Evidence map›Paper›PMID 26846920›Full record

ArticleBMC cancer2016

Cancer risk in East Asian patients associated with acquired haemolytic anaemia: a nationwide population-based cohort study.

Victor C Kok, Fung-Chang Sung, Chia-Hung Kao, Che-Chen Lin, Chun-Hung Tseng

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03009123 (Erectile Dysfunction and the Future Risk of Prostate Cancer), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 18% 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.

NCT03009123 completednot on this map

Erectile Dysfunction and the Future Risk of Prostate Cancer: a Population-based Longitudinal Follow-up Study With Concurrent Double Comparison Cohorts

TypeobservationalSponsorKuang Tien General HospitalRan2016 to 2017Enrolled21,558ConditionsErectile DysfunctionArmsErectile dysfunction
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 9 citations in OpenAlex.

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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

5 authors at 2 institutions in 1 country.

Victor C KokDivision of Medical Oncology, Department of Internal Medicine, Kuang Tien General Hospital, Taichung, 43303, Taiwan. victorkok@asia.edu.tw.
Fung-Chang SungDepartment of Health Services Administration, China Medical University, Taichung, 40402, Taiwan.
Chia-Hung KaoDepartment of Nuclear Medicine and PET Centre, China Medical University Hospital, Taichung, 40402, Taiwan.
Che-Chen LinManagement Office for Health Data, China Medical University Hospital, Taichung, 40402, Taiwan.
Chun-Hung TsengDepartment of Neurology, China Medical University Hospital, Taichung, 40447, Taiwan.
China Medical University · TWKuang Tien General Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study investigated whether patients with acquired haemolytic anaemia (AHA) would have elevated cancer risk including that for non-haematological solid tumours. We further examined whether the cancer risk would be different between patients with autoimmune type AHA (AIHA) and patients of non-AIHA.

methodsUsing nationwide population-based insurance claims data of Taiwan we identified a cohort of patients with AHA with no pre-existing cancer, (n = 3902) and a comparison cohort (n = 39020) without AHA, frequency-matched by gender, age, urbanization of residency and diagnosis date. Incidence and Cox method estimated adjusted hazard ratios (aHR) of cancers controlling covariates by the end of 2010 were calculated. Risks between patients with AIHA and non-AIHA were compared. Sensitivity analysis was carried out to measure the risk of cancer between patients with and without AHA by follow-up years.

resultsPatients with AHA had a 90% greater incidence of cancer than controls, with an aHR of 1.78 (95% confidence interval (CI), 1.50-2.12)]. The overall aHRs of cancer for patients with AIHA and non-AIHA were 2.01 (95% CI, 1.56-2.59) and 1.87 (95% CI, 1.53-2.29), respectively, compared with the comparison cohort. The aHRs for lymphatic-haematopoietic malignancy were 19.5 and 9.59 in the AIHA and non-AIHA cohorts, respectively. No hazard of colorectal, lung, liver or breast cancer was significant.

conclusionsThere is a near 2-fold elevated risk for subsequent cancer in patients with AHA, particularly for lymphatic-haematopoietic malignancy, which is much greater for patients with AIHA than non-AIHA. These findings can help clinicians decide patient-centred personalized long-term management.

Indexed as

AdultAnemia, HemolyticAsian PeopleFemaleHematologic NeoplasmsHumansMaleMiddle AgedProportional Hazards ModelsRetrospective StudiesRisk FactorsTaiwan

Identifiers

PMID26846920
PMCPMC4743105
OpenAlexW2270417004

What OpenQuestion holds

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Registered trials

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.