Evidence map›Paper›PMID 35920750›Full record

ArticleCancer2022

Key risk factors for the relative and absolute 5-year risk of cancer to enhance cancer screening and prevention.

Alpa V Patel, Emily Deubler, Lauren R Teras, Graham A Colditz, Cari J Lichtman, William G Cance, Christina A Clarke

Open access · hybridAbstract read
In one paragraph

Article in Cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.4field-weighted citation impact, top 9% 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

13 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Impact of Population Cancer Risk on the Cost-effectiveness of Multicancer Early Detection Testing in the United States.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
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  8. Projecting the Impact of Multi-Cancer Early Detection on Late-Stage Incidence Using Multi-State Disease Modeling.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2024
    Article
  9. Potential for Cure by Stage across the Cancer Spectrum in the United States.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2024
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Alpa V PatelDepartment of Population Science, American Cancer Society, Kennesaw, Georgia, USA.ORCID 0000-0001-9997-1218
Emily DeublerDepartment of Population Science, American Cancer Society, Kennesaw, Georgia, USA.
Lauren R TerasDepartment of Population Science, American Cancer Society, Kennesaw, Georgia, USA.
Graham A ColditzDivision of Public Health Sciences, Department of Surgery, Washington University, St Louis, Missouri, USA.ORCID 0000-0002-7307-0291
Cari J LichtmanDepartment of Population Science, American Cancer Society, Kennesaw, Georgia, USA.
William G CanceDepartment of Population Science, American Cancer Society, Kennesaw, Georgia, USA.
Christina A ClarkeGRAIL, LLC, a subsidiary of Illumina, Inc., currently held separate from Illumina Inc., under the terms of the Interim Measures Order of the European Commission dated 29 October 2021, Menlo Park, California, USA.
American Cancer Society · USIllumina (United States) · USWashington University in St. Louis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study identifies populations who may benefit most from expanded cancer screening.

methodsTwo American Cancer Society prospective cohort studies, Cancer Prevention Study-II Nutrition Cohort and Cancer Prevention Study-3, were used to identify the risk factors associated with a > 2% absolute risk of any cancer within 5 years. In total, 429,991 participants with no prior personal history of cancer were followed for cancer for up to 5 years. Multivariable Cox proportional hazards models were used to estimate hazard ratios and 95% confidence intervals for association. By using these hazard ratios, individualized coherent absolute risk estimation was used to calculate absolute risks by age.

resultsOverall, 15,226 invasive cancers were diagnosed among participants within 5 years of enrollment. The multivariable-adjusted relative risk of any cancer was strongest for current smokers compared with never-smokers. In men, alcohol intake, family history of cancer, red meat consumption, and physical inactivity were also associated with risk (p < .05). In women, body mass index, type 2 diabetes, hysterectomy, parity, family history of cancer, hypertension, tubal ligation, and physical inactivity were associated (p < .05). The absolute 5-year risk exceeded 2% among nearly all participants older than 50 years and among some participants younger than 50 years, including current or former smokers (<30 years since quitting) and long-term nonsmokers with a body mass index >25 kg/m

conclusionsOlder age and smoking were the two most important risk factors associated with the relative and absolute 5-year risk of developing any cancer.

Indexed as

Diabetes Mellitus, Type 2Lung NeoplasmsEarly Detection of CancerFemaleHumansMalePregnancyProportional Hazards ModelsProspective StudiesRisk Factorsbenefit-risk assessmentcancer preventioncancer screeningepidemiologic factorsrisk factors

Identifiers

PMID35920750
PMCPMC9544865
OpenAlexW4289595457

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.