Evidence map›Paper›PMID 29467133›Full record

ArticleBMJ open2018

Time-dependent risks of cancer clustering among couples: a nationwide population-based cohort study in Taiwan.

Jong-Yi Wang, Yia-Wen Liang, Chun-Chen Yeh, Chiu-Shong Liu, Chen-Yu Wang

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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 44% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
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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

5 authors at 3 institutions in 1 country.

Jong-Yi WangDepartment of Health Services Administration, China Medical University, Taichung, Taiwan.ORCID 0000-0002-7798-826X
Yia-Wen LiangDepartment of Senior Citizen Service Management, National Taichung University of Science and Technology, Taichung, Taiwan.
Chun-Chen YehDepartment of Health Services Administration, China Medical University, Taichung, Taiwan.
Chiu-Shong LiuDepartment of Family Medicine, China Medical University Hospital, Taichung, Taiwan.
Chen-Yu WangDepartment of Critical Care Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
China Medical University · TWNational Taichung University of Science and Technology · TWTaichung Veterans General Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesSpousal clustering of cancer warrants attention. Whether the common environment or high-age vulnerability determines cancer clustering is unclear. The risk of clustering in couples versus non-couples is undetermined. The time to cancer clustering after the first cancer diagnosis is yet to be reported. This study investigated cancer clustering over time among couples by using nationwide data.

methodsA cohort of 5643 married couples in the 2002-2013 Taiwan National Health Insurance Research Database was identified and randomly matched with 5643 non-couple pairs through dual propensity score matching. Factors associated with clustering (both spouses with tumours) were analysed by using the Cox proportional hazard model.

resultsPropensity-matched analysis revealed that the risk of clustering of all tumours among couples (13.70%) was significantly higher than that among non-couples (11.84%) (OR=1.182, 95% CI 1.058 to 1.321, P=0.0031). The median time to clustering of all tumours and of malignant tumours was 2.92 and 2.32 years, respectively. Risk characteristics associated with clustering included high age and comorbidity.

conclusionsShared environmental factors among spouses might be linked to a high incidence of cancer clustering. Cancer incidence in one spouse may signal cancer vulnerability in the other spouse. Promoting family-oriented cancer care in vulnerable families and preventing shared lifestyle risk factors for cancer are suggested.

Indexed as

AdolescentAdultAgedAge DistributionCase-Control StudiesCluster AnalysisCohort StudiesComorbidityFemaleHumansIncidenceMaleMiddle AgedNeoplasmsPropensity ScoreProportional Hazards Modelscancercancer preventionenvironmentfamily clusteringtime-dependent risk factors

Identifiers

PMID29467133
PMCPMC5855235
OpenAlexW2793802619

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.