Evidence map›Paper›PMID 41062992›Full record

ArticleBMC cancer2025

Global, regional, and national burdens of early onset gastric cancer aged 15-49 years from 1990 to 2021 with projections to 2035: a population-based study.

Yi Lu, Jialin Wu, Tao Yang, Lei Lian, Honho Yu, Jiachen Sun, Jiancong Hu

Abstract read
In one paragraph

Article in BMC 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.

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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.

Yi Lu *Department of Gastrointestinal Endoscopy, The Sixth Affiliated Hospital, Sun Yat-sen University, 26 Yuancun Erheng Road, Guangzhou, 510655, People's Republic of China.
Jialin Wu *Department of Anatomical and Cellular Pathology, State Key Laboratory of Translational Oncology, Prince of Wales Hospital, Sir Y.K. Pao Cancer Center, The Chinese University of Hong Kong, Hong Kong, China.
Tao YangDepartment of Gastrointestinal Endoscopy, The Sixth Affiliated Hospital, Sun Yat-sen University, 26 Yuancun Erheng Road, Guangzhou, 510655, People's Republic of China.
Lei LianGuangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Honho YuDepartment of Gastroenterology, Kiang Wu Hospital, Macau, China.
Jiachen SunDepartment of Gastrointestinal Endoscopy, The Sixth Affiliated Hospital, Sun Yat-sen University, 26 Yuancun Erheng Road, Guangzhou, 510655, People's Republic of China. sunjch8@mail.sysu.edu.cn.
Jiancong HuDepartment of Gastrointestinal Endoscopy, The Sixth Affiliated Hospital, Sun Yat-sen University, 26 Yuancun Erheng Road, Guangzhou, 510655, People's Republic of China. hujianc@mail.sysu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly-onset gastric cancer (EOGC) is a distinct clinical entity with unique epidemiological and pathological features. Despite an overall decline in GC incidence in many regions, recent studies have shown an increasing trend in EOGC incidence in some areas. This study aims to systematically evaluate the global, regional, and national burden of EOGC from 1990 to 2021 using data from the Global Burden of Disease (GBD) 2021 study.

methodsData on the incidence, mortality, and disability-adjusted life-years (DALYs) of EOGC were obtained from the GBD 2021 database. The age-standardized incidence rates (ASIRs), age-standardized mortality rates (ASMRs), and age-standardized DALYs rates (ASDRs) were calculated. Estimated annual percentage change (EAPC) was used to assess temporal trends. The Bayesian age-period-cohort model was employed to project trends up to 2035.

resultsGlobally, the ASIR of EOGC decreased from 5.40 per 100,000 in 1990 to 3.17 per 100,000 in 2021 (EAPC -1.8, 95% CI: -1.9 to -1.7). The ASMR decreased from 2.00 per 100,000 in 1990 to 1.31 per 100,000 in 2021 (EAPC -2.4, 95% CI: -2.5 to -2.3), and the ASDR decreased from 97.73 per 100,000 in 1990 to 63.98 per 100,000 in 2021 (EAPC -2.5, 95% CI:-2.6 to -2.4). East Asia had the highest ASIR, ASMR, and ASDR. Regions with higher Socio-demographic Index (SDI) values experienced more significant declines in EOGC incidence and mortality. High-sodium diets and smoking were identified as significant risk factors. Forecasts toward 2035 indicate a continued decline in ASIR, ASMR, and ASDR globally.

conclusionsDespite a decrease in ASIR, ASMR, and ASDR globally, the absolute burden of EOGC remains high, with significant regional disparities. Targeted prevention and treatment strategies are needed, particularly in low- and middle-income countries. Future research should focus on identifying additional risk factors and exploring the effectiveness of different preventive strategies in various regions.

Indexed as

Global Burden of DiseaseStomach NeoplasmsAdolescentAdultAge of OnsetBayes TheoremDisability-Adjusted Life YearsFemaleGlobal HealthHumansIncidenceMaleMiddle AgedYoung AdultDisability-adjusted life-yearsEarly-onset gastric cancerGlobal burden of diseaseIncidenceMortality

Identifiers

PMID41062992
PMCPMC12505554

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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.