Evidence map›Paper›PMID 35676992›Full record

ArticleCureus2022

The Association of Lactose Intolerance With Colon and Gastric Cancers: Friend or Foe?

Mohammad Maysara Asfari, Osama Hamid, Muhammad Talal Sarmini, Katherine Kendrick, Lakshmi Priyanka Pappoppula, Humberto Sifuentes, Subbaramiah Sridhar

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 29% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
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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

7 authors at 3 institutions in 1 country.

Mohammad Maysara AsfariDepartment of Gastroenterology and Hepatology, Cleveland Clinic, Cleveland, USA.
Osama HamidDepartment of Hospital Medicine, Cleveland Clinic, Cleveland, USA.
Muhammad Talal SarminiDepartment of Gastroenterology and Hepatology, Cleveland Clinic, Cleveland, USA.
Katherine KendrickDepartment of Gastroenterology and Hepatology, University of South Carolina, Greenville, USA.
Lakshmi Priyanka PappoppulaDepartment of Gastroenterology and Hepatology, Augusta University Medical College of Georgia, Augusta, USA.
Humberto SifuentesDepartment of Gastroenterology and Hepatology, Augusta University Medical College of Georgia, Augusta, USA.
Subbaramiah SridharDepartment of Gastroenterology and Hepatology, Augusta University Medical College of Georgia, Augusta, USA.
East Carolina University · USAugusta University · USCleveland Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLactose intolerance (LI) appears usually in later ages when the lactase enzyme becomes deficient or absent in the small intestine. Conflicting results have been reported in the literature about the association of lactose intolerance with various gastrointestinal malignancies. Hence, our aim was to study the association between LI, colon cancer (CCa), and gastric cancer (GC) using a large database.

methodsA cross-sectional study was performed using the National Inpatient Sample (NIS) database between 2004 and 2014. We identified adult patients (18-90 years) who were diagnosed with LI (study group) using appropriate International Classification of Diseases, Ninth Revision (ICD-9) codes. The control group comprised patients who did not have a diagnosis of LI. We identified the diagnosis of CCa and GC in both study and control groups using the ICD-9 codes. Univariable and multivariable logistic regression analyses were performed to assess the association between LI, CCa, and GC.

resultsThe total population comprised 71,360,501 patients, of which 57,909 (0.08%) were diagnosed with LI. LI patients were older (62 vs 51 years) with more females (61.5% vs 60.1%) and less African American patients (11.8% vs 14.3%) (p <0.0001 for all). In addition, LI patients had more smoking (12.4% vs 12%) and obesity (15% vs 8.9%). On the other hand, patients in the LI group had less alcohol use (3.8% vs 4.2%) (p <0.0001). After adjusting for the age, gender, race, smoking, alcohol, obesity, and inflammatory bowel disease, the LI group had a slightly lower rate of CCa (OR 0 .974, 95%CI 0.906-1.048, p = 0.486) and a lower rate of GC (OR: 0.993, 95%CI 0.924-1.068, p =0.853); however, the results were not statistically significant.

conclusionPatients with lactose intolerance may have a lower risk of colon and gastric cancer. However, these findings were not statistically significant. Further studies are needed to understand this association.

Indexed as

colon cancergastric cancerlactaselactose intolerancenational inpatient sample

Identifiers

PMID35676992
PMCPMC9166465
OpenAlexW4225401872

What OpenQuestion holds

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LicenceCC BY
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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.