Evidence map›Paper›PMID 31756677›Full record

ArticleCancer epidemiology2020

Risk factors for gastric precancerous and cancers lesions in Latin American counties with difference gastric cancer risk.

Lourdes Flores-Luna, Maria Mercedes Bravo, Elena Kasamatsu, Eduardo César Lazcano Ponce, Teresa Martinez, Javier Torres, Margarita Camorlinga-Ponce, Ikuko Kato

Open access · greenAbstract read
In one paragraph

Article in Cancer epidemiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Pathogenicity ofWorld journal of clinical oncology · 2025
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Virulence Genes ofCanadian journal of gastroenterology & hepatology · 2022
    Article
  9. Article
  10. Article
  11. CytokineInternational journal of medical sciences · 2021
    Observational
  12. Review
  13. Article
  14. 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 at 5 institutions in 4 countries.

Lourdes Flores-LunaResearch Center in Health Population, National Institute of Public Health, Cuernavaca, Morelos, Mexico.
Maria Mercedes BravoGrupo de Investigación en Biología del Cáncer. Instituto Nacional de Cancerología, Bogoát, Colombia.
Elena KasamatsuResearch Institute in Health Sciences, National University of Asunción, Asuncion, Paraguay.
Eduardo César Lazcano PonceResearch Center in Health Population, National Institute of Public Health, Cuernavaca, Morelos, Mexico.
Teresa MartinezGrupo de Investigación Epidemiológica del Cáncer. Instituto Nacional de Cancerología, Bogotá, Colombia.
Javier TorresInfectious Diseases Research Unit, CMNS-XXI, IMSS, Mexico City, Mexico.
Margarita Camorlinga-PonceInfectious Diseases Research Unit, CMNS-XXI, IMSS, Mexico City, Mexico.
Ikuko KatoDepartment of Oncology and Department of Pathology, Wayne State University School of Medicine, Detroit, USA. Electronic address: katoi@karmanos.org.
Instituto Nacional de Cancerología · COInstituto Nacional de Salud Pública · MXMexican Social Security Institute · MXUniversidad Nacional de Asunción · PYWayne State University · US

Funding

High Resolution Helicobacter SNP Typing to Identify Carcinogenic cagPAI VariantsR21CA182822 · NCI · WAYNE STATE UNIVERSITY · PI KATO, IKUKO · 2014 to 2015
$320k
NCI NIH HHS R21 CA182822
6 · The paper itself

Abstract

objectiveTo evaluate the risk factors associated with pre-neoplastic lesions and gastric cancer in countries with different cancer risk in Latin America.

methods1222 questionnaires of risk factors related to pre-neoplastic lesions and gastric cancer were obtained from patients from Mexico (N = 559), Colombia (N = 461) and Paraguay (N = 202), who were treated at the gastroenterology or oncology service of participant hospitals. In addition, biopsies specimens to establish histological diagnosis and blood to detect IgG antibodies against Helicobacter-pylori (H. pylori) whole-cell antigens and CagA protein using an ELISA were collected. These consisted of 205 gastric cancer, 379 pre-neoplastic (intestinal metaplasia (IM) / atrophic gastritis) and 638 control (normal /non-atrophic gastritis) cases. The odds ratio (OR) and 95% confidence intervals (CI) associated with potential risk factors were estimated by polynomial logistic regression model.

resultsSeropositivity to H. pylori was associated with risk of pre-neoplastic lesions, with OR = 1.9 (CI 95% 1.2-2.9; p = 0.006). Grain / cereal intake (OR = 1.6, 95% CI 1.0-2.5 ; p = 0.049) and egg intake (OR = 1.7 95% CI 1.1-2.6 ; p = 0.021) were related to gastric cancer. Among, people who did not developed gastric cancer, smoking more than five cigarette per day had the highest risk of being infected by H. pylori (OR = 1.9; CI 95% 1.1-3.3 ; p = 0.028).

conclusionThe present study in Latin American countries confirmed that similar environmental factors such as smoking and grain/cereal consumption were associated with H. pylori infection and its induced gastric lesions as reported in other regions where dominant H. pylori strains differ.

Indexed as

AdultFemaleHumansLatin AmericaMaleMiddle AgedPrecancerous ConditionsRisk FactorsStomach NeoplasmsSurveys and QuestionnairesGastric cancerPre-neoplastic lesionsRisk factors

Identifiers

PMID31756677
PMCPMC6983355
OpenAlexW2990937122

What OpenQuestion holds

Textmetadata
LicenceTDM
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.