Evidence map›Paper›PMID 36566578›Full record

ArticleCancer epidemiology2023

Differences in risk factors for head and neck cancer among men and women in Nepal: A case-control study.

Gambhir Shrestha, Chun-Pin Chang, Chin Bahadur Pun, Dej Kumar Gautam, Bhola Siwakoti, Amir Sapkota, Mia Hashibe

Open access · greenAbstract read
In one paragraph

Article in Cancer epidemiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

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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 5 institutions in 2 countries.

Gambhir ShresthaDepartment of Community Medicine, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Maharajgunj, Kathmandu, Nepal.
Chun-Pin ChangDivision of Public Health, Department of Family & Preventive Medicine, University of Utah School of Medicine, and Huntsman Cancer Institute, Salt Lake City, UT, United States. Electronic address: esther.chang@utah.edu.
Chin Bahadur PunDepartment of Pathology, B. P. Koirala Memorial Cancer Hospital, Bharatpur, Nepal.
Dej Kumar GautamDepartment of Surgical Oncology, B.P. Koirala Memorial Cancer Hospital, Bharatpur, Nepal.
Bhola SiwakotiDepartment of Cancer Prevention, Control and Research, B.P. Koirala Memorial Cancer Hospital, Chitwan, Bharatpur, Nepal.
Amir SapkotaMaryland Institute for Applied Environmental Health, University of Maryland School of Public Health, College Park, MD, United States.
Mia HashibeDivision of Public Health, Department of Family & Preventive Medicine, University of Utah School of Medicine, and Huntsman Cancer Institute, Salt Lake City, UT, United States.
B.P. Koirala Memorial Cancer Hospital · NPHuntsman Cancer Institute · USTribhuvan University Teaching Hospital · NPUniversity of Maryland, College Park · USUniversity of Utah · US

Funding

UTAH REGIONAL CANCER CENTERP30CA042014 · NCI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI KATHARINE S ULLMAN · 1986 to 2026
$72.6M
Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
NCATS NIH HHS UL1 TR002538NCI NIH HHS P30 CA042014
6 · The paper itself

Abstract

backgroundHead and neck cancer (HNC) is a major cause of cancer morbidity and mortality in Nepal. The study aims to investigate differences in risk factors for head and neck cancer by sex in Nepal.

methodsA hospital-based case-control study was conducted at the B.P. Koirala Memorial Cancer Hospital in Nepal from 2016 to 2018. A semi-structured questionnaire consisting of socio-demographic characteristics, dietary habits, reproductive factors, household air pollution, tobacco use (smoking and chewing), alcohol consumption, and second-hand smoking was used to collect the data. Odds ratios (OR) and 95 % confidence intervals (CI) were estimated using unconditional logistic regression adjusting for potential confounders.

resultsA total of 549 HNC cases (438 men and 111 women) and 601 age-matched healthy controls (479 men and 122 women) were recruited in this study. An increased risk of HNC for low education level and family income were observed among men (adjusted odds ratio (AOR) for 3rd grade and less= 1.58, 95 % CI= 1.14-2.18; AOR for family monthly income < 5000 Rupees = 1.64, 95 % CI 1.20-2.24). The AORs among women were higher than the men for known risk factors (AOR for smoking 1.34 (95 % CI 0.96-1.86) for men, 2.94 (95 % CI 1.31-6.69) for women; AOR for tobacco chewing 1.76 (95 % CI 1.27-2.46) for men, 10.22 (95 % CI 4.53-23.03) for women).

conclusionOur results point to an effect modification by sex for HNC risk factors with high AORs observed among women.

Indexed as

Head and Neck NeoplasmsSmokingAlcohol DrinkingCase-Control StudiesFemaleHumansMaleNepalRisk FactorsAlcohol drinkingChewingHead and neck cancerNepalTobacco smoking

Identifiers

PMID36566578
PMCPMC9852028
OpenAlexW4312195363

What OpenQuestion holds

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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.