Evidence mapPaperPMID 40040340Full record

SynthesisCancer reports (Hoboken, N.J.)2025

Risk Factors for the Development of Barrett's Esophagus and Esophageal Adenocarcinoma: A Systematic Review and Meta-Analysis.

Kais Antonios, Daniel Aintabi, Patricia McNally, Elliot Berinstein, Priyata Dutta, Nicholas Sampson, Sichao Wang, Claudia Villarreal Carrillo, Brahm Singh, Marjan Haider and 1 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Cancer reports (Hoboken, N.J.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. E-cigarette use and Barrett's esophagus: evaluating a new risk in the era of vaping.Esophagus : official journal of the Japan Esophageal Society · 2026
    Article
  2. Article
  3. Pathogenesis of Barrett's Esophagus: Evolving and Emerging Mechanisms.Gastrointestinal endoscopy clinics of North America · 2026
    Review
  4. Article
  5. Article
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

11 authors.

Kais AntoniosTrinity Health Ann Arbor Hospital, Ann Arbor, Michigan, USA.
Daniel AintabiTrinity Health Ann Arbor Hospital, Ann Arbor, Michigan, USA.
Patricia McNallyTrinity Health Ann Arbor Hospital, Ann Arbor, Michigan, USA.
Elliot BerinsteinTrinity Health Ann Arbor Hospital, Ann Arbor, Michigan, USA.
Priyata DuttaTrinity Health Ann Arbor Hospital, Ann Arbor, Michigan, USA.
Nicholas SampsonMichigan State University, East Lansing, Michigan, USA.
Sichao WangMichigan State University, East Lansing, Michigan, USA.
Claudia Villarreal CarrilloTrinity Health Ann Arbor Hospital, Ann Arbor, Michigan, USA.
Brahm SinghTrinity Health Ann Arbor Hospital, Ann Arbor, Michigan, USA.
Marjan HaiderTrinity Health Ann Arbor Hospital, Ann Arbor, Michigan, USA.
Richard A ShellenbergerInternal Medicine, Trinity Health Ann Arbor Hospital, Ypsilanti, Michigan, USA.ORCID 0000-0002-0883-8823

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBarrett's esophagus (BE) is the most widely established precursor to esophageal adenocarcinoma (EAC). Despite current screening guidelines, more than 90% of EAC patients lack a previous diagnosis of BE. We performed a systematic review and meta-analysis to identify the most important risk factors for the development of BE or EAC. RECENT

findingsPubMed.gov, Ovid Medline, Embase, and Cochrane Library were searched through March 15, 2024. Studies comparing characteristics of patients with endoscopically diagnosed BE or EAC to control groups satisfied our inclusion criteria. Dual extraction provided data for random-effects meta-analyses. Sufficient data were extracted from 54 included studies to perform our meta-analyses. There were five risk factors with significant associations for the development of BE: symptoms of gastroesophageal reflux at least once weekly (OR, 3.56; 95% confidence interval [CI], 2.03-6.25; p = 0.004) tobacco smoking (OR, 1.41; 95% CI, 1.30-1.51; p < 0.001); alcohol use (OR, 1.37; 95% CI, 1.10-1.71; p = 0.008); male gender (OR, 1.36; 95% CI, 1.19-1.57; p < 0.001); and obesity (BMI > 30 kg/m

conclusionFive risk factors showed significant associations with the development of BE and one with the development of EAC, with over a three-fold increase in BE for patients with gastroesophageal reflux more than once weekly. These data could prove useful in developing diagnostic paradigms with higher emphasis on patients experiencing more frequent acid reflux.

Indexed as

AdenocarcinomaBarrett EsophagusEsophageal NeoplasmsGastroesophageal RefluxAlcohol DrinkingFemaleHumansMaleRisk FactorsSex FactorsTobacco SmokingBarrett's esophaguscancer epidemiologycancer screeningearly detectionesophageal adenocarcinomagastroesophageal reflux

Identifiers

PMID40040340
PMCPMC11880629

What Socratic holds

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LicenceCC BY
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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.