Evidence map›Paper›PMID 31664951›Full record

Observational studyBMC cancer2019

Furosemide use and survival in patients with esophageal or gastric cancer: a population-based cohort study.

Peipei Liu, Úna C McMenamin, Andrew D Spence, Brian T Johnston, Helen G Coleman, Chris R Cardwell

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.5field-weighted citation impact, top 31% 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

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. 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 2 institutions in 1 country.

Peipei LiuCentre for Public Health, Queen's University Belfast, Institute for Clinical Science, Royal Victoria Hospital, Grosvenor Road, Belfast, Belfast, Northern Ireland, BT12 6BJ, UK.
Úna C McMenaminCentre for Public Health, Queen's University Belfast, Institute for Clinical Science, Royal Victoria Hospital, Grosvenor Road, Belfast, Belfast, Northern Ireland, BT12 6BJ, UK.
Andrew D SpenceCentre for Public Health, Queen's University Belfast, Institute for Clinical Science, Royal Victoria Hospital, Grosvenor Road, Belfast, Belfast, Northern Ireland, BT12 6BJ, UK.
Brian T JohnstonBelfast Health and Social Care Trust, Belfast, Northern Ireland, UK.
Helen G ColemanCentre for Public Health, Queen's University Belfast, Institute for Clinical Science, Royal Victoria Hospital, Grosvenor Road, Belfast, Belfast, Northern Ireland, BT12 6BJ, UK.
Chris R CardwellCentre for Public Health, Queen's University Belfast, Institute for Clinical Science, Royal Victoria Hospital, Grosvenor Road, Belfast, Belfast, Northern Ireland, BT12 6BJ, UK. c.cardwell@qub.ac.uk.ORCID http://orcid.org/0000-0002-2689-4335
Queen's University Belfast · GBBelfast Health and Social Care Trust · GB

Funding

Cancer Research UK 20100Cancer Research UK 20558
6 · The paper itself

Abstract

backgroundPre-clinical studies have shown that furosemide slows cancer cell growth by acting on the Na-K-2Cl transporter, particularly for gastric cancer cells. However, epidemiological studies have not investigated furosemide use and mortality in gastroesophageal cancer patients. Consequently, we conducted a population-based study to investigate whether furosemide use is associated with reduced cancer-specific mortality in esophageal/gastric cancer patients.

methodsA cohort of patients newly diagnosed with esophageal or gastric cancer between 1998 and 2013 were identified from English cancer registries and linked to the Clinical Practice Research Datalink to provide prescription records and the Office of National Statistics to provide death data up to September 2015. Time-dependant Cox-regression models were used to calculate hazard ratios (HRs) comparing cancer-specific mortality in furosemide users with non-users. Analyses were repeated restricting to patients with common furosemide indications (heart failure, myocardial infarction, edema or hypertension) to reduce potential confounding.

resultsThe cohort contained 2708 esophageal cancer patients and 2377 gastric cancer patients, amongst whom 1844 and 1467 cancer-specific deaths occurred, respectively. Furosemide use was not associated with reduced cancer-specific mortality overall (adjusted HR in esophageal cancer = 1.28, 95% CI 1.10, 1.50 and in gastric cancer = 1.27, 95% CI 1.08, 1.50) or when restricted to patients with furosemide indications before cancer diagnosis (adjusted HR in esophageal cancer = 1.07, 95% CI 0.88, 1.30 and in gastric cancer = 1.18, 95% CI 0.96, 1.46).

conclusionsIn this large population-based cohort study, furosemide was not associated with reduced cancer-specific mortality in patients with esophageal or gastric cancer.

Indexed as

AgedAged, 80 and overDiureticsEsophageal NeoplasmsFemaleFollow-Up StudiesFurosemideHumansMaleMiddle AgedProportional Hazards ModelsRegistriesRisk FactorsStomach NeoplasmsSurvival RateTreatment OutcomeDiureticsFurosemideEpidemiologyEsophageal cancerFurosemideGastric cancerMortalityPharmacoepidemiologySurvival

Identifiers

PMID31664951
PMCPMC6819347
OpenAlexW2982305159

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.