Evidence map›Paper›PMID 39932963›Full record

ArticlePloS one2025

High mean corpuscular volume as a predictor of esophageal cancer: A cohort study based on the Japanese Shizuoka Kokuho Database.

Shinsuke Sato, Emi Ohata, Eiji Nakatani, Philip Hawke, Hatoko Sasaki, Erina Nagai, Yusuke Taki, Masato Nishida, Masaya Watanabe, Ko Ohata and 2 more

Erratum issuedAbstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Shinsuke SatoDepartment of Gastroenterological Surgery, Shizuoka General Hospital, Shizuoka, Japan.ORCID https://orcid.org/0000-0002-6644-1066
Emi OhataGraduate School of Public Health, Shizuoka Graduate University of Public Health, Shizuoka, Japan.
Eiji NakataniGraduate School of Public Health, Shizuoka Graduate University of Public Health, Shizuoka, Japan.ORCID https://orcid.org/0000-0002-4876-446X
Philip HawkeSchool of Pharmaceutical Sciences, University of Shizuoka, Shizuoka, Japan.
Hatoko SasakiGraduate School of Public Health, Shizuoka Graduate University of Public Health, Shizuoka, Japan.
Erina NagaiDepartment of Gastroenterological Surgery, Shizuoka General Hospital, Shizuoka, Japan.
Yusuke TakiDepartment of Gastroenterological Surgery, Shizuoka General Hospital, Shizuoka, Japan.
Masato NishidaDepartment of Gastroenterological Surgery, Shizuoka General Hospital, Shizuoka, Japan.
Masaya WatanabeDepartment of Gastroenterological Surgery, Shizuoka General Hospital, Shizuoka, Japan.
Ko OhataDepartment of Gastroenterological Surgery, Shizuoka General Hospital, Shizuoka, Japan.
Hideyuki KanemotoDepartment of Gastroenterological Surgery, Shizuoka General Hospital, Shizuoka, Japan.
Akira SugawaraGraduate School of Public Health, Shizuoka Graduate University of Public Health, Shizuoka, Japan.ORCID https://orcid.org/0009-0005-4467-0369

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mean corpuscular volume (MCV) is known to increase with alcohol and tobacco consumption, and is therefore a potential predictive marker for esophageal cancer onset. However, this potential has not previously been examined using a large database. This study aims to clarify whether MCV is a predictor of esophageal cancer onset using health checkup data from a comprehensive health insurance claims database of a major administrative district in Japan. Health checkup data for 582,342 individuals recorded between April 2012 and September 2020 in the Shizuoka Kokuho Database were analyzed. Risk factors were assessed using both univariable and multivariable Cox proportional hazards models. Within the cohort, 1,562 health checkup participants (0.27%) had been diagnosed with esophageal cancer during the study period. Multivariable analysis revealed that risk of esophageal cancer onset was predicted by hypertension, smoking, systolic blood pressure, alcohol consumption, alcohol use disorder, body mass index, low-density lipoprotein cholesterol, and MCV. The cutoff value of MCV for predicting esophageal cancer onset was 104.086 fl. These results suggest that it may be appropriate to carry out endoscopy to detect esophageal cancer when MCV, a well-known indicator of alcohol and tobacco consumption, is greater than 104 fl.

Indexed as

Erythrocyte IndicesEsophageal NeoplasmsAdultAgedAlcohol DrinkingCohort StudiesDatabases, FactualEast Asian PeopleFemaleHumansJapanMaleMiddle AgedProportional Hazards ModelsRisk Factors

Identifiers

PMID39932963
PMCPMC11813134

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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.