Evidence map›Paper›PMID 31183993›Full record

ArticleCancer medicine2019

Antipsychotic use is inversely associated with gastric cancer risk: A nationwide population-based nested case-control study.

Yi-Hsuan Hsieh, Hsiang-Lin Chan, Chiao-Fan Lin, Sophie Hsin-Yi Liang, Mong-Liang Lu, Roger S McIntyre, Yena Lee, Tzu-Chin Lin, Wei-Che Chiu, Vincent Chin-Hung Chen

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 14% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Uncovering hypothesis-generating associations between prescription drugs and digestive cancer risk: a case-control drug-wide association study (DWAS).Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
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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 6 institutions in 2 countries.

Yi-Hsuan HsiehDepartment of Child Psychiatry, Chang Gung Memorial Hospital at Taoyuan, Taoyuan, Taiwan.ORCID 0000-0003-3023-0731
Hsiang-Lin ChanDepartment of Medicine, Chang Gung University, Taoyuan, Taiwan.
Chiao-Fan LinDepartment of Medicine, Chang Gung University, Taoyuan, Taiwan.
Sophie Hsin-Yi LiangDepartment of Child Psychiatry, Chang Gung Memorial Hospital at Taoyuan, Taoyuan, Taiwan.
Mong-Liang LuDepartment of Psychiatry, Wan-Fang Hospital & School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
Roger S McIntyreMood Disorders Psychopharmacology Unit, Brain and Cognition Discovery Foundation, Toronto, ON, Canada.
Yena LeeMood Disorders Psychopharmacology Unit, Brain and Cognition Discovery Foundation, Toronto, ON, Canada.
Tzu-Chin LinBethel Psychiatric Clinic, Taipei, Taiwan.
Wei-Che ChiuDepartment of Psychiatry, Cathay General Hospital, Taipei, Taiwan.
Vincent Chin-Hung ChenDepartment of Medicine, Chang Gung University, Taoyuan, Taiwan.ORCID 0000-0002-1971-4922
Chang Gung University · TWBali Psychiatric Center · TWBrain and Cognition Discovery Foundation · CAFu Jen Catholic University · TWUniversity of Toronto · CAWan Fang Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe association between antipsychotic use and gastric cancer risk remains unclear. Therefore, this study aimed to determine the association between antipsychotic exposure and the incidence of gastric cancer.

methodsUsing a nested case-control design, a total of 34 470 gastric cancer patients and 163 430 nongastric cancer controls were identified from Taiwan's National Health Insurance Research Database between 1 January 1997 and 31 December 2013. We analyzed the data using a conditional logistic regression model to adjust for possible confounding variables.

resultsAntipsychotic use was independently inversely associated with gastric cancer risk after controlling for potential confounding factors including income, urbanization, medications, physical and medical illness, aspirin use, nonsteroidal anti-inflammatory drug use and triple therapy. In addition, dose-dependent trends against gastric cancer risk were also shown with individual antipsychotic compounds including thioridazine, haloperidol, sulpiride, clozapine, olanzapine, quetiapine, amisulpride, and risperidone. A sensitivity analysis showed that second-generation antipsychotics had significant dose-dependent effects in reducing the risk of gastric cancer risk in patients with and without peptic ulcer disease.

conclusionsAntipsychotic use was inversely associated with gastric cancer risk, and dose-dependent effects against gastric cancer were also seen with several individual antipsychotic compounds.

Indexed as

AdultAgedAntipsychotic AgentsCase-Control StudiesDatabases, FactualDose-Response Relationship, DrugFemaleHumansIncidenceLogistic ModelsMaleMiddle AgedStomach NeoplasmsTaiwanYoung AdultAntipsychotic Agentscancer risk factorsclinical cancer researchdigestive cancer

Identifiers

PMID31183993
PMCPMC6675741
OpenAlexW2950122988

What OpenQuestion holds

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LicenceCC BY
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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.