Evidence map›Paper›PMID 33789604›Full record

ArticleBMC cancer2021

A nomogram for screening esophageal squamous cell carcinoma based on environmental risk factors in a high-incidence area of China: a population-based case-control study.

Xiaorong Yang, Chen Suo, Tongchao Zhang, Xiaolin Yin, Jinyu Man, Ziyu Yuan, Hui Chen, Jingru Yu, Li Jin, Xingdong Chen and 2 more

Abstract read
In one paragraph

Article in BMC cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

12 authors.

Xiaorong YangClinical Epidemiology Unit, Qilu Hospital of Shandong University, 107 Wenhuaxi Road, Jinan, 250012, Shandong, China.
Chen SuoDepartment of Epidemiology and Health Statistics, School of Public Health, Fudan University, Shanghai, China.
Tongchao ZhangDepartment of Epidemiology and Health Statistics, School of Public Health, Shandong University, Jinan, China.
Xiaolin YinDepartment of Epidemiology and Health Statistics, School of Public Health, Shandong University, Jinan, China.
Jinyu ManDepartment of Epidemiology and Health Statistics, School of Public Health, Shandong University, Jinan, China.
Ziyu YuanFudan University Taizhou Institute of Health Sciences, Taizhou, China.
Hui ChenClinical Epidemiology Unit, Qilu Hospital of Shandong University, 107 Wenhuaxi Road, Jinan, 250012, Shandong, China.
Jingru YuDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Li JinFudan University Taizhou Institute of Health Sciences, Taizhou, China.
Xingdong ChenFudan University Taizhou Institute of Health Sciences, Taizhou, China. xingdongchen@fudan.edu.cn.
Ming LuClinical Epidemiology Unit, Qilu Hospital of Shandong University, 107 Wenhuaxi Road, Jinan, 250012, Shandong, China. lvming@sdu.edu.cn.ORCID http://orcid.org/0000-0002-8685-6322
Weimin YeFudan University Taizhou Institute of Health Sciences, Taizhou, China.

Funding

European Research Council 682663International S&T Cooperation Program of China 2015DFE32790National Key Research and Development program of China 2017YFC0907002National Key Research and Development program of China 2017YFC0907003National Natural Science Foundation of China 81973116 and 81573229National Natural Science Foundation of China 82073637National Natural Science Foundation of China 91846302Shandong Provincial Natural Science Foundation ZR2020QH302
6 · The paper itself

Abstract

backgroundSelection of high-risk subjects for endoscopic screening of esophageal squamous cell carcinoma (ESCC) lacks individual predictive tools based on environmental risk factors.

methodsWe performed a large population-based case-control study of 1418 ESCC cases and 1992 controls in a high-risk area of China. Information on potential risk factors was collected via face-to-face interview using an electronic structured questionnaire. Odds ratios (ORs) and 95% confidence intervals (CIs) were estimated using unconditional logistic regression models, and predictive nomograms were established accordingly. A weighted analysis was further conducted to introduce age into predictive nomograms due to frequency matching study design.

resultsMost cases were usually exposed to 4 to 6 risk factors, but most controls were usually exposed to 3 to 5 risk factors. The AUCs of male and female predictive nomograms were 0.75 (95%CI: 0.72, 0.77) and 0.76 (95%CI: 0.73, 0.79), respectively. The weighted analysis adding age in the predictive model improved the AUC in both men and women (0.81 (95%CI: 0.79, 0.84) and 0.88 (95%CI: 0.85, 0.90), respectively).

conclusionsAn easy-to-use preclinical predictive tool is provided to select candidate population with high ESCC risk for endoscopic screening. Its usefulness needs to be further evaluated in future screening practice.

Indexed as

NomogramsAdultAgedAged, 80 and overCase-Control StudiesChinaEsophageal Squamous Cell CarcinomaFemaleHumansIncidenceMaleMass ScreeningMiddle AgedRisk FactorsEnvironmental risk factorsEsophageal squamous cell carcinomaNomogramPredictive modelPreventionScreening

Identifiers

PMID33789604
PMCPMC8011400

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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.