Evidence map›Paper›PMID 29371278›Full record

ArticleBMJ open2018

Association between body mass index and obesity-related cancer risk in men and women with type 2 diabetes in primary care in the Netherlands: a cohort study (ZODIAC-56).

Steven H Hendriks, Dennis Schrijnders, Kornelis Jj van Hateren, Klaas H Groenier, Sabine Siesling, Angela H E M Maas, Gijs W D Landman, Henk J G Bilo, N Kleefstra

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 16% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 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

9 authors at 5 institutions in 1 country.

Steven H HendriksDiabetes Centre, Isala, Zwolle, The Netherlands.ORCID 0000-0001-6397-4441
Dennis SchrijndersDiabetes Centre, Isala, Zwolle, The Netherlands.ORCID 0000-0001-8952-6989
Kornelis Jj van HaterenLangerhans Medical Research Group, Zwolle, The Netherlands.
Klaas H GroenierDiabetes Centre, Isala, Zwolle, The Netherlands.
Sabine SieslingDepartment of Research, Netherlands Comprehensive Cancer Centre (IKNL), Utrecht, The Netherlands.
Angela H E M MaasDepartment of Cardiology, Radboud University Medical Center, Nijmegen, The Netherlands.
Gijs W D LandmanLangerhans Medical Research Group, Zwolle, The Netherlands.
Henk J G BiloDiabetes Centre, Isala, Zwolle, The Netherlands.
N KleefstraLangerhans Medical Research Group, Zwolle, The Netherlands.
University Medical Center Groningen · NLIsala · NLGelre Hospitals · NLNetherlands Comprehensive Cancer Organisation · NLRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the relationship between body mass index (BMI) and obesity-related cancers in men and women with type 2 diabetes (T2D).

designObservational cohort study.

settingPrimary care.

participantsA total of 52 044 patients with T2D who participated in the ZODIAC (Zwolle Outpatient Diabetes project Integrating Available Care) study between 1998 and 2012 was included (49% women). A dataset of these patients was linked to available information of the Netherlands Cancer Registry to obtain data on cancer incidents. PRIMARY OUTCOME MEASURES: Analyses were performed for the total group of obesity-related cancers and for non-sex-specific and sex-specific obesity-related cancers (in men: advanced prostate cancer, in women: ovarian, endometrial and postmenopausal breast cancer).

resultsThe median follow-up period in all analyses was 3.1 (1.7-5.0) years in men and 3.1 (1.7-5.1) in women. During follow-up, 689 men and 914 women were diagnosed with an obesity-related cancer. In men, BMI was associated with a higher risk of the total group of obesity-related cancers and non-sex-specific obesity-related cancers (HR (per 5 kg/m

conclusionsBMI is associated with obesity-related cancers in men with T2D, except with advanced prostate cancer. The results of this study provide reason to reconsider the classification of advanced prostate cancer as an obesity-related cancer, at least in T2D. In women, BMI is associated with the total group of obesity-related cancers and with sex-specific obesity-related cancers.

Indexed as

Body Mass IndexSex FactorsAgedCohort StudiesDiabetes Mellitus, Type 2FemaleHumansIncidenceMaleMiddle AgedNeoplasmsNetherlandsObesityPrimary Health CareRegistriesRegression AnalysisBMIobesityoncology

Identifiers

PMID29371278
PMCPMC5786141
OpenAlexW2789008355

What OpenQuestion holds

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LicenceCC BY-NC
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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.