Evidence map›Paper›PMID 30006904›Full record

ArticleJournal of gastroenterology2019

Hepatocellular carcinoma as a leading cause of cancer-related deaths in Japanese type 2 diabetes mellitus patients.

Toshihide Shima, Hirofumi Uto, Kohjiro Ueki, Yutaka Kohgo, Kohichiroh Yasui, Naoto Nakamura, Tatsuaki Nakatou, Toshinari Takamura, Sumio Kawata, Kazuo Notsumata and 3 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Journal of gastroenterology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

18 citing papers in PubMed, 28 citations in OpenAlex.

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  17. Antidiabetic Therapy in the Treatment of Nonalcoholic Steatohepatitis.International journal of molecular sciences · 2020
    Review
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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

13 authors at 10 institutions in 1 country.

Toshihide ShimaDepartment of Gastroenterology and Hepatology, Saiseikai Suita Hospital, Suita, Japan.ORCID http://orcid.org/0000-0002-4120-9121
Hirofumi UtoDepartment of Digestive and Lifestyle Diseases, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.
Kohjiro UekiDepartment of Diabetes and Metabolic Diseases, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Yutaka KohgoDivision of Gastroenterology and Hematology/Oncology, Department of Medicine, Asahikawa Medical College, Asahikawa, Japan.
Kohichiroh YasuiDepartment of Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Naoto NakamuraDepartment of Endocrinology Diabetes and Metabolism, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Tatsuaki NakatouDiabetes Center, Okayama Saiseikai General Hospital, Okayama, Japan.
Toshinari TakamuraDepartment of Endocrinology and Metabolism, Kanazawa University Graduate School of Medical Science, Kanazawa, Japan.
Sumio KawataDepartment of Gastroenterology, Yamagata University Faculty of Medicine, Yamagata, Japan.
Kazuo NotsumataDepartment of Gastroenterology, Fukui-ken Saiseikai Hospital, Fukui, Japan.
Kyoko SakaiDepartment of Clinical Laboratory, Saiseikai Suita Hospital, Suita, Japan.
Ryosuke TateishiDepartment of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Takeshi OkanoueDepartment of Gastroenterology and Hepatology, Saiseikai Suita Hospital, Suita, Japan. okanoue@suita.saiseikai.or.jp.
Kyoto Prefectural University of Medicine · JPSaiseikai Suita Hospital · JPThe University of Tokyo · JPAsahikawa Medical College Hospital · JPFukui-ken Saiseikai Hospital · JPKagoshima University · JPKanazawa University · JPKyoto University · JPOkayama Saiseikai General Hospital · JPYamagata University · JP

Funding

Grant-in-Aid from the Ministry of Health, Labour and Welfare, Japan H20-Hepatitis-general-008Japan Agency for Medical Research and Development the Research Program on Hepatitis
6 · The paper itself

Abstract

backgroundWe reported a cross-sectional study on causes of liver injury in Japanese type 2 diabetes mellitus (T2D) patients (JG 2013). We assessed overall and cause-specific mortality risk during follow-up of patients enrolled in JG 2013.

methodsThis was a longitudinal, multicenter cohort study. Of the 5642 Japanese T2D patients who visited T2D clinics of nine hospitals in the original study, 3,999 patients were followed up for an average of 4.5 years. Expected deaths in T2D patients were estimated using age-specific mortality rates in the general population (GP) of Japan. Standardized mortality ratios (SMRs) were calculated to compare mortality between T2D patients and GP.

resultsAll-cancer mortality was significantly higher in T2D patients than in the GP [SMR 1.58, 95% confidence interval (CI) 1.33-1.87]. Among malignancies, hepatocellular carcinoma (HCC) conferred the highest mortality risk in T2D patients (SMR 3.57, 95% CI 2.41-5.10). HCC-associated mortality risk in T2D patients remained significantly high (SMR 2.56, 95% CI 1.64-3.97) after adjusting for high positivity rates of hepatitis B surface antigen (1.7%) and anti-hepatitis C virus (5.3%). In T2D patients with platelet counts < 200 × 10

conclusionsHCC-associated mortality risk was the highest among all cancers in Japanese T2D patients. Regular follow-up may be important for T2D patients with platelet counts < 200 × 10

Indexed as

AgedCarcinoma, HepatocellularCohort StudiesCross-Sectional StudiesDiabetes Mellitus, Type 2FemaleFollow-Up StudiesHepatitis B Surface AntigensHumansJapanLiver NeoplasmsLongitudinal StudiesMaleMiddle AgedProspective StudiesHepatitis B Surface AntigensHepatocellular carcinomaMortality riskPlatelet countType 2 diabetes mellitus

Identifiers

PMID30006904
OpenAlexW2884611239

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.