Evidence map›Paper›PMID 30568489›Full record

ArticleCancer management and research2018

The association between metabolic syndrome and bladder cancer susceptibility and prognosis: an updated comprehensive evidence synthesis of 95 observational studies involving 97,795,299 subjects.

Xiao-Fan Peng, Xiang-Yu Meng, Cheng Wei, Zhen-Hua Xing, Jia-Bin Huang, Zhen-Fei Fang, Xin-Qun Hu, Qi-Ming Liu, Zhao-Wei Zhu, Sheng-Hua Zhou

Open access · goldAbstract read
In one paragraph

Article in Cancer management and research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 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

10 authors at 2 institutions in 1 country.

Xiao-Fan PengDepartment of Cardiology, The Second Xiangya Hospital, Central South University, Changsha 410000, China, zhoushenghua@csu.edu.cn.
Xiang-Yu MengDepartment of Urology, Zhongnan Hospital of Wuhan University, Wuhan 430071, China.
Cheng WeiDepartment of Cardiology, The Second Xiangya Hospital, Central South University, Changsha 410000, China, zhoushenghua@csu.edu.cn.
Zhen-Hua XingDepartment of Cardiology, The Second Xiangya Hospital, Central South University, Changsha 410000, China, zhoushenghua@csu.edu.cn.
Jia-Bin HuangDepartment of Cardiology, The Second Xiangya Hospital, Central South University, Changsha 410000, China, zhoushenghua@csu.edu.cn.
Zhen-Fei FangDepartment of Cardiology, The Second Xiangya Hospital, Central South University, Changsha 410000, China, zhoushenghua@csu.edu.cn.
Xin-Qun HuDepartment of Cardiology, The Second Xiangya Hospital, Central South University, Changsha 410000, China, zhoushenghua@csu.edu.cn.
Qi-Ming LiuDepartment of Cardiology, The Second Xiangya Hospital, Central South University, Changsha 410000, China, zhoushenghua@csu.edu.cn.
Zhao-Wei ZhuDepartment of Cardiology, The Second Xiangya Hospital, Central South University, Changsha 410000, China, zhoushenghua@csu.edu.cn.
Sheng-Hua ZhouDepartment of Cardiology, The Second Xiangya Hospital, Central South University, Changsha 410000, China, zhoushenghua@csu.edu.cn.
Central South University · CNWuhan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe association between metabolic syndrome (MS) and bladder cancer (BC) was not fully investigated, and most primary studies and pooled analyses were only focused on certain specific components.

objectiveTo further investigate this issue and obtain more precise findings, we conducted this updated evidence synthesis of published studies, which involved not only MS components but also the MS in its entirety. MATERIALS AND

methodsWe searched the PubMed, EMBASE, and Web of Science databases for observational studies on the association between BC susceptibility and/or mortality, and MS and its components. We extracted data from included studies, evaluated heterogeneity, and performed meta-analytic quantitative syntheses.

resultsA total of 95 studies with 97,795,299 subjects were included in the present study. According to the results, MS significantly increased the risk of BC (risk ratio [RR]=1.11, 95% CI=1.00-1.23); diabetes significantly increased the risk of BC (RR=1.29, 95% CI=1.19-1.39) and associated with poor survival (RR=1.24, 95% CI=1.08-1.43). Excessive body weight was associated with increased susceptibility (RR=1.07, 95% CI=1.02-1.12), recurrence (RR=1.46, 95% CI=1.18-1.81), and mortality (RR=1.17, 95% CI=1.00-1.37). As indicated by cumulative meta-analysis, sample size was inadequate for the association between BC susceptibility and MS, the association between BC recurrence and excessive body weight, and the association between BC survival and diabetes. The sample size of the meta-analysis was enough to reach a stable pooled effect for other associations.

conclusionDiabetes and excessive body weight as components of MS are associated with increased susceptibility and poor prognosis of BC. Uncertainty remains concerning the impact of overall MS, hypertension, and dyslipidemia on BC susceptibility and prognosis, for which further investigations are needed.

Indexed as

bladder cancercumulative meta-analysisdiabetesexcessive body weightmeta-analysismetabolic syndromeprognosissusceptibility

Identifiers

PMID30568489
PMCPMC6267767
OpenAlexW2902166386

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.