that the risk of incident GA among those with the highest concentration of plasma vitamin C was 31% lower (random-effects-pooled-odds ratio 0.69; 95% CI: 0.54, 0.89) than those in the lowest category.

conclusionOur data provide evidence that higher circulating vitamin C was associated with a reduced risk of incident GA, but no association was seen for ESCC.

Indexed as

Asian PeopleAscorbic AcidCarcinoma, Squamous CellChinaEsophageal NeoplasmsEsophageal Squamous Cell CarcinomaHumansIncidenceOdds RatioProportional Hazards ModelsProspective StudiesRisk FactorsStomach NeoplasmsAscorbic Acid

Identifiers

PMID24025629
PMCPMC3798080
OpenAlexW2151089288

What OpenQuestion holds

Textmetadata
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.