Evidence map›Paper›PMID 34705104›Full record

SynthesisJournal of cancer research and clinical oncology2022

Estimating the global burden of Epstein-Barr virus-related cancers.

Yide Wong, Michael T Meehan, Scott R Burrows, Denise L Doolan, John J Miles

Open access · hybridAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in Journal of cancer research and clinical oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 194 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
194citing papers in PubMed, 1 pooled it
15.2field-weighted citation impact, top 1% 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

194 citing papers in PubMed, 1 synthesis or guideline pooled it, 286 citations in OpenAlex.

  1. Pooled it
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  7. SIRT2 deacylase modulators control B cell metabolic reprogramming in EBV infection and mitogenic activation.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  8. A tonsil organoid model reveals Epstein-Barr virus-infected germinal center B cell states during primary infection.Proceedings of the National Academy of Sciences of the United States of America · 2026
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134 more citing papers are in PubMed but not listed here.

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

5 authors at 2 institutions in 1 country.

Yide WongAustralian Institute of Tropical Health and Medicine, James Cook University, Cairns, QLD, 4878, Australia. yide.wong@jcu.edu.au.ORCID http://orcid.org/0000-0001-6049-0177
Michael T MeehanAustralian Institute of Tropical Health and Medicine, James Cook University, Townsville, QLD, 4811, Australia.
Scott R BurrowsQIMR Berghofer Medical Research Institute, Herston, QLD, 4006, Australia.
Denise L DoolanAustralian Institute of Tropical Health and Medicine, James Cook University, Cairns, QLD, 4878, Australia.
John J MilesAustralian Institute of Tropical Health and Medicine, James Cook University, Cairns, QLD, 4878, Australia.
Australian Institute of Tropical Health and Medicine · AUThe University of Queensland · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMore than 90% of the adult population globally is chronically infected by the Epstein-Barr virus (EBV). It is well established that EBV is associated with a number of malignancies, and advances in knowledge of EBV-related malignancies are being made every year. Several studies have analysed the global epidemiology and geographic distribution of EBV-related cancers. However, most have only described a single cancer type or subtype in isolation or limited their study to the three or four most common EBV-related cancers. This review will present an overview on the spectrum of cancers linked to EBV based on observations of associations and proportions in the published literature while also using these observations to estimate the incidence and mortality burden of some of these cancers.

methodWe have reviewed the literature on defining features, distribution and outcomes across six cancers with a relatively large EBV-related case burden: Nasopharyngeal carcinoma (NPC), Gastric carcinoma (GC), Hodgkin lymphoma (HL), Burkitt lymphoma (BL), Diffuse large B-cell lymphoma (DLBCL) and Extranodal NK/T-cell lymphoma, Nasal type (ENKTL-NT). We retrieved published region-specific EBV-related case proportions for NPC, GC, HL and BL and performed meta-analyses on pooled region-specific studies of EBV-related case proportions for DLBCL and ENKTL-NT. We match these pooled proportions with their respective regional incidence and mortality numbers retrieved from a publicly available cancer database. Additionally, we also reviewed the literature on several other less common EBV-related cancers to summarize their key characteristics herein.

conclusionWe estimated that EBV-related cases from these six cancers accounted for 239,700-357,900 new cases and 137,900-208,700 deaths in 2020. This review highlights the significant global impact of EBV-related cancers and extends the spectrum of disease that could benefit from an EBV-specific therapeutic.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBleomycinBurkitt LymphomaDacarbazineDoxorubicinEpstein-Barr Virus InfectionsHerpesvirus 4, HumanHodgkin DiseaseHumansLymphoma, Extranodal NK-T-CellLymphoma, Large B-Cell, DiffuseNasopharyngeal CarcinomaNasopharyngeal NeoplasmsNeoplasmsStomach NeoplasmsVinblastineBleomycinDacarbazineDoxorubicinVinblastineDiffuse large B-cell lymphomaEBVEBV-associated cancerEBV-related cancerEBV-related cancer frequencyEBV-related cancer incidenceEpstein–Barr virusExtranodal NK/T-cell lymphoma

Identifiers

PMID34705104
PMCPMC8752571
OpenAlexW3208965455

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.