Evidence map›Paper›PMID 31814116›Full record

ArticleCancer2020

Light to moderate amount of lifetime alcohol consumption and risk of cancer in Japan.

Masayoshi Zaitsu, Takumi Takeuchi, Yasuki Kobayashi, Ichiro Kawachi

Abstract read
In one paragraph

Article in Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Masayoshi ZaitsuDepartment of Public Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.ORCID 0000-0001-7616-355X
Takumi TakeuchiDepartment of Urology, Kanto Rosai Hospital, Kawasaki, Japan.
Yasuki KobayashiDepartment of Public Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Ichiro KawachiDepartment of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, Boston, Massachusetts.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEven light to moderate alcohol consumption has been shown to increase cancer incidence. However, this association has not been well characterized in Japan.

methodsBased on a nationwide, hospital-based data set (2005-2016), a multicenter case-control study was conducted (63,232 cancer cases and 63,232 controls matched for sex, age, admission date, and admitting hospital). The total amount of lifetime alcohol consumption (drink-years) was recalled for each patient by multiplication of the daily amount of standardized alcohol use (drinks per day) and the duration of drinking (years). Odds ratios (ORs) were estimated for overall and specific cancer sites via conditional logistic regression with restricted cubic splines, with adjustments made for smoking, occupational class, and comorbidities. Lifetime abstainers served as the reference group.

resultsSpline curves showed a dose-response association with overall cancer risk: the minimum risk was at 0 drink-years, and the OR at 10 drink-years was 1.05 (95% confidence interval [CI], 1.04-1.06). In comparison with lifetime abstainers, the OR for >0 to 20 drink-years was 1.06 (95% CI, 1.01-1.11). Those who drank 2 drinks or fewer per day had elevated odds for overall cancer risk across all duration-of-drinking categories. The same patterns were observed at light to moderate levels of drinking for most gastrointestinal/aerodigestive cancers as well as breast and prostate cancers. Analyses stratified by sex, different drinking/smoking behaviors, and occupational class mostly showed the same patterns for overall cancer incidence associated with light to moderate levels of drinking.

conclusionsIn Japan, even light to moderate alcohol consumption appears to be associated with elevated cancer risks.

Indexed as

AgedAlcohol DrinkingCase-Control StudiesFemaleFollow-Up StudiesHumansIncidenceJapanMaleNeoplasmsPrognosisRisk Factorsalcoholcancer incidenceJapanlifetimerisksmoking

Identifiers

PMID31814116
PMCPMC7027900

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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.