Evidence map›Paper›PMID 40200873›Full record

SynthesisJournal of gastric cancer2025

Environmental Protective and Risk Factors for Gastric Cancer: An Umbrella Review and Reanalysis of Meta-Analyses.

Seungwon Kim, Min Seo Kim, Yeongkeun Kwon, Jae-Seok Min, Ahmad Alromi, Jong Yeob Kim, Jueon Kim, Jae Il Shin, Dong Keon Yon, Yuhyeon Chu and 1 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of gastric cancer, 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. Updating the Prevalence ofJournal of clinical medicine · 2026
    Article
  2. Article
  3. Article
  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.

Seungwon Kim *Korea University Anam Hospital, Seoul, Korea.ORCID 0009-0006-2651-6357
Min Seo Kim *Samsung Advanced Institute for Health Sciences and Technology, Sungkyunkwan University, Samsung Medical Center, Seoul, Korea.ORCID 0000-0003-2115-7835
Yeongkeun KwonDivision of Foregut Surgery, Korea University College of Medicine, Seoul, Korea.ORCID 0000-0003-4432-7403
Jae-Seok MinDivision of Foregut Surgery, Korea University College of Medicine, Seoul, Korea.ORCID 0000-0002-5798-4595
Ahmad AlromiDepartment of General Surgery, The Jordanian Ministry of Health, Princes Hamzh Hospital, Amman, Jordan.ORCID 0000-0002-0229-0879
Jong Yeob KimSamsung Advanced Institute for Health Sciences and Technology, Sungkyunkwan University, Samsung Medical Center, Seoul, Korea.ORCID 0000-0003-4756-9440
Jueon KimKyung Hee University College of Medicine, Seoul, Korea.ORCID 0009-0009-3103-1583
Jae Il ShinDepartment of Pediatrics, Yonsei University College of Medicine, Seoul, Korea.ORCID 0000-0003-2326-1820
Dong Keon YonCenter for Digital Health, Medical Science Research Institute, Kyung Hee University Medical Center, Kyung Hee University, Seoul, Korea.ORCID 0000-0003-1628-9948
Yuhyeon ChuEwha Womans University College of Medicine, Seoul, Korea.ORCID 0009-0006-3314-503X
Sungsoo ParkDivision of Foregut Surgery, Korea University College of Medicine, Seoul, Korea.ORCID 0000-0002-1779-8683

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDespite extensive research on gastric cancer (GC), efforts to consolidate the numerous associations between possible factors and GC risk remain lacking. This systematic review aimed to provide an overview of potential GC-associated pairs. MATERIALS AND

methodsWe systematically searched PubMed, Embase, and Cochrane databases, from their inception to April 23, 2022, for eligible systematic reviews and meta-analyses to investigate the association between any possible factors and GC risk. After the inclusion of 75 systematic reviews and meta-analyses, 117 association pairs were examined. We reanalyzed the included meta-analyses and produced effect estimates using uniform analytical models. The certainty of the evidence for each association pair was evaluated using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) criteria.

resultsIatrogenic factors, including antibacterial drugs, were associated with an increased risk of GC. Epstein-Barr virus and

conclusionsThe associations between GC risk and dietary and nutritional factors were considerably heterogeneous, whereas other factors, such as lifestyle and iatrogenic and environmental exposures, were consistent across regions. Therefore, dietary interventions for GC prevention should be tailored specific to regions.

trial registrationPROSPERO Identifier: CRD42020209817.

Indexed as

Stomach NeoplasmsEpstein-Barr Virus InfectionsHelicobacter InfectionsHelicobacter pyloriHumansMeta-Analysis as TopicProtective FactorsRisk FactorsSystematic Reviews as TopicGastric cancerMeta-analysisRisk factorsStomach cancerUmbrella review

Identifiers

PMID40200873
PMCPMC11982512

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.