Evidence map›Paper›PMID 39118443›Full record

ArticleSaudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association2024

Factors associated with precancerous stomach lesions and progresion: A 7-year multi-center prospective cohort study on the low incidence of gastric cancer in central Saudi Arabia.

Georgios Zacharakis, Amol Dahale, Elsayed R A Abd Elbary, Rawan R E Babikir, Motaz A N Alla, Mohamed O Mustafa

Abstract readMulticenter Study
In one paragraph

Article in Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Observational
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

6 authors.

Georgios ZacharakisEndosocpy Unit, Department of Internal Medicine, College of Medicine, Prince Sattam bin, Abdulaziz University, Prince Sattam bin Abdulaziz University Hospital, Al-Kharj, Saudi Arabia.
Amol DahaleEndosocpy Unit, Department of Internal Medicine, College of Medicine, Prince Sattam bin, Abdulaziz University, Prince Sattam bin Abdulaziz University Hospital, Al-Kharj, Saudi Arabia.
Elsayed R A Abd ElbaryEndosocpy Unit, Department of Internal Medicine, College of Medicine, Prince Sattam bin, Abdulaziz University, Prince Sattam bin Abdulaziz University Hospital, Al-Kharj, Saudi Arabia.
Rawan R E BabikirEndosocpy Unit, Department of Internal Medicine, College of Medicine, Prince Sattam bin, Abdulaziz University, Prince Sattam bin Abdulaziz University Hospital, Al-Kharj, Saudi Arabia.
Motaz A N AllaEndosocpy Unit, Department of Internal Medicine, College of Medicine, Prince Sattam bin, Abdulaziz University, Prince Sattam bin Abdulaziz University Hospital, Al-Kharj, Saudi Arabia.
Mohamed O MustafaEndosocpy Unit, Department of Internal Medicine, College of Medicine, Prince Sattam bin, Abdulaziz University, Prince Sattam bin Abdulaziz University Hospital, Al-Kharj, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Saudi Arabia (SA) no data are available on precancerous stomach lesions (PSLs) or the associated risk factors. We aimed to identify PSLs and investigate factors associated with PSLs and their progression.

methodsThis 7-year prospective study screened for PSLs in asymptomatic Saudi patients aged 45-75 years in central SA ( n = 35,640). Those who had high-sensitivity guaiac fecal occult blood tests (HSgFOBT+) and negative colonoscopy results ( n = 1242) were subjected to upper GI endoscopy to identify PSLs and were followed up every 3 years or earlier, depending on the type of PSL. Factors associated with PSLs were investigated.

resultsThe 7-year participation rate was 86.9% (1080/1242). The 7-year prevalence of PSLs was 30.9% (334/1080). The incidence rate of PSLs was 134 new cases/100,000 population/year, total population at risk - 35,640 and 44.3 new cases/1,000 persons/year among the 1080 participants with HSgFOBT+ and negative colonoscopy results. Among the 334 participants with PSLs, 8 (2.4%) had neoplastic progression to GC during the surveillance period. Age, Helicobacter pylori infection, smoking status, a diet with preserved salty foods, low income, and a family history of GC were associated with PSLs.

conclusionsThe incidence of GC is low in central SA, but screening for PSLs among participants with HSgFOBT+ and negative colonoscopy findings may contribute to the early detection and subsequent treatment of GC. HP eradication, not smoking, normal body weight, and adhering to a healthy diet seem to be potential factors associated with the development of PSLs. Further studies are needed to search if such interventions would decrease the incidence of PSLs and progression to early GC.

Indexed as

Precancerous ConditionsStomach NeoplasmsAgedColonoscopyDisease ProgressionFemaleHelicobacter InfectionsHelicobacter pyloriHumansIncidenceMaleMiddle AgedOccult BloodPrevalenceProspective StudiesRisk Factors

Identifiers

PMID39118443
PMCPMC11630487

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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.