Evidence map›Paper›PMID 38438000›Full record

SynthesisClinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association2024

Prevalence of Gastric Precursor Lesions in Countries With Differential Gastric Cancer Burden: A Systematic Review and Meta-analysis.

Duco T Mülder, Anne I Hahn, Robert J Huang, Margaret J Zhou, Benjamin Blake, Omonefe Omofuma, John D Murphy, Daniela S Gutiérrez-Torres, Ann G Zauber, James F O'Mahony and 7 more

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 4 pooled it
22.3field-weighted citation impact, top 1% of its field
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

36 citing papers in PubMed, 4 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Global Progression Rates of Precursor Lesions for Gastric Cancer: A Systematic Review and Meta-Analysis.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2025
    Pooled it
  4. Guideline
  5. Amoxicillin high-dose dual therapy forWorld journal of gastroenterology · 2025
    Trial
  6. Updating the Prevalence ofJournal of clinical medicine · 2026
    Article
  7. Prevalence and Progression of Subtypes of Gastric Premalignant Lesions: A Systematic Review and Meta-Analysis.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2026
    Review
  8. Argon plasma coagulation, endoscopic mucosal resection, and endoscopic submucosal dissection for gastric low-grade dysplasia: a multicenter inverse probability-weighted cohort study.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2026
    Observational
  9. Reproducible Topographic Phenotypes and Three-Phase Anatomical Evolution of Gastric Intestinal Metaplasia.Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society · 2026
    Article
  10. Article
  11. The Cost-Effectiveness of Gastric Cancer Screening and Surveillance Among Average-Risk and Risk-Stratified Populations.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2026
    Article
  12. Article
  13. Article
  14. Review
  15. Gastric intestinal metaplasia: Management and surveillance strategies.World journal of gastrointestinal pathophysiology · 2026
    Review
  16. Article
  17. Article
  18. Article
  19. Association ofFrontiers in cellular and infection microbiology · 2026
    Article
  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

17 authors at 9 institutions in 3 countries.

Duco T MülderDepartment of Public Health, Erasmus Medical Center, Rotterdam, Netherlands.
Anne I HahnDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York.
Robert J HuangDivision of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, California.
Margaret J ZhouDivision of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, California.
Benjamin BlakeWeill Cornell Medical College of Cornell University, New York, New York.
Omonefe OmofumaDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland.
John D MurphyDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland.
Daniela S Gutiérrez-TorresDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland.
Ann G ZauberDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York.
James F O'MahonyDepartment of Public Health, Erasmus Medical Center, Rotterdam, Netherlands; School of Economics, University College Dublin, Dublin, Ireland.
M Constanza CamargoDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland.
Uri LadabaumDivision of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, California.
Jennifer M YehDepartment of Pediatrics, Harvard Medical School, Boston Children's Hospital, Boston, Massachusetts.
Chin HurDivision of General Medicine, Department of Medicine, Columbia University Irving Medical Center, New York, New York; Herbert Irving Comprehensive Cancer Center, Columbia University Irving Medical Center, New York, New York.
Iris Lansdorp-VogelaarDepartment of Public Health, Erasmus Medical Center, Rotterdam, Netherlands.
Reinier MeesterDepartment of Public Health, Erasmus Medical Center, Rotterdam, Netherlands; Health Economics & Outcomes Research, Freenome Holdings Inc, San Francisco, California.
Monika LaszkowskaGastroenterology, Hepatology, and Nutrition Service, Department of Subspecialty Medicine, Memorial Sloan Kettering Cancer Center, New York, New York. Electronic address: LaszkowM@mskcc.org.
Erasmus MC · NLMemorial Sloan Kettering Cancer Center · USStanford University · USDivision of Cancer Epidemiology and GeneticsNational Cancer Institute · USBoston Children's Hospital · USColumbia University Irving Medical Center · USCornell University · USFreenome (United States) · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
Comparative modeling of gastric cancer health drivers and prevention in the US and globallyU01CA265729 · NCI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI HUR, CHIN, YEH, JENNIFER M. · 2021 to 2025
$4.1M
PRECISE - a PErsonalized Risk Score for gastrIc CancErK08CA252635 · NCI · STANFORD UNIVERSITY · PI HUANG, ROBERT JEFFREY · 2021 to 2025
$941k
A Targeted Approach to the Surveillance of Precursor Lesions for Gastric CancerK08DK125876 · NIDDK · SLOAN-KETTERING INST CAN RESEARCH · PI LASZKOWSKA, MONIKA · 2021 to 2025
$838k
NCI NIH HHS K08 CA252635NCI NIH HHS P30 CA008748NCI NIH HHS U01 CA265729NIDDK NIH HHS K08 DK125876
6 · The paper itself

Abstract

BACKGROUND &

aimsThe prevalence of precursor lesions for gastric cancer (GC) and the differential burden between countries of varying GC risk is not well-understood. We conducted a systematic review and meta-analysis to estimate the global prevalence of precursor lesions.

methodsWe estimated the prevalence of atrophic gastritis (AG), gastric intestinal metaplasia (IM), and dysplasia in regions with low, medium, and high GC incidence. Because IM is an advanced manifestation of AG, we assessed the prevalence of less advanced precursors, regardless of the presence of more advanced lesions. Prevalence was sub-stratified by Helicobacter pylori infection, symptomatology, and period (<2000, 2000-2010, and >2010).

resultsAmong the 582 articles that underwent full-text review, 166 studies met inclusion criteria. The global prevalence estimates of AG, IM, and dysplasia were 25.4%, 16.2%, and 2.0%, respectively, on the basis of 126 studies that reported the prevalence of less advanced precursors, regardless of the presence of more advanced lesions. The prevalence of all precursor lesions was higher in high and medium compared with low GC incidence countries (P < .01). Prevalence of AG and IM was significantly higher among H pylori-infected individuals (P < .01) but not statistically different between symptomatic and asymptomatic individuals (P > .17). All precursors demonstrated a secular decrease in prevalence over time.

conclusionsGastric precursor lesions have differences in prevalence in regions with differential GC incidence and are associated with H pylori infection. Because of the substantial prevalence of precursor lesions in both symptomatic and asymptomatic individuals, symptomatic evaluation may not be sufficient to identify individuals at risk. These estimates provide important insights for tailoring GC prevention strategies.

Indexed as

Global HealthPrecancerous ConditionsStomach NeoplasmsGastritis, AtrophicHelicobacter InfectionsHumansMetaplasiaPrevalenceDysplasiaGastric CancerGastric Precursor LesionsGastrointestinal EndoscopyGlobal Burden Atrophic GastritisHelicobacter PyloriIntestinal MetaplasiaMeta-analysesPrevalenceSystematic Review

Identifiers

PMID38438000
PMCPMC11272442
OpenAlexW4392347519

What Socratic holds

Textmetadata
LicenceTDM
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 Socratic graph.