Evidence map›Paper›PMID 28265721›Full record

ArticleDiabetologia2017

Association between type 2 diabetes and risk of cancer mortality: a pooled analysis of over 771,000 individuals in the Asia Cohort Consortium.

Yu Chen, Fen Wu, Eiko Saito, Yingsong Lin, Minkyo Song, Hung N Luu, Prakash C Gupta, Norie Sawada, Akiko Tamakoshi, Xiao-Ou Shu and 31 more

Open access · bronzeAbstract read
In one paragraph

Article in Diabetologia, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 108 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
108citing papers in PubMed, 9 pooled it
8.7field-weighted citation impact, top 2% 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

108 citing papers in PubMed, 9 syntheses or guidelines pooled it, 219 citations in OpenAlex.

  1. Pooled it
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  14. Determinants of cancer mortality in patients after acute myocardial infarction.International journal of cardiology. Heart & vasculature · 2026
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48 more citing papers are in PubMed but not listed here.

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

41 authors at 20 institutions in 8 countries.

Yu ChenDepartment of Population Health, New York University School of Medicine, 650 First Avenue, Room 510, New York, NY, 10016, USA. yu.chen@nyumc.org.
Fen WuDepartment of Population Health, New York University School of Medicine, 650 First Avenue, Room 510, New York, NY, 10016, USA.
Eiko SaitoAXA Department of Health and Human Security, Graduate School of Medicine, University of Tokyo, Tokyo, Japan.
Yingsong LinDepartment of Public Health, Aichi Medical University School of Medicine, Nagakute, Japan.
Minkyo SongDivision of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.
Hung N LuuDivision of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt-Ingram Cancer Center, Vanderbilt University School of Medicine, Nashville, TN, USA.
Prakash C GuptaHealis Sekhsaria Institute for Public Health, Navi Mumbai, India.
Norie SawadaEpidemiology and Prevention Group, Center for Public Health Sciences, National Cancer Center, Tokyo, Japan.
Akiko TamakoshiGraduate School of Medicine, Hokkaido University, Sapporo, Japan.
Xiao-Ou ShuDivision of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt-Ingram Cancer Center, Vanderbilt University School of Medicine, Nashville, TN, USA.
Woon-Puay KohDuke-NUS Medical School Singapore, Singapore, Republic of Singapore.
Yong-Bing XiangShanghai Cancer Institute, Shanghai Jiaotong University, Shanghai, People's Republic of China.
Yasutake TomataTohoku University Graduate School of Medicine, Miyagi Prefecture, Japan.
Kemmyo SugiyamaTohoku University Graduate School of Medicine, Miyagi Prefecture, Japan.
Sue K ParkDepartment of Preventive Medicine, Seoul National University College of Medicine, Seoul, South Korea.
Keitaro MatsuoDivision of Molecular Medicine, Aichi Cancer Center Research Institute, Nagoya, Japan.
Chisato NagataGraduate School of Medicine, Gifu University, Gifu, Japan.
Yumi SugawaraTohoku University Graduate School of Medicine, Miyagi Prefecture, Japan.
You-Lin QiaoCancer Foundation of China, Beijing, People's Republic of China.
San-Lin YouSchool of Medicine, Fu-Jen Catholic University, Taipei, Taiwan.
Renwei WangUniversity of Pittsburgh Cancer Institute, Pittsburgh, PA, USA.
Myung-Hee ShinDepartment of Social and Preventive Medicine, Sungkyunkwan University School of Medicine, Seoul, South Korea.
Wen-Harn PanInstitute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan.
Mangesh S PednekarHealis Sekhsaria Institute for Public Health, Navi Mumbai, India.
Shoichiro TsuganeEpidemiology and Prevention Group, Center for Public Health Sciences, National Cancer Center, Tokyo, Japan.
Hui CaiDivision of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt-Ingram Cancer Center, Vanderbilt University School of Medicine, Nashville, TN, USA.
Jian-Min YuanDepartment of Epidemiology, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, USA.
Yu-Tang GaoShanghai Cancer Institute, Shanghai Jiaotong University, Shanghai, People's Republic of China.
Ichiro TsujiTohoku University Graduate School of Medicine, Miyagi Prefecture, Japan.
Seiki KanemuraTohoku University Graduate School of Medicine, Miyagi Prefecture, Japan.
Hidemi ItoDepartment of Epidemiology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Keiko WadaGraduate School of Medicine, Gifu University, Gifu, Japan.
Yoon-Ok AhnDepartment of Preventive Medicine, Seoul National University College of Medicine, Seoul, South Korea.
Keun-Young YooArmed Forces Capital Hospital, Seoul National University College of Medicine, Seoul, South Korea.
Habibul AhsanDepartment of Public Health Sciences, University of Chicago, Chicago, IL, USA.
Kee Seng ChiaSaw Swee Hock School of Public Health, National University of Singapore, Singapore, Republic of Singapore.
Paolo BoffettaIcahn School of Medicine at Mount Sinai, New York, NY, USA.
Wei ZhengDivision of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt-Ingram Cancer Center, Vanderbilt University School of Medicine, Nashville, TN, USA.
Manami InoueAXA Department of Health and Human Security, Graduate School of Medicine, University of Tokyo, Tokyo, Japan.
Daehee KangDepartment of Preventive Medicine, Seoul National University College of Medicine, Seoul, South Korea.
John D PotterDivision of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Tohoku University · JPSeoul National University · KRVanderbilt University · USGifu University · JPHealis Sekhsaria Institute For Public Health · INNew York University · USShanghai Cancer Institute · CNThe University of Tokyo · JPUPMC Hillman Cancer Center · USAichi Cancer Center · JPAichi Medical University · JPArmed Forces Capital Hospital · KRCancer Foundation of China · CNChicago Department of Public Health · USDuke-NUS Medical School · SGFu Jen Catholic University · TWHokkaido University · JPIcahn School of Medicine at Mount Sinai · USInstitute of Biomedical Sciences, Academia Sinica · TWNagoya University · JP

Funding

Training CoreP42ES010349 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI NAVAS-ACIEN, ANA · 2000 to 2020
$53.6M
Chemoprevention of arsenic-induced skin cancerR01CA107431 · NCI · UNIVERSITY OF CHICAGO · PI AHSAN, HABIBUL · 2005 to 2014
$17.3M
Genetic Epidemiology of Blood Pressure InterventionU01HL072507 · NHLBI · TULANE UNIVERSITY OF LOUISIANA · PI HE, JIANG · 2002 to 2008
$7.6M
Prospective studies of cancer etiology and prevention in Shanghai and SingaporeR01CA144034 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI YUAN, JIAN-MIN · 2010 to 2014
$7.0M
Cohort Study of Cancer inhibitory Factors in MenR01CA082729 · NCI · VANDERBILT UNIVERSITY · PI SHU, XIAO-OU · 2001 to 2011
$6.3M
Shanghai Womens Health StudyUM1CA182910 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ZHENG, WEI · 2014 to 2018
$5.9M
Shanghai Men's Health StudyUM1CA173640 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI SHU, XIAO-OU · 2013 to 2017
$4.9M
Cancer Risk Reduction and Diet: A Cohort Study of WomenR37CA070867 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ZHENG, WEI · 2009 to 2013
$4.7M
Cancer epidemiology cohorts in Shanghai and Singapore UM1CA182876 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI YUAN, JIAN-MIN · 2014 to 2018
$4.3M
Communication Intervention with Melanoma FamiliesR01CA107430 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI BOWEN, DEBORAH J. · 2004 to 2007
$2.4M
Genetic Susceptibility to Arsenic-induced Skin CancerR01CA102484 · NCI · UNIVERSITY OF CHICAGO · PI AHSAN, HABIBUL · 2004 to 2008
$2.0M
A pooled analysis of risk factors of small intestine cancerR03CA150038 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI BOFFETTA, PAOLO, POTTER, JOHN D · 2010 to 2011
$173k
NCI NIH HHS R01 CA082729NCI NIH HHS R01 CA102484NCI NIH HHS R01 CA107430NCI NIH HHS R01 CA107431NCI NIH HHS R01 CA144034NCI NIH HHS R03 CA150038NCI NIH HHS R37 CA070867NCI NIH HHS U01 CA182876NCI NIH HHS UM1 CA173640NCI NIH HHS UM1 CA182910NHLBI NIH HHS U01 HL072507NIEHS NIH HHS P42 ES010349
6 · The paper itself

Abstract

aims/hypothesisThe aims of the study were to evaluate the association between type 2 diabetes and the risk of death from any cancer and specific cancers in East and South Asians.

methodsPooled analyses were conducted of 19 prospective population-based cohorts included in the Asia Cohort Consortium, comprising data from 658,611 East Asians and 112,686 South Asians. HRs were used to compare individuals with diabetes at baseline with those without diabetes for the risk of death from any cancer and from site-specific cancers, including cancers of the oesophagus, stomach, colorectum, colon, rectum, liver, bile duct, pancreas, lung, breast, endometrium, cervix, ovary, prostate, bladder, kidney and thyroid, as well as lymphoma and leukaemia.

resultsDuring a mean follow-up of 12.7 years, 37,343 cancer deaths (36,667 in East Asians and 676 in South Asians) were identified. Baseline diabetes status was statistically significantly associated with an increased risk of death from any cancer (HR 1.26; 95% CI 1.21, 1.31). Significant positive associations with diabetes were observed for cancers of the colorectum (HR 1.41; 95% CI 1.26, 1.57), liver (HR 2.05; 95% CI 1.77, 2.38), bile duct (HR 1.41; 95% CI 1.04, 1.92), gallbladder (HR 1.33; 95% CI 1.10, 1.61), pancreas (HR 1.53; 95% CI 1.32, 1.77), breast (HR 1.72; 95% CI 1.34, 2.19), endometrium (HR 2.73; 95% CI 1.53, 4.85), ovary (HR 1.60; 95% CI 1.06, 2.42), prostate (HR 1.41; 95% CI 1.09, 1.82), kidney (HR 1.84; 95% CI 1.28, 2.64) and thyroid (HR 1.99; 95% CI 1.03, 3.86), as well as lymphoma (HR 1.39; 95% CI 1.04, 1.86). Diabetes was not statistically significantly associated with the risk of death from leukaemia and cancers of the bladder, cervix, oesophagus, stomach and lung. CONCLUSIONS/

interpretationDiabetes was associated with a 26% increased risk of death from any cancer in Asians. The pattern of associations with specific cancers suggests the need for better control (prevention, detection, management) of the growing epidemic of diabetes (as well as obesity), in order to reduce cancer mortality.

Indexed as

AgedAsiaDiabetes Mellitus, Type 2ExerciseFemaleHumansHypertensionMaleMiddle AgedNeoplasmsRandomized Controlled Trials as TopicSurveys and QuestionnairesAsia Cohort ConsortiumAsiansCancer mortalityMeta-analysisType 2 diabetes

Identifiers

PMID28265721
PMCPMC5632944
OpenAlexW2593603324

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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.