Evidence map›Paper›PMID 26488896›Full record

ArticleInternational journal of cancer2016

Proton pump inhibitors and risk of periampullary cancers--A nested case-control study.

Li-Nien Chien, Yan-Jiun Huang, Yu-Hsuan Joni Shao, Chen-Jung Chang, Ming-Tsang Chuang, Hung-Yi Chiou, Yun Yen

Open access · bronzeAbstract read
In one paragraph

Article in International journal of cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
4.1field-weighted citation impact, top 6% 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

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 35 citations in OpenAlex.

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  10. A Population-Based Cohort Study Examining the Long-term Risk of Repeated Surgery in Non-Helicobacter pylori-Infected PPU Patients Who Underwent Simple Closure.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020
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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 2 institutions in 1 country.

Li-Nien ChienSchool of Health Care Administration, College of Management, Taipei Medical University, Taipei, Taiwan.
Yan-Jiun HuangDepartment of General Surgery, Taipei Medical University Hospital, Taipei, Taiwan.
Yu-Hsuan Joni ShaoGraduate Institute of Biomedical Informatics, Taipei Medical University, Taipei, Taiwan.
Chen-Jung ChangDepartment of Gastroenterology, Taipei Medical University Hospital, Taipei, Taiwan.
Ming-Tsang ChuangSchool of Public Health, College of Public Health and Nutrition, Taipei Medical University, Taipei, Taiwan.
Hung-Yi ChiouSchool of Public Health, College of Public Health and Nutrition, Taipei Medical University, Taipei, Taiwan.
Yun YenGraduate Institute of Cancer Biology and Drug Discovery, College of Medical Science and Technology, Taipei Medical University, Taipei, Taiwan.
Taipei Medical University · TWTaipei Medical University Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Considerable attention has been focused on long-term use of proton pump inhibitor (PPI) medications in relation to increased risk of cancer via stimulation of DNA-damaged cells. The aim of this study is to examine the dose-dependent effect of PPI on periampullary cancers in a national population-based cohort. A nested case-control analysis was constructed based on Taiwan's National Health Insurance Research Database and the Taiwan Cancer Registry between the years 2000 and 2010. Cases involving patients diagnosed with periampullary cancers were selected and controls were matched to cases according to age, sex and observational period. A "PPI user" was defined as any patient receiving more than 28 cumulative defined daily doses as measured by prescription drug claims. Conditional logistic regression analysis was conducted to calculate odds ratios (ORs) and 95% confidence intervals (CIs) according to the level of PPI exposure. A total of 7,681 cases and 76,762 matched controls were included with a mean follow-up period of 6.6 years (SD: 2.0). The odds of PPI exposure in patients with periampullary cancers were higher than that of control patients with an adjusted OR of 1.35 (95% CIs: 1.16-1.57). Our results also showed that PPI exposure was slightly linked to periampullary cancers in dose-dependent manner. A similar association was observed in patients who solely took PPI but no eradication therapy for Helicobacter pylori infection. Long-term PPI use was associated with an increased risk of periampullary cancers in the current population-based study. Physicians must weigh potential risks of long-term maintenance against therapeutic benefit.

Indexed as

AdenocarcinomaAgedAged, 80 and overCase-Control StudiesComorbidityDose-Response Relationship, DrugFemaleGastrointestinal NeoplasmsHumansMaleMiddle AgedOdds RatioPopulation SurveillanceProton Pump InhibitorsRegistriesRiskProton Pump InhibitorsH. pylori eradication therapynested case-control studyperiampullary cancersproton pump inhibitors

Identifiers

PMID26488896
PMCPMC4738410
OpenAlexW2146732991

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.