Evidence map›Paper›PMID 35532588›Full record

ArticleThe Indian journal of medical research2021

Risk factors for gallbladder cancer development in northern India: A gallstones-matched, case-control study.

Kumudesh Mishra, Anu Behari, Pooja Shukla, Yasuo Tsuchiya, Kazuo Endoh, Takao Asai, Toshikazu Ikoma, Kazutoshi Nakamura, Vinay Kumar Kapoor

Abstract read
In one paragraph

Article in The Indian journal of medical research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
–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

26 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Risk score for malignancy in patients with suspicious gallbladder lesions: Retrospective analysis of 175 cases.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. How I Manage My Patients with Gall Bladder Cancer?Indian journal of surgical oncology · 2024
    Review
  18. Review
  19. Article
  20. Gallbladder cancer: Progress in the Indian subcontinent.World journal of clinical oncology · 2024
    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

9 authors.

Kumudesh MishraDepartment of Surgical Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Anu BehariDepartment of Surgical Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Pooja ShuklaDepartment of Surgical Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Yasuo TsuchiyaDivision of Preventive Medicine, Niigata University Graduate School of Medical & Dental Sciences, Niigata, Japan.
Kazuo EndohDepartment of Health & Nutrition, Niigata University of Health & Welfare, Niigata, Japan.
Takao AsaiDepartment of Clinical Engineering & Medical Technology, Niigata University of Health & Welfare, Niigata, Japan.
Toshikazu IkomaDepartment of Medical Technology & Clinical Engineering, Faculty of Health & Medical Technology, Hokuriku University, Kanazawa, Japan.
Kazutoshi NakamuraDivision of Preventive Medicine, Niigata University Graduate School of Medical & Dental Sciences, Niigata, Japan.
Vinay Kumar KapoorDepartment of Surgical Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background & objectives: A high incidence of gallbladder cancer (GBC) is observed in northern India. This study was aimed to identify the factors involved in developing GBC in this region. Methods: A gallstones-matched, case-control study was conducted in northern India. Ninety nine patients with GBC and gallstones (33 men and 66 women, mean age of 51.4 yr) comprised the case group, while 99 patients with cholelithiasis (40 men and 59 women, mean age of 45.7 yr) comprised the control group. All participants were interviewed to complete 183 questionnaire items that included 105 food items. Potential risk factors were identified using a multivariate analysis adjusted for age and sex. Significant risk factors were identified using a stepwise logistic-regression analysis. Results: Age (≥50 yr), education (illiterate), socioeconomic status (≤below poverty line), bowel habits (≤once a day), hypertension history, hypotensive drug use, non-vegetarian diet, use of firewood for cooking, tap water drinking, hand pump water drinking and high consumption of coffee and sweets were identified as the potential risk factors. In women, factors included menarche (<13 yr), number of pregnancies (≥3 pregnancies) and parity (≥3 babies). Of these factors, age, education, bowel habits, tap water drinking and multiple pregnancy and/or multiparity were identified as significant risk factors, whereas a high consumption of coffee and sweets or hypotensive drug use and/or hypertension history were protective factors. Interpretation & conclusions: Poor bowel habits and drinking unsafe water appear to be the main risk factors for developing GBC. These are, however, modifiable factors which are capable of decreasing the risk of GBC in the north Indian population.

Indexed as

Gallbladder NeoplasmsGallstonesHypertensionCase-Control StudiesCoffeeFemaleHumansIndiaMaleMiddle AgedPregnancyRisk FactorsWaterCoffeeWaterGallbladder cancerIndiamultivariate analysisquestionnairesrisk factorstepwise procedure

Identifiers

PMID35532588
PMCPMC9210525

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.