Evidence map›Paper›PMID 41634393›Full record

ArticleNature medicine2026

Global and regional cancer burden attributable to modifiable risk factors to inform prevention.

Hanna Fink, Oliver Langselius, Jérôme Vignat, Harriet Rumgay, Jürgen Rehm, Ricardo X Martinez, Marilina Santero, Lucero Lopez-Perez, Manami Inoue, Hongmei Zeng and 4 more

Abstract read
PubMed Publisher
In one paragraph

Article in Nature medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
–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

37 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Exercise therapy in cancer prevention and treatment.Nature reviews. Clinical oncology · 2026
    Review
  5. SRSF3 plays a key role in liver cancer sex disparity by facilitating hepatocyte expression of ERα and FOXA.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
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  7. Article
  8. Review
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  15. Article
  16. Cancer and Health Inequalities.British journal of cancer · 2026
    Review
  17. Article
  18. Article
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  20. 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

14 authors.

Hanna FinkCancer Surveillance Branch, International Agency for Research on Cancer (IARC/WHO), Lyon, France. finkh@iarc.who.int.ORCID http://orcid.org/0009-0003-6976-819X
Oliver LangseliusCancer Surveillance Branch, International Agency for Research on Cancer (IARC/WHO), Lyon, France.ORCID http://orcid.org/0009-0002-8862-133X
Jérôme VignatCancer Surveillance Branch, International Agency for Research on Cancer (IARC/WHO), Lyon, France.
Harriet RumgayCancer Surveillance Branch, International Agency for Research on Cancer (IARC/WHO), Lyon, France.
Jürgen RehmInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0001-5665-0385
Ricardo X MartinezDepartment of Communicable and Noncommunicable Diseases, World Health Organization, Geneva, Switzerland.ORCID http://orcid.org/0000-0003-2427-8210
Marilina SanteroDepartment of Communicable and Noncommunicable Diseases, World Health Organization, Geneva, Switzerland.
Lucero Lopez-PerezDepartment of Communicable and Noncommunicable Diseases, World Health Organization, Geneva, Switzerland.
Manami InoueDivision of Prevention, Center for Public Health Sciences, National Cancer Center, Tokyo, Japan.ORCID http://orcid.org/0000-0003-1276-2398
Hongmei ZengNational Central Cancer Registry & State Key Laboratory of Molecular Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Kevin ShieldInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Eileen MorganCancer Surveillance Branch, International Agency for Research on Cancer (IARC/WHO), Lyon, France.ORCID http://orcid.org/0000-0002-4242-6240
André IlbawiDepartment of Communicable and Noncommunicable Diseases, World Health Organization, Geneva, Switzerland.
Isabelle SoerjomataramCancer Surveillance Branch, International Agency for Research on Cancer (IARC/WHO), Lyon, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cancer remains a leading cause of morbidity globally, largely attributable to modifiable risks. We estimated the 2022 global and national cancer burden attributable to 30 such factors, including tobacco smoking, alcohol consumption, high body mass index, insufficient physical activity, smokeless tobacco and areca nut, suboptimal breastfeeding, air pollution, ultraviolet radiation, 9 infectious agents and 13 occupational exposures, to inform prevention efforts. Using GLOBOCAN data for 36 cancer sites in 185 countries, we applied prevalence data from around 2012 to reflect exposure-cancer latency and estimated Levin-based or Miettinen-based population-attributable fractions (PAFs) or direct estimates where applicable. Combined PAFs accounting for overlapping exposures were derived by cancer, sex, country and region. In 2022, an estimated 7.1 million of 18.7 million new cancer cases (37.8%) were attributable to 30 modifiable risk factors-2.7 million (29.7%) in women and 4.3 million (45.4%) in men. The proportion of preventable cancers ranged from 24.6% to 38.2% in women and from 28.1% to 57.2% in men across regions. Smoking (15.1%), infections (10.2%) and alcohol consumption (3.2%) were the leading contributors to cancer burden. Lung, stomach and cervical cancers represented nearly half of preventable cancers. Strengthening efforts to reduce modifiable exposures remains central to global cancer prevention.

Indexed as

NeoplasmsAlcohol DrinkingFemaleGlobal HealthHumansMaleOccupational ExposurePrevalenceRisk FactorsSmoking

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.