Evidence map›Paper›PMID 30176879›Full record

ArticleBMC cancer2018

A prospective cohort examination of haematological parameters in relation to cancer death and incidence: the Busselton Health Study.

Niwansa Adris, Anita Chai Geik Chua, Matthew William Knuiman, Mark Laurence Divitini, Debbie Trinder, John Kevin Olynyk

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.3field-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

12 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
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  6. A Genetic Test to Identify People at High Risk of Heart Failure.International journal of molecular sciences · 2025
    Article
  7. Article
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  10. Hematologic Markers and Prostate Cancer Risk: A Prospective Analysis in UK Biobank.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2020
    Article
  11. Hematological parameters and hair mercury levels in adolescents from the Colombian Caribbean.Environmental science and pollution research international · 2020
    Article
  12. 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

6 authors at 4 institutions in 1 country.

Niwansa AdrisDepartment of Gastroenterology and Hepatology, Fiona Stanley and Fremantle Hospital Group, Murdoch, WA, 6150, Australia.
Anita Chai Geik ChuaMedical School, The University of Western Australia, Fiona Stanley Hospital, Murdoch, WA, 6150, Australia.
Matthew William KnuimanSchool of Population and Global Health, The University of Western Australia, Crawley, WA, 6009, Australia.
Mark Laurence DivitiniSchool of Population and Global Health, The University of Western Australia, Crawley, WA, 6009, Australia.
Debbie TrinderMedical School, The University of Western Australia, Fiona Stanley Hospital, Murdoch, WA, 6150, Australia.
John Kevin OlynykDepartment of Gastroenterology and Hepatology, Fiona Stanley and Fremantle Hospital Group, Murdoch, WA, 6150, Australia. John.Olynyk@health.wa.gov.au.
University of Western Australia · AUEdith Cowan University · AUFremantle Hospital · AUHarry Perkins Institute of Medical Research · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCancer risk is associated with serum iron levels. The aim of this study was to evaluate whether haematological parameters reflect serum iron levels and may also be associated with cancer risk.

methodsWe studied 1564 men and 1769 women who were enrolled in the Busselton Health Study, Western Australia. Haematological parameters evaluated included haemoglobin (Hb), mean cell volume (MCV), mean cell haemoglobin (MCH) and mean cell haemoglobin concentration (MCHC) and red cell distribution width (RCDW). Statistical analyses included t-tests for quantitative variables, chi-square tests for categorical variables and Cox proportional hazards regression modelling for cancer incidence and death.

resultsThere was marginal evidence of an association between MCV (as a continuous variable) and non-skin cancer incidence in women (HR 1.15, 95% CI 1.013, 1.302; p = 0.030) but the hazard ratio was attenuated to non-significance after adjustment for serum ferritin (SF), iron and transferrin saturation (TS) (HR 1.11, 95% CI 0.972, 1.264; p = 0.126). There was strong evidence of an association between MCHC and prostate cancer incidence in men; the estimated hazard ratio for an increase of one SD (0.5) in MCHC was 1.27 (95% CI 1.064, 1.507; p = 0.008). These results remained significant after further adjustment for SF and iron; the estimated hazard ratio for an increase of one SD (0.5) in MCHC was 1.25 (p = 0.014, 95% CI 1.05 to 1.48).

conclusionsThe MCHC and MCV were associated with cancer incidence in a Western Australian population, although only MCHC remained associated with prostate cancer after adjusting with serum iron and TS (circulating iron) and SF (storage iron). Haematological parameters are thus of limited utility in population profiling for future cancer risk.

Indexed as

Erythrocyte IndicesAdultAgedAustraliaBlood Cell CountFemaleFerritinsHemoglobinsHumansIronMaleMiddle AgedNeoplasmsProportional Hazards ModelsRisk FactorsFerritinsHemoglobinsIronCancerFull blood countIron

Identifiers

PMID30176879
PMCPMC6122556
OpenAlexW2889480257

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.