Evidence map›Paper›PMID 28933583›Full record

ArticleJournal of women's health (2002)2017

Sleep Duration and Risk of Liver Cancer in Postmenopausal Women: The Women's Health Initiative Study.

Kathryn E Royse, Hashem B El-Serag, Liang Chen, Donna L White, Lauren Hale, Haleh Sangi-Haghpeykar, Li Jiao

Open access · greenAbstract read
In one paragraph

Article in Journal of women's health (2002), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 21% 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, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Hepatocellular Carcinoma Around the Clock.Current oncology (Toronto, Ont.) · 2026
    Review
  4. Sleep and Cancer.Cancers · 2025
    Review
  5. Article
  6. Article
  7. Impact of sleep on gastrointestinal cancer.World journal of clinical oncology · 2024
    Article
  8. Article
  9. Observational
  10. Review
  11. Observational
  12. Composite Score of Healthy Lifestyle Factors and Risk of Hepatocellular Carcinoma: Findings from a Prospective Cohort Study.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2021
    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

7 authors at 3 institutions in 1 country.

Kathryn E Royse1 Section of Gastroenterology and Hepatology, Department of Medicine, Baylor College of Medicine , Houston, Texas.
Hashem B El-Serag1 Section of Gastroenterology and Hepatology, Department of Medicine, Baylor College of Medicine , Houston, Texas.
Liang Chen1 Section of Gastroenterology and Hepatology, Department of Medicine, Baylor College of Medicine , Houston, Texas.
Donna L White1 Section of Gastroenterology and Hepatology, Department of Medicine, Baylor College of Medicine , Houston, Texas.
Lauren Hale6 Program in Public Health, School of Medicine, Family, Population and Preventive Medicine, Stony Brook University , Stony Brook, New York.
Haleh Sangi-Haghpeykar7 Department of Obstetrics and Gynecology, Baylor College of Medicine , Houston, Texas.
Li Jiao1 Section of Gastroenterology and Hepatology, Department of Medicine, Baylor College of Medicine , Houston, Texas.
Baylor College of Medicine · USChildren's Cancer Center · USTexas Medical Center · US

Funding

Tumor Biology and Microenvironment (Program 1)P30CA022453 · NCI · WAYNE STATE UNIVERSITY · PI Julie Lynn Boerner · 1985 to 2026
$68.4M
Women's Health Initiative Clinical Coordinating CenterN01WH22110 · WH · FRED HUTCHINSON CANCER RESEARCH CENTER · PI PRENTICE, ROSS L · 2007 to 2010
$22.5M
WOMENS HEALTH INITIATIVE-N01WH22110N01WH022110 · WH · FRED HUTCHINSON CANCER RESEARCH CENTER · PI ROSS, PRENTICE · 1992 to 2006
$1.2M
Sex hormones and HCV-related liver disease progressionI01CX001430 · VA · MICHAEL E DEBAKEY VA MEDICAL CENTER · PI WHITE, DONNA LORRAINE · 2017 to 2021
–
CSRD VA I01 CX001430NCI NIH HHS P30 CA022453WHI NIH HHS N01WH22110
6 · The paper itself

Abstract

backgroundSleep duration has been associated with nonalcoholic fatty liver disease, but its association with liver cancer remains unknown. MATERIAL AND

methodsIn the prospective Women's Health Initiative Study, 139,368 postmenopausal women reported sleep habits at baseline (1993-1998). We ascertained 175 incident liver cancer cases during an average 13.8 years of follow-up through August 2014. We used multivariable Cox proportional hazard regression models to estimate a hazard ratio (HR) and its 95% confidence interval (95% CI) for risk of liver cancer in association with nocturnal sleep duration.

resultsCompared to women reporting 6-8 hours of sleep, the HR for liver cancer was 1.94 (95% CI 1.07-3.53) for women reporting ≥9 hours of sleep. Among the obese women, the HR associated with ≥9 hours of sleep was 3.18 (95% CI 1.84-8.60). The HR was 0.93 (95% CI 0.34-2.53) among nonobese women (p value for interaction = 0.18). Short sleep duration (≤5 hours) was not associated with liver cancer risk.

conclusionLong sleep duration was associated with a moderate increase in liver cancer risk in obese postmenopausal women in the United States. Larger study is needed to confirm our observation on effect modification by adiposity status.

Indexed as

PostmenopauseAgedCircadian RhythmFemaleHumansLiver NeoplasmsMiddle AgedObesityProportional Hazards ModelsProspective StudiesRisk FactorsSleepSleep Disorders, Circadian RhythmTime FactorsUnited StatesWomen's Healthcircadian rhythmliver cancerobesityrisk factorsleepWHI

Identifiers

PMID28933583
PMCPMC6037184
OpenAlexW2773239032

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.