Evidence map›Paper›PMID 41664190›Full record

Observational studyBMC medicine2026

Risk stratification for endometrial cancer: independent and joint effects of polygenic risk score and body mass index in 129,829 UK Biobank participants.

Xuemin Wang, Laure Dossus, Marc J Gunter, Emma J Davidson, Jue-Sheng Ong, Dylan M Glubb, Tracy A O'Mara

Abstract readObservational Study
In one paragraph

Observational study in BMC medicine, 2026. 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. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Xuemin WangCancer Research Program, QIMR Berghofer, Brisbane, QLD, 4059, Australia.
Laure DossusNutrition and Metabolism Branch, International Agency for Research On Cancer (IARC/WHO), Lyon, 69007, France.
Marc J GunterNutrition and Metabolism Branch, International Agency for Research On Cancer (IARC/WHO), Lyon, 69007, France.
Emma J DavidsonDivision of Cancer Sciences, Faculty of Biology, Medicine and Health, University of Manchester, St Mary's Hospital, Manchester, M13 9WL, UK.
Jue-Sheng OngPopulation Health Program, QIMR Berghofer, Brisbane, QLD, 4059, Australia.
Dylan M GlubbCancer Research Program, QIMR Berghofer, Brisbane, QLD, 4059, Australia.
Tracy A O'MaraCancer Research Program, QIMR Berghofer, Brisbane, QLD, 4059, Australia. Tracy.OMara@qimrb.edu.au.

Funding

Epidemiologic StudiesU19CA148065 · NCI · HARVARD SCHOOL OF PUBLIC HEALTH · PI AHSAN, HABIBUL, BRUGGE, JOAN SIEFERT · 2010 to 2014
$10.6M
Cancer Australia 22-0253Manchester Biomedical Research Centre NIHR203308National Health and Medical Research Council APP1173170National Institute for Health and Care Research NIHR300650NCI HHS NIH U.S. National Institutes of Health R01-CA058598NCI HHS NIH U.S. National Institutes of Health R01-CA149429NCI HHS NIH U.S. National Institutes of Health U19 CA148065NCI HHS NIH U.S. National Institutes of Health U19-CA148112U.S. National Institutes of Health CA1X01HG007491-01U.S. National Institutes of Health R01-CA134958Wellcome Trust 090532/Z/09ZWorldwide Cancer Research 22-0253
6 · The paper itself

Abstract

backgroundAlthough obesity is a well-established risk factor for endometrial cancer, its relationship with genetic susceptibility in determining cancer risk remains unexplored. Current endometrial cancer risk prediction relies primarily on epidemiological factors, with limited consideration of genetic risk. We hypothesized that integrating polygenic risk score (PRS) information with established epidemiological factors could improve risk stratification and reveal whether genetic and lifestyle factors operate independently or jointly.

methodsWe generated a polygenic risk score for endometrial cancer in 129,829 unrelated female participants of European genetic ancestry (including 956 incident cases with endometrial cancer) in the UK Biobank cohort. We evaluated the prediction model performance using area under the receiver operating characteristic curves (AUCs) and assessed individual and joint associations of body mass index (BMI) and PRS with endometrial cancer using Cox proportional hazards models.

resultsThe integrated model incorporating PRS and epidemiological risk factors achieved statistically significant improvement in predicting endometrial cancer compared with epidemiologic factors alone (AUC = 0.739 versus 0.728; P = 3.98 × 10

conclusionsIntegrating PRS with epidemiological risk factors provides potential for enhanced endometrial cancer risk stratification. PRS effects persist independently of BMI, suggesting genetic risk assessment could complement current screening approaches focused on Lynch Syndrome and identify additional high-risk individuals for targeted prevention strategies.

Indexed as

Body Mass IndexEndometrial NeoplasmsAgedBiological Specimen BanksFemaleGenetic Predisposition to DiseaseGenetic Risk ScoreHumansMiddle AgedRisk AssessmentRisk FactorsUK BiobankUnited KingdomBody mass indexEndometrial cancerPolygenic risk scoreRisk stratification

Identifiers

PMID41664190
PMCPMC12888353

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.