Evidence map›Paper›PMID 26973419›Full record

ArticleWorld journal of gastroenterology2016

Esophageal squamous cell cancer in a highly endemic region.

Akwi W Asombang, Violet Kayamba, Mpala M Lisulo, Kathryn Trinkaus, Victor Mudenda, Edford Sinkala, Stayner Mwanamakondo, Themba Banda, Rose Soko, Paul Kelly

Open access · hybridAbstract read
In one paragraph

Article in World journal of gastroenterology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 5 pooled it
1.3field-weighted citation impact, top 20% 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, 5 syntheses or guidelines pooled it, 72 citations in OpenAlex.

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  17. Cancer in Africa: The Untold Story.Frontiers in oncology · 2021
    Article
  18. Surveillance of Esophageal Cancer in the Republic of Uzbekistan from 2000 to 2018.Asian Pacific journal of cancer prevention : APJCP · 2020
    Article
  19. 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

10 authors at 4 institutions in 3 countries.

Akwi W AsombangAkwi W Asombang, Division of Gastroenterology and Hepatology, University of Missouri School of Medicine, Columbia, MO 65203, United States.
Violet KayambaAkwi W Asombang, Division of Gastroenterology and Hepatology, University of Missouri School of Medicine, Columbia, MO 65203, United States.
Mpala M LisuloAkwi W Asombang, Division of Gastroenterology and Hepatology, University of Missouri School of Medicine, Columbia, MO 65203, United States.
Kathryn TrinkausAkwi W Asombang, Division of Gastroenterology and Hepatology, University of Missouri School of Medicine, Columbia, MO 65203, United States.
Victor MudendaAkwi W Asombang, Division of Gastroenterology and Hepatology, University of Missouri School of Medicine, Columbia, MO 65203, United States.
Edford SinkalaAkwi W Asombang, Division of Gastroenterology and Hepatology, University of Missouri School of Medicine, Columbia, MO 65203, United States.
Stayner MwanamakondoAkwi W Asombang, Division of Gastroenterology and Hepatology, University of Missouri School of Medicine, Columbia, MO 65203, United States.
Themba BandaAkwi W Asombang, Division of Gastroenterology and Hepatology, University of Missouri School of Medicine, Columbia, MO 65203, United States.
Rose SokoAkwi W Asombang, Division of Gastroenterology and Hepatology, University of Missouri School of Medicine, Columbia, MO 65203, United States.
Paul KellyAkwi W Asombang, Division of Gastroenterology and Hepatology, University of Missouri School of Medicine, Columbia, MO 65203, United States.
University of Zambia · ZMQueen Mary University of London · GBUniversity of Missouri · USUniversity Teaching Hospital · ZM

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI David G DeNardo · 2001 to 2026
$128.0M
Fogarty International Clinical Research Scholars Support Center @ Vanderbilt-AAMCR24TW007988 · FIC · VANDERBILT UNIVERSITY · PI VERMUND, STEN H. · 2007 to 2011
$27.6M
FIC NIH HHS R24 TW007988FIC NIH HHS R24TW007988NCI NIH HHS P30 CA091842
6 · The paper itself

Abstract

aimTo identify risk factors associated with esophageal cancer in Zambia and association between dietary intake and urinary 8-iso prostaglandin F2α (8-isoPGF2α).

methodsWe conducted a prospective, case control study at the University Teaching Hospital. Subjects included both individuals admitted to the hospital and those presenting for an outpatient upper endoscopy. Esophageal cancer cases were compared to age and sex-matched controls. Cases were defined as patients with biopsy proven esophageal cancer; controls were defined as subjects without endoscopic evidence of esophageal cancer. Clinical and dietary data were collected using a standard questionnaire, developed a priori. Blood was collected for human immunodeficiency virus (HIV) serology. Urine was collected, and 8-isoPGF2α was measured primarily by enzyme-linked immunosorbent assay and expressed as a ratio to creatinine.

resultsForty five controls (mean age 54.2 ± 15.3, 31 male) and 27 cases (mean age 54.6 ± 16.4, 17 males) were studied. Body mass index was lower in cases (median 16.8) than controls (median 23.2), P = 0.01. Histopathologically, 25/27 (93%) were squamous cell carcinoma and 2/27 (7%) adenocarcinoma. More cases smoked cigarettes (OR = 11.24, 95%CI: 1.37-92.4, P = 0.02) but alcohol consumption and HIV seropositivity did not differ significantly (P = 0.14 for both). Fruit, vegetables and fish consumption did not differ significantly between groups (P = 0.11, 0.12, and 0.10, respectively). Mean isoprostane level was significantly higher in cases (0.03 ng/mg creatinine) than controls (0.01 ng/mg creatinine) (OR = 2.35, 95%CI: 1.19-4.65, P = 0.014).

conclusionSmoking and isoprostane levels were significantly associated with esophageal cancer in Zambians, but diet, HIV status, and alcohol consumption were not.

Indexed as

Endemic DiseasesAdultAgedAlcohol DrinkingBiopsyCarcinoma, Squamous CellCase-Control StudiesDietEsophageal NeoplasmsEsophageal Squamous Cell CarcinomaEsophagoscopyFemaleHIV InfectionsHospitals, UniversityHumansIsoprostanesIsoprostanesGastrointestinal cancerNon-communicable diseasesZambia

Identifiers

PMID26973419
PMCPMC4778003
OpenAlexW2317234335

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.