Evidence map›Paper›PMID 25071359›Full record

SynthesisWorld journal of gastroenterology2014

Lifetime risk of esophageal adenocarcinoma in patients with Barrett's esophagus.

Piers Gatenby, Christine Caygill, Christine Wall, Santanu Bhatacharjee, James Ramus, Anthony Watson, Marc Winslet

Open access · hybridAbstract readMeta-Analysis
In one paragraph

Synthesis in World journal of gastroenterology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.6field-weighted citation impact, top 11% 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

19 citing papers in PubMed, 38 citations in OpenAlex.

  1. Article
  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. Factors influencing the cost-effectiveness of radiofrequency ablation for Barrett's esophagus with low-grade dysplasia in Australia.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Chemoprevention in Barrett's esophagus and esophageal adenocarcinoma.Therapeutic advances in gastroenterology · 2021
    Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Gastrointestinal Tract Disorders in Older Age.Canadian journal of gastroenterology & hepatology · 2019
    Review
  16. Article
  17. Article
  18. Article
  19. Review
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 2 countries.

Piers GatenbyPiers Gatenby, Christine Caygill, Christine Wall, Santanu Bhatacharjee, James Ramus, Anthony Watson, Marc Winslet, Division of Surgery and Interventional Science, UCL, London, NW32QG, United Kingdom.
Christine CaygillPiers Gatenby, Christine Caygill, Christine Wall, Santanu Bhatacharjee, James Ramus, Anthony Watson, Marc Winslet, Division of Surgery and Interventional Science, UCL, London, NW32QG, United Kingdom.
Christine WallPiers Gatenby, Christine Caygill, Christine Wall, Santanu Bhatacharjee, James Ramus, Anthony Watson, Marc Winslet, Division of Surgery and Interventional Science, UCL, London, NW32QG, United Kingdom.
Santanu BhatacharjeePiers Gatenby, Christine Caygill, Christine Wall, Santanu Bhatacharjee, James Ramus, Anthony Watson, Marc Winslet, Division of Surgery and Interventional Science, UCL, London, NW32QG, United Kingdom.
James RamusPiers Gatenby, Christine Caygill, Christine Wall, Santanu Bhatacharjee, James Ramus, Anthony Watson, Marc Winslet, Division of Surgery and Interventional Science, UCL, London, NW32QG, United Kingdom.
Anthony WatsonPiers Gatenby, Christine Caygill, Christine Wall, Santanu Bhatacharjee, James Ramus, Anthony Watson, Marc Winslet, Division of Surgery and Interventional Science, UCL, London, NW32QG, United Kingdom.
Marc WinsletPiers Gatenby, Christine Caygill, Christine Wall, Santanu Bhatacharjee, James Ramus, Anthony Watson, Marc Winslet, Division of Surgery and Interventional Science, UCL, London, NW32QG, United Kingdom.
Concordia University Irvine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo investigate the lifetime risk of development of esophageal adenocarcinoma and/or high-grade dysplasia in patients diagnosed with Barrett's esophagus.

methodsData were extracted from the United Kingdom National Barrett's Oesophagus Registry on date of diagnosis, patient age and gender of 7877 patients from who had been registered from 35 United Kingdom centers. Life expectancy was evaluated from United Kingdom National Statistics data based upon gender and age at year at diagnosis. These data were then used with published estimates of annual adenocarcinoma and high-grade dysplasia incidences from meta-analyses and large population-based studies to estimate overall lifetime risk of development of these study endpoints.

resultsThe mean age at diagnosis of Barrett's esophagus was 61.6 years in males and 67.3 years in females. The mean life expectancy at diagnosis was 23.1 years in males, 20.7 years in females and 22.2 years overall. Using data from published meta-analyses, the lifetime risk of development of adenocarcinoma was between 1 in 8 and 1 in 14 and the lifetime risk of high-grade dysplasia or adenocarcinoma was 1 in 5 to 1 in 6. Using data from 3 large recent population-based cohort studies the lifetime risk of adenocarcinoma was between 1 in 10 and 1 in 37 and of the combined end-point of high-grade dysplasia and adenocarcinoma was between 1 in 8 and 1 in 20. Age at Barrett's esophagus diagnosis is reducing and life expectancy is increasing, which will partially counter-balance lower annual cancer incidence.

conclusionThere is a significant lifetime risk of development of high-grade dysplasia and adenocarcinoma in Barrett's esophagus.

Indexed as

AdenocarcinomaAgedAged, 80 and overAge FactorsBarrett EsophagusEsophageal NeoplasmsFemaleHumansIncidenceLife ExpectancyLinear ModelsMaleMiddle AgedNeoplasm GradingPrecancerous ConditionsRegistriesBarrett esophagusCohort studiesEsophageal neoplasmsForecastingMeta-analysis

Identifiers

PMID25071359
PMCPMC4110596
OpenAlexW132391410

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.