Evidence map›Paper›PMID 27776142›Full record

ArticlePloS one2016

Menstrual and Reproductive Factors and Risk of Gastric and Colorectal Cancer in Spain.

Virginia Lope, Nerea Fernández de Larrea, Beatriz Pérez-Gómez, Vicente Martín, Victor Moreno, Laura Costas, Federico Longo, José Juan Jiménez-Moleón, Javier Llorca, Nieves Ascunce and 12 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 24% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Risk Factors for Gastric Cancer: A Systematic ReviewAsian Pacific journal of cancer prevention : APJCP · 2018
    Pooled it
  3. Article
  4. Article
  5. Gender and sex differences in colorectal cancer screening, diagnosis and treatment.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Observational
  11. Article
  12. High adherence to the Western, Prudent, and Mediterranean dietary patterns and risk of gastric adenocarcinoma: MCC-Spain study.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2018
    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

22 authors at 14 institutions in 1 country.

Virginia LopeCancer and Environmental Epidemiology Unit, National Center for Epidemiology, Carlos III Institute of Health, Madrid 28029, Spain.
Nerea Fernández de LarreaCancer and Environmental Epidemiology Unit, National Center for Epidemiology, Carlos III Institute of Health, Madrid 28029, Spain.
Beatriz Pérez-GómezCancer and Environmental Epidemiology Unit, National Center for Epidemiology, Carlos III Institute of Health, Madrid 28029, Spain.
Vicente MartínGrupo de Investigación en Interacciones Gen-Ambiente y Salud, Universidad de León, León 24071, Spain.
Victor MorenoIDIBELL-Catalan Institute of Oncology, L'Hospitalet de Llobregat, Barcelona 08907, Spain.
Laura CostasUnit of Infections and Cancer, Cancer Epidemiology Research Programme, IDIBELL, Catalan Institute of Oncology, L'Hospitalet de Llobregat, Barcelona 08907, Spain.
Federico LongoMedical Oncology Department, Hospital Universitario Ramón y Cajal, Madrid 28034, Spain.
José Juan Jiménez-MoleónInstituto de Investigación Biosanitaria de Granada (ibs.GRANADA)-Granada Health Research Institute (ibs.GRANADA), Granada 18012, Spain.
Javier LlorcaUniversidad de Cantabria-IDIVAL, Santander 39011, Spain.
Nieves AscunceNavarra Breast Cancer Screening Programme, Public Health Institute, Pamplona 31003, Spain.
Rosana Peiró-PérezCancer and Public Health Area, Fundación Para el Fomento de la Investigación Sanitaria y Biomédica (FISABIO), Valencia 46020, Spain.
Jone M AltzibarPublic Health Division of Gipuzkoa, Donostia 20013, San Sebastián, Spain.
Adonina TardónInstituto Universitario de Oncología, Universidad de Oviedo, Oviedo 33006, Asturias, Spain.
Juan AlguacilCentro de Investigación en Salud y Medio Ambiente (CYSMA), Universidad de Huelva, Huelva 21071, Spain.
Carmen NavarroDepartment of Epidemiology, Murcia Regional Health Council, IMIB-Arrixaca, Murcia 30008, Spain.
Ángeles SierraCancer and Environmental Epidemiology Unit, National Center for Epidemiology, Carlos III Institute of Health, Madrid 28029, Spain.
Ana Belén VegaGastroenterology, Hospital de Viladecans, Viladecans, Barcelona 08840, Spain.
Amaya VillafañeServicio de Cirugía, Complejo Asistencial Universitario de León, León 24071, Spain.
Gemma Castaño-VinyalsCentre for Research in Environmental Epidemiology (CREAL), Barcelona 08003, Spain.
Manolis KogevinasCentre for Research in Environmental Epidemiology (CREAL), Barcelona 08003, Spain.
Marina PollánCancer and Environmental Epidemiology Unit, National Center for Epidemiology, Carlos III Institute of Health, Madrid 28029, Spain.
Nuria AragonésCancer and Environmental Epidemiology Unit, National Center for Epidemiology, Carlos III Institute of Health, Madrid 28029, Spain.
Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública · ESHospital Universitario Puerta de Hierro Majadahonda · ESUniversitat de Barcelona · ESBasque Government · ESComplejo Asistencial Universitario de Palencia · ESHospital de Viladecans · ESHospital Universitario Ramón y Cajal · ESInstituto de Investigación Biosanitaria de Granada · ESInstituto de Salud Carlos III · ESInstituto Murciano de Investigación Biosanitaria · ESMunicipal Institute for Medical Research · ESPompeu Fabra University · ESUniversidad de Cantabria · ESUniversidad de Huelva · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSex hormones play a role in gastric cancer and colorectal cancer etiology, however, epidemiological evidence is inconsistent. This study examines the influence of menstrual and reproductive factors over the risk of both tumors.

methodsIn this case-control study 128 women with gastric cancer and 1293 controls, as well as 562 female and colorectal cancer cases and 1605 controls were recruited in 9 and 11 Spanish provinces, respectively. Population controls were frequency matched to cases by age and province. Demographic and reproductive data were directly surveyed by trained staff. The association with gastric, colon and rectal cancer was assessed using logistic and multinomial mixed regression models.

resultsOur results show an inverse association of age at first birth with gastric cancer risk (five-year trend: OR = 0.69; p-value = 0.006). Ever users of hormonal contraception presented a decreased risk of gastric (OR = 0.42; 95%CI = 0.26-0.69), colon (OR = 0.64; 95%CI = 0.48-0.86) and rectal cancer (OR = 0.61; 95%CI = 0.43-0.88). Postmenopausal women who used hormone replacement therapy showed a decreased risk of colon and rectal tumors. A significant interaction of educational level with parity and months of first child lactation was also observed.

conclusionThese findings suggest a protective role of exogenous hormones in gastric and colorectal cancer risk. The role of endogenous hormones remains unclear.

Indexed as

MenstruationReproductive HistoryCase-Control StudiesColorectal NeoplasmsFemaleHumansRisk FactorsSpainStomach Neoplasms

Identifiers

PMID27776142
PMCPMC5077095
OpenAlexW2535194546

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.