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Alcohol Intake and Gastric Cancer: Meta-Analyses of Published Data Versus Individual Participant Data Pooled Analyses (Stop Project) Publisher Pubmed



Ferro A1 ; Morais S1 ; Rota M3, 4 ; Pelucchi C4 ; Bertuccio P4 ; Bonzi R4 ; Galeone C4 ; Zhang ZF5 ; Matsuo K6 ; Ito H6 ; Hu J7 ; Johnson KC8 ; Yu GP9 ; Palli D10 Show All Authors
Authors
  1. Ferro A1
  2. Morais S1
  3. Rota M3, 4
  4. Pelucchi C4
  5. Bertuccio P4
  6. Bonzi R4
  7. Galeone C4
  8. Zhang ZF5
  9. Matsuo K6
  10. Ito H6
  11. Hu J7
  12. Johnson KC8
  13. Yu GP9
  14. Palli D10
  15. Ferraroni M4
  16. Muscat J11
  17. Malekzadeh R12
  18. Ye W13
  19. Song H13, 14
  20. Zaridze D15
  21. Maximovitch D15
  22. Fernandez De Larrea N16, 17
  23. Kogevinas M17, 18, 19, 20
  24. Vioque J21
  25. Navarretemunoz EM21
  26. Pakseresht M12, 22, 23
  27. Pourfarzi F12, 24
  28. Wolk A25, 35
  29. Orsini N25
  30. Bellavia A25
  31. Hakansson N25
  32. Mu L26
  33. Pastorino R27
  34. Kurtz RC29
  35. Derakhshan MH12, 30
  36. Lagiou A31
  37. Lagiou P32, 33
  38. Boffetta P34
  39. Boccia S27
  40. Negri E3
  41. La Vecchia C4
  42. Peleteiro B1, 2
  43. Lunet N1, 2

Source: Cancer Epidemiology Published:2018


Abstract

Background: Individual participant data pooled analyses allow access to non-published data and statistical reanalyses based on more homogeneous criteria than meta-analyses based on systematic reviews. We quantified the impact of publication-related biases and heterogeneity in data analysis and presentation in summary estimates of the association between alcohol drinking and gastric cancer. Methods: We compared estimates obtained from conventional meta-analyses, using only data available in published reports from studies that take part in the Stomach Cancer Pooling (StoP) Project, with individual participant data pooled analyses including the same studies. Results: A total of 22 studies from the StoP Project assessed the relation between alcohol intake and gastric cancer, 19 had specific data for levels of consumption and 18 according to cancer location; published reports addressing these associations were available from 18, 5 and 5 studies, respectively. The summary odds ratios [OR, (95%CI)] estimate obtained with published data for drinkers vs. non-drinkers was 10% higher than the one obtained with individual StoP data [18 vs. 22 studies: 1.21 (1.07–1.36) vs. 1.10 (0.99–1.23)] and more heterogeneous (I 2 : 63.6% vs 54.4%). In general, published data yielded less precise summary estimates (standard errors up to 2.6 times higher). Funnel plot analysis suggested publication bias. Conclusion: Meta-analyses of the association between alcohol drinking and gastric cancer tended to overestimate the magnitude of the effects, possibly due to publication bias. Additionally, individual participant data pooled analyses yielded more precise estimates for different levels of exposure or cancer subtypes. © 2018 Elsevier Ltd
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