Evidence map›Paper›PMID 34530751›Full record

ArticleBMC cancer2021

Risk factors for esophageal squamous cell carcinoma and its histological precursor lesions in China: a multicenter cross-sectional study.

Chen Niu, Yong Liu, Jialin Wang, Yuqin Liu, Shaokai Zhang, Yongzhen Zhang, Liwei Zhang, Deli Zhao, Fugang Liu, Lina Chao and 20 more

Open access · goldAbstract readMulticenter Study
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 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 4% 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

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Risk factors of Esophageal Cancer in Punjab- A Case Control Study.Asian Pacific journal of cancer prevention : APJCP · 2025
    Article
  6. Article
  7. Review
  8. Carcinoma of Esophagus.Journal of gastroenterology and hepatology · 2025
    Review
  9. Article
  10. lncRNA FENDRR Predicts Adverse Prognosis and Regulates the Development of Esophageal Squamous Cell Carcinoma Through Negatively Modulating miR-495-3p.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2025
    Article
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  15. Hypermethylation ofAmerican journal of translational research · 2025
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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

30 authors at 15 institutions in 2 countries.

Chen Niu *Department of Epidemiology and Health Statistics, School of Public Health, Beijing Municipal Key Laboratory of Clinical Epidemiology, Capital Medical University, Beijing, 100069, China.
Yong Liu *Department of Endoscopy, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China.
Jialin WangShandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Shandong, 250000, China.
Yuqin LiuGansu Provincial Cancer Hospital, Gansu, 730000, China.
Shaokai ZhangDepartment of Cancer Epidemiology and Prevention, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Henan, 450008, China.
Yongzhen ZhangDepartment of Epidemiology, Shanxi Cancer Hospital, Shanxi, 030013, China.
Liwei ZhangThe Fourth Hospital of Hebei Medical University, Hebei, 050000, China.
Deli ZhaoFeicheng People's Hospital, Shandong, 271600, China.
Fugang LiuDongping People's Hospital, Shandong, 271500, China.
Lina ChaoDepartment of Epidemiology, Hebi People's Hospital, Henan, 458030, China.
Xinzheng WangYangcheng Cancer Hospital, Shanxi, 048100, China.
Chunli ZhangThe First People's Hospital of Ningyang County, Shandong, 271400, China.
Guohui SongCixian Institute for Cancer Prevention and Control, Hebei, 056500, China.
Zhiyi ZhangGansu Wuwei Cancer Hospital, Gansu, 733000, China.
Youpeng LiMinqin County People's Hospital, Gansu, 733000, China.
Zheng YanLinze County People's Hospital, Gansu, 734200, China.
Yongxiu WenShandan County People's Hospital, Gansu, 734000, China.
Yinyin GeGaotai County People's Hospital, Gansu, 734300, China.
Zhaoping ZangDepartment of Epidemiology and Health Statistics, School of Public Health, Beijing Municipal Key Laboratory of Clinical Epidemiology, Capital Medical University, Beijing, 100069, China.
Wei FengDepartment of Epidemiology and Health Statistics, School of Public Health, Beijing Municipal Key Laboratory of Clinical Epidemiology, Capital Medical University, Beijing, 100069, China.
Haiping ZhangDepartment of Epidemiology and Health Statistics, School of Public Health, Beijing Municipal Key Laboratory of Clinical Epidemiology, Capital Medical University, Beijing, 100069, China.
Lixin TaoDepartment of Epidemiology and Health Statistics, School of Public Health, Beijing Municipal Key Laboratory of Clinical Epidemiology, Capital Medical University, Beijing, 100069, China.
Rena NakyeyuneDepartment of Epidemiology and Health Statistics, School of Public Health, Beijing Municipal Key Laboratory of Clinical Epidemiology, Capital Medical University, Beijing, 100069, China.
Yi ShenDepartment of Epidemiology and Health Statistics, School of Public Health, Beijing Municipal Key Laboratory of Clinical Epidemiology, Capital Medical University, Beijing, 100069, China.
Yi ShaoDepartment of Epidemiology and Health Statistics, School of Public Health, Beijing Municipal Key Laboratory of Clinical Epidemiology, Capital Medical University, Beijing, 100069, China.
Xiuhua GuoDepartment of Epidemiology and Health Statistics, School of Public Health, Beijing Municipal Key Laboratory of Clinical Epidemiology, Capital Medical University, Beijing, 100069, China.
Toni MilesDepartment of Epidemiology and Biostatistics, College of Public Health, University of Georgia, Athens, GA, USA.
Aiming YangDepartment of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, 100730, China. yangaiming@medmail.com.cn.
Fen LiuDepartment of Epidemiology and Health Statistics, School of Public Health, Beijing Municipal Key Laboratory of Clinical Epidemiology, Capital Medical University, Beijing, 100069, China. liufen05@ccmu.edu.cn.
Guiqi WangDepartment of Endoscopy, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China. wangguiq@126.com.
Capital Medical University · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNShanxi Provincial Cancer Hospital · CNGansu Provincial Hospital · CNGaozhou People's Hospital · CNHebei Medical University · CNHenan Cancer Hospital · CNJingning County People's Hospital · CNPeking Union Medical College Hospital · CNShandong First Medical University · CNThe First People's Hospital of Guiyang · CNThe People's Hospital of LinXia · CNUniversity of Georgia · USXian Center for Disease Control and Prevention · CNZoucheng People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite research efforts, the causative factors that contribute to esophageal squamous cell carcinoma (ESCC) in high-risk areas have not yet been understood. In this study, we, therefore, aimed to describe the risk factors associated with ESCC and its precursor lesions.

methodsWe performed an endoscopic examination of 44,857 individuals aged 40-69 years from five high incidence regions of China in 2017-2018. Participants were classified as 4 groups of normal control, esophagitis, low-grade intraepithelial neoplasia (LGIN) and high-grade intraepithelial neoplasia/esophageal squamous cell carcinoma (HGIN/ESCC) using an unconditional logistic regression determine risk factors.

resultsWe identified 4890 esophagitis, 1874 LGIN and 437 HGIN/ESCC cases. Crude odds ratios (ORs) and adjusted odds ratios were calculated using unconditional logistic regression. Drinking well and surface water, salty diet, and positive family history of cancer were the common risk factors for esophagitis, LGIN and HGIN/ESCC. History of chronic hepatitis/cirrhosis was the greatest risk factor of esophagitis (adjusted OR 2.96, 95%CI 2.52-3.47) and HGIN/ESCC (adjusted OR 1.91, 95%CI 1.03-3.22). Pesticide exposure (adjusted OR 1.20, 95%CI 1.05-1.37) was essential risk factor of LGIN.

conclusionsAmong individuals aged 40-69 years in high incidence regions of upper gastrointestinal cancer, the results provided important epidemiological evidence for the prevention of different precancerous lesions of ESCC.

Indexed as

AdultAgedAlcohol DrinkingCarcinoma in SituChinaCross-Sectional StudiesDietDrinking WaterEsophageal NeoplasmsEsophageal Squamous Cell CarcinomaEsophagitisEsophagoscopyFamilyFemaleHumansMaleDrinking WaterPesticidesSodium Chloride, DietaryCross-sectional studyEsophageal squamous cell carcinomaPrecancerous lesionsPreventionRisk factor

Identifiers

PMID34530751
PMCPMC8444572
OpenAlexW3200837767

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Registered trials

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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.