Evidence map›Paper›PMID 31014273›Full record

SynthesisBMC cancer2019

Smoking status and subsequent gastric cancer risk in men compared with women: a meta-analysis of prospective observational studies.

Wen-Ya Li, Yunan Han, Hui-Mian Xu, Zhen-Ning Wang, Ying-Ying Xu, Yong-Xi Song, Hao Xu, Song-Cheng Yin, Xing-Yu Liu, Zhi-Feng Miao

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in BMC cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
8.4field-weighted citation impact, top 2% 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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 64 citations in OpenAlex.

  1. Pooled it
  2. Dose-response association between cigarette smoking and gastric cancer risk: a systematic review and meta-analysis.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2024
    Pooled it
  3. Article
  4. A Network Information-Based Behavior Change Wheel for Populations at High Risk of Developing Gastric Cancer.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  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

10 authors at 2 institutions in 2 countries.

Wen-Ya LiDepartment of Thoracic surgery, First Hospital of China Medical University, Shenyang, Liaoning Province, China.
Yunan HanDepartment of Breast Surgery, First Hospital of China Medical University, Shenyang, Liaoning Province, China.
Hui-Mian XuDepartment of Surgical Oncology, First Hospital of China Medical University, Shenyang, Liaoning Province, China.
Zhen-Ning WangDepartment of Surgical Oncology, First Hospital of China Medical University, Shenyang, Liaoning Province, China.
Ying-Ying XuDepartment of Breast Surgery, First Hospital of China Medical University, Shenyang, Liaoning Province, China.
Yong-Xi SongDepartment of Surgical Oncology, First Hospital of China Medical University, Shenyang, Liaoning Province, China.
Hao XuDepartment of Medical Oncology, Shengjing Hospital of China Medical University, Shenyang, Liaoning Province, China.
Song-Cheng YinDepartment of Surgical Oncology, First Hospital of China Medical University, Shenyang, Liaoning Province, China.
Xing-Yu LiuDepartment of Surgical Oncology, First Hospital of China Medical University, Shenyang, Liaoning Province, China.
Zhi-Feng MiaoDepartment of Surgical Oncology, First Hospital of China Medical University, Shenyang, Liaoning Province, China. zfmiao@cmu.edu.cn.
China Medical University · CNFirst Hospital of China Medical University · CN

Funding

National Natural Science Foundation of China 81272718National Natural Science Foundation of China 81302125National Natural Science Foundation of China 81372550
6 · The paper itself

Abstract

backgroundSmoking is one of the well-established risk factors for gastric cancer incidence, yet whether men are more or equally susceptible to gastric cancer due to smoking compared with women is a matter of controversy. The aim of this study was to investigate and compare the effect of sex on gastric cancer risk associated with smoking.

methodsWe conducted a systemic literature search in MEDLINE, EMBASE, and the Cochrane CENTRAL databases to identify studies published from inception to December 2018. We included prospective observational studies which reported effect estimates with 95% confidence intervals (CIs) for associations of current or former smokers with the incidence of gastric cancer by sex. We calculated the ratio of relative risk (RRR) with corresponding 95% CI based on sex-specific effect estimates for current or former smokers versus non-smokers on the risk of gastric cancer.

resultsWe included 10 prospective studies with 3,381,345 participants in our analysis. Overall, the summary RRR (male to female) for gastric cancer risk in current smokers was significantly increased compared with non-smokers (RRR: 1.30; 95% CI: 1.05-1.63; P = 0.019). Furthermore, there was no significant sex difference for the association between former smokers and gastric cancer risk (RRR: 1.20; 95% CI: 0.92-1.55; P = 0.178). However, the result of sensitivity analysis indicated the pooled result was not stable, which was altered by excluding a nested case-control study (RRR: 1.31; 95% CI: 1.10-1.57; P = 0.002).

conclusionThis systematic review showed a potential sex difference association between current smokers and the risk of gastric cancer. The sex differential in smokers can give important clues for the etiology of gastric cancers and should be examined in further studies.

Indexed as

Disease SusceptibilityFemaleHumansMaleObservational Studies as TopicProspective StudiesRisk FactorsSex FactorsSmokingStomach NeoplasmsCancer riskGastric cancerMeta-analysisSexSmoking

Identifiers

PMID31014273
PMCPMC6480657
OpenAlexW2945012199

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.