Evidence map›Paper›PMID 34183534›Full record

SynthesisEuropean journal of cancer prevention : the official journal of the European Cancer Prevention Organisation (ECP)2022

The association between diabetes and gastric cancer: results from the Stomach Cancer Pooling Project Consortium.

Bashir Dabo, Claudio Pelucchi, Matteo Rota, Harshonnati Jain, Paola Bertuccio, Rossella Bonzi, Domenico Palli, Monica Ferraroni, Zuo-Feng Zhang, Aurora Sanchez-Anguiano and 26 more

Open access · hybridAbstract readMeta-Analysis
In one paragraph

Synthesis in European journal of cancer prevention : the official journal of the European Cancer Prevention Organisation (ECP), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
1.8field-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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Functions and Clinical Applications of Exosomes in Gastric Cancer.International journal of biological sciences · 2025
    Review
  10. Article
  11. Article
  12. Article
  13. The global gastric cancer consortium: an update from the Stomach cancer Pooling (StoP) project.European journal of cancer prevention : the official journal of the European Cancer Prevention Organisation (ECP) · 2024
    Article
  14. Article
  15. Article
  16. Frontiers in oncology · 2024
    Article
  17. Review
  18. Article
  19. Review
  20. Influence of the Microbiome Metagenomics and Epigenomics on Gastric Cancer.International journal of molecular sciences · 2022
    Review
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

36 authors at 20 institutions in 9 countries.

Bashir DaboCollege of Public Health, University of South Florida, Tampa, Florida, USA.
Claudio PelucchiDepartment of Clinical Sciences and Community Health, University of Milan, Milan.
Matteo RotaDepartment of Molecular and Translational Medicine, University of Brescia, Brescia, Italy.
Harshonnati JainDepartment of Information Systems and Decision Sciences (ISDS), Muma College of Business, University of South Florida, Tampa, Florida, USA.
Paola BertuccioDepartment of Biomedical and Clinical Sciences, University of Milan, Milan.
Rossella BonziDepartment of Clinical Sciences and Community Health, University of Milan, Milan.
Domenico PalliCancer Risk Factors and Life-Style Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Network, ISPRO, Florence, Italy.
Monica FerraroniDepartment of Clinical Sciences and Community Health, University of Milan, Milan.
Zuo-Feng ZhangDepartment of Epidemiology, UCLA Fielding School of Public Health and Jonsson Comprehensive Cancer Center, Los Angeles, California, USA.
Aurora Sanchez-AnguianoCollege of Public Health, University of South Florida, Tampa, Florida, USA.
Yen Thi-Hai PhamDepartment of Rehabilitation, Vinmec Hospital Times City, Vinmec Healthcare System.
Chi Thi-Du TranVietnam Colorectal Cancer and Polyps Research Program, Vinmec Healthcare System.
Anh Gia PhamDepartment of Surgical Oncology, Viet-Duc University Hospital, Hanoi, Vietnam.
Guo-Pei YuMedical Informatics Center, Peking University, Peking, China.
Tin C NguyenDepartment of Computer Sciences and Engineering, University of Nevada-Reno, Reno, Nevada.
Joshua MuscatDepartment of Public Health Sciences, Tobacco Center of Regulatory Science, Pennsylvania State University College of Medicine, Hershey, Pennsylvania, USA.
Shoichiro TsuganeEpidemiology and Prevention Group, Center for Public Health Sciences, National Cancer Center, Japan.
Akihisa HidakaEpidemiology and Prevention Group, Center for Public Health Sciences, National Cancer Center, Japan.
Gerson S HamadaNikkei Disease Prevention Center, São Paulo, Brazil.
David ZaridzeDepartment of Epidemiology and Prevention, Russian N.N. Blokhin Cancer Research Center, Moscow, Russia.
Dmitry MaximovitchDepartment of Epidemiology and Prevention, Russian N.N. Blokhin Cancer Research Center, Moscow, Russia.
Manolis KogevinasCIBER Epidemiología y Salud Pública (CIBERESP), Madrid.
Nerea Fernàndez de LarreaCIBER Epidemiología y Salud Pública (CIBERESP), Madrid.
Stefania BocciaSection of Hygiene, University Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore.
Roberta PastorinoSection of Hygiene, University Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore.
Robert C KurtzDepartment of Medicine, Memorial Sloan Kettering Cancer Centre, New York, NY, USA.
Areti LagiouDepartment of Public and Community Health, School of Health Sciences, University of West Attica.
Pagona LagiouDepartment of Hygiene, Epidemiology and Medical Statistics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Jesus VioqueCIBER Epidemiología y Salud Pública (CIBERESP), Madrid.
M Constanza CamargoDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland, USA.
Maria Paula CuradoCentro Internacional de Pesquisa, A. C. Camargo Cancer Center, São Paulo, Brazil.
Nuno LunetDepartamento de Ciências da Saúde Pública e Forenses e Educação Médica, Faculdade de Medicina da Universidade do Porto, Al. Prof. Hernâni Monteiro.
Paolo BoffettaStony Brook Cancer Center, Stony Brook University, New York, New York, USA.
Eva NegriDepartment of Biomedical and Clinical Sciences, University of Milan, Milan.
Carlo La VecchiaDepartment of Clinical Sciences and Community Health, University of Milan, Milan.
Hung N LuuUPMC Hillman Cancer Center, University of Pittsburgh Medical Center, Pittsburgh.
University of Milan · ITDecision Sciences (United States) · USRussian Cancer Research Center NN Blokhin · RUUniversità Cattolica del Sacro Cuore · ITUniversity of Brescia · ITUniversity of South Florida · USInstituto de Salud Carlos III · ESMemorial Sloan Kettering Cancer Center · USNational and Kapodistrian University of Athens · GRPeking University · CNPennsylvania State University · USPiedmont Reference Center for Epidemiology and Cancer Prevention · ITPompeu Fabra University · ESStony Brook University · USUCLA Health · USUniversidade do Porto · PTUniversitat de Miguel Hernández d'Elx · ESUniversity of Nevada, Reno · USUniversity of Pittsburgh Medical Center · USUniversity of West Attica · GR

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
VECTOR CORE FACILITYP30CA047904 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JOHN C. BYRD · 1988 to 2026
$158.0M
Upper Gastrointestinal Cancer StudiesZIACP000185 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI ABNET, CHRISTIAN · 2009 to 2025
$25.6M
Intramural NIH HHS ZIA CP000185NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA047904
6 · The paper itself

Abstract

backgroundPrior epidemiologic studies on the association between diabetes and gastric cancer risk provided inconclusive findings, while traditional, aggregate data meta-analyses were characterized by high between-study heterogeneity.

objectiveTo investigate the association between type 2 diabetes and gastric cancer using data from the 'Stomach Cancer Pooling (StoP) Project', an international consortium of more than 30 case-control and nested case-control studies, which is large and provides harmonized definition of participants' characteristics across individual studies. The data have the potential to minimize between-study heterogeneity and provide greater statistical power for subgroup analysis.

methodsWe included 5592 gastric cancer cases and 12 477 controls from 14 studies from Europe, Asia, North America, and South America in a two-stage individual-participant data meta-analysis. Random-effect models were used to estimate summary odds ratios (ORs) and their corresponding 95% confidence intervals (CIs) by pooling study-specific ORs.

resultsWe did not find an overall association between diabetes and gastric cancer (pooled OR = 1.01, 95% CI, 0.94-1.07). However, the risk of cardia gastric cancer was significantly higher among individuals with type 2 diabetes (OR = 1.16, 95% CI, 1.02-1.33). There was no association between diabetes and gastric cancer risk in strata of Helicobacter pylori infection serostatus, age, sex, BMI, smoking status, alcohol consumption, fruit/vegetable intake, gastric cancer histologic type, and source of controls.

conclusionThis study provides additional evidence that diabetes is unrelated to gastric cancer overall but may be associated with excess cardia gastric cancer risk.

Indexed as

Diabetes Mellitus, Type 2Helicobacter InfectionsHelicobacter pyloriStomach NeoplasmsCase-Control StudiesHumansRisk Factors

Identifiers

PMID34183534
PMCPMC8709871
OpenAlexW3174546165

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.