Evidence map›Paper›PMID 30327727›Full record

ArticleJournal of obesity2018

Obesity Is Associated with Early Onset of Gastrointestinal Cancers in California.

Yen-Yi Juo, Melinda A Maggard Gibbons, Erik Dutson, Anne Y Lin, Jane Yanagawa, O Joe Hines, Guido Eibl, Yijun Chen

Abstract read
In one paragraph

Article in Journal of obesity, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Associations between body mass index and gastroesophageal cancer incidence and mortality: novel insights from a nationwide registry-based cohort study.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2025
    Article
  7. Review
  8. Review
  9. Article
  10. Disparities in cancer incidence by rurality in California.Journal of the National Cancer Institute · 2023
    Article
  11. Review
  12. Review
  13. Article
  14. Young-onset colorectal cancer: A review.World journal of gastrointestinal oncology · 2021
    Review
  15. Review
  16. Article
  17. Observational
  18. Review
  19. Review
  20. 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

8 authors.

Yen-Yi JuoCenter for Advanced Surgical and Interventional Technology (CASIT), University of California, 757 Westwood Plaza, Suite B-792, Los Angeles, CA 90095, USA.ORCID 0000-0003-4195-2481
Melinda A Maggard GibbonsDepartment of Surgery, University of California, Box 956904, 72-251 Center for Health Sciences, Los Angeles, CA 90095, USA.
Erik DutsonCenter for Advanced Surgical and Interventional Technology (CASIT), University of California, 757 Westwood Plaza, Suite B-792, Los Angeles, CA 90095, USA.
Anne Y LinDepartment of Surgery, University of California, Box 956904, 72-251 Center for Health Sciences, Los Angeles, CA 90095, USA.
Jane YanagawaDepartment of Surgery, University of California, Box 956904, 72-251 Center for Health Sciences, Los Angeles, CA 90095, USA.
O Joe HinesDepartment of Surgery, University of California, Box 956904, 72-251 Center for Health Sciences, Los Angeles, CA 90095, USA.
Guido EiblDepartment of Surgery, University of California, Box 956904, 72-251 Center for Health Sciences, Los Angeles, CA 90095, USA.
Yijun ChenDepartment of Surgery, University of California, Box 956904, 72-251 Center for Health Sciences, Los Angeles, CA 90095, USA.ORCID 0000-0003-3494-1522

Funding

Pilot and Feasibility ProgramP30DK041301 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ROZENGURT, JUAN ENRIQUE · 1990 to 2019
$18.0M
NIDDK NIH HHS P30 DK041301
6 · The paper itself

Abstract

Background: Although it is well known that obesity is a risk factor for gastrointestinal (GI) cancer, it is not well established if obesity can cause earlier GI cancer onset. Methods: A cross-sectional study examining the linked 2004-2008 California Cancer Registry Patient Discharge Database was performed to evaluate the association between obesity and onset age among four gastrointestinal cancers, including esophageal, gastric, pancreatic, and colorectal cancers. Regression models were constructed to adjust for other carcinogenic factors. Results: The diagnosis of obesity (BMI > 30) was associated with a reduction in diagnosis age across all four cancer types: 3.25 ± 0.53 years for gastric cancer, 4.56 ± 0.18 years for colorectal cancer, 4.73 ± 0.73 years for esophageal cancer, and 5.35 ± 0.72 for pancreatic cancer. The diagnosis of morbid obesity (BMI > 40) was associated with a more pronounced reduction in the age of diagnosis: 5.48 ± 0.96 years for gastric cancer, 7.75 ± 0.30 years for colorectal cancer, 7.67 ± 1.26 years for esophageal cancer, and 8.19 ± 1.25 years for pancreatic cancer. Both morbid obesity and obesity remained strongly associated with earlier cancer diagnosis for all four cancer types even after adjusting for other available cancer risk factors. Conclusions: The diagnosis of obesity, especially morbid obesity, was associated with a significantly earlier gastrointestinal cancer onset in California. Further research with prospective cohort data may be required to establish the causal relationship between obesity and cancer onset age.

Indexed as

Age of OnsetAdultAgedAged, 80 and overCaliforniaCross-Sectional StudiesFemaleGastrointestinal NeoplasmsHumansMaleMiddle AgedObesityRegistriesRetrospective StudiesRisk FactorsYoung Adult

Identifiers

PMID30327727
PMCPMC6169206

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.