Evidence map›Paper›PMID 40764670›Full record

ArticleBritish journal of cancer2025

Effect of risk-based screening for upper gastrointestinal cancers: a multi-center real-world study.

Hongrui Tian, Mengfei Liu, Zhen Liu, Chao Shi, Lei Chen, Yine Zhang, Mei Li, Xiaoli Li, Yincheng Ma, Xiaoming Ma and 10 more

Abstract readMulticenter Study
In one paragraph

Article in British journal of cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
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

20 authors.

Hongrui Tian *Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Genetics, Peking University Cancer Hospital & Institute, Beijing, China.ORCID http://orcid.org/0000-0002-7294-3193
Mengfei Liu *Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Genetics, Peking University Cancer Hospital & Institute, Beijing, China.
Zhen Liu *Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Genetics, Peking University Cancer Hospital & Institute, Beijing, China.
Chao Shi *Ningxia Clinical Research Institute, People's Hospital of Ningxia Hui Autonomous Region, Ningxia Medical University, Yinchuan, China.
Lei Chen *Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Genetics, Peking University Cancer Hospital & Institute, Beijing, China.ORCID http://orcid.org/0000-0002-0669-4301
Yine Zhang *Ningxia Center for Disease Control and Prevention, Yinchuan, China.
Mei LiNingxia Center for Disease Control and Prevention, Yinchuan, China.
Xiaoli LiWuzhong Center for Disease Control and Prevention, Wuzhong, China.
Yincheng MaLongde Center for Disease Control and Prevention, Guyuan, China.
Xiaoming MaWuzhong Center for Disease Control and Prevention, Wuzhong, China.
Yingying LiangLongde Center for Disease Control and Prevention, Guyuan, China.
Ruichun ShiDepartment of Gastroenterology, Wuzhong People's Hospital, Wuzhong, China.
Hongli LiuEndoscopy Center, Longde County People's Hospital, Guyuan, China.
Hongchen ZhengKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Genetics, Peking University Cancer Hospital & Institute, Beijing, China.ORCID http://orcid.org/0000-0003-3362-1607
Wenlei YangKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Genetics, Peking University Cancer Hospital & Institute, Beijing, China.
Yaqi PanKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Genetics, Peking University Cancer Hospital & Institute, Beijing, China.
Huanyu ChenKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Genetics, Peking University Cancer Hospital & Institute, Beijing, China.
Jinhan LvHealth Commission of Ningxia Hui Autonomous Region, Yinchuan, China.
Zhonghu HeState Key Laboratory of Molecular Oncology, Beijing Key Laboratory of Carcinogenesis and Translational Research, Department of Genetics, Peking University Cancer Hospital & Institute, Beijing, China. zhonghuhe@foxmail.com.ORCID http://orcid.org/0000-0002-4444-7950
Yang KeState Key Laboratory of Molecular Oncology, Beijing Key Laboratory of Carcinogenesis and Translational Research, Department of Genetics, Peking University Cancer Hospital & Institute, Beijing, China. keyang@bjmu.edu.cn.ORCID http://orcid.org/0000-0003-4394-8814

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the feasibility, effectiveness, and cost-effectiveness of risk-based sequential screening for upper gastrointestinal (UGI) cancer via questionnaire-based quantitative models.

methodsWe applied the risk-based screening strategy to the ongoing government-administered screening project in two areas (Longde and Litong) of Ningxia Hui Autonomous Region, China. Through epidemiological investigation, participants assessed as high-risk were invited for endoscopic screening.

resultsA total of 9492 participants were enroled and completed questionnaire-based assessment, and 2552 (26.89%) participants were evaluated as high-risk. Among the high-risk subjects, 1198 (46.94%) individuals further received endoscopic examination. The detection rate of risk-based screening was 2.28 times as high as that of historical data of universal screening (p = 0.002) (Longde: 2.15% vs. 0.99%; Litong: 1.18% vs. 0.38%), with a similar early detection rate of ~60-70%. The average cost for detecting one case and the average cost for detecting one early case were 30.76% lower (Longde: $12,919 vs. $16,783; Litong: $21,836 vs. $45,512) and 28.99% lower (Longde: $20,993 vs. $24,475; Litong: $30,570 vs. $75,854), respectively, than those for universal screening.

conclusionsThis real-world, multi-centre study demonstrates that risk-based sequential screening is feasible and cost-effective in detecting UGI cancers, and is expected to be applied in other areas.

Indexed as

Early Detection of CancerGastrointestinal NeoplasmsMass ScreeningAdultAgedChinaCost-Benefit AnalysisFeasibility StudiesFemaleHumansMaleMiddle AgedRisk FactorsStomach NeoplasmsSurveys and Questionnaires

Identifiers

PMID40764670
PMCPMC12479889

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.