Meta-analysis2015

Association of cholesterol with risk of pancreatic cancer: a meta-analysis

Wang J, Wang WJ, Zhai L, Zhang DF

World journal of gastroenterology · 48 citations

Review labels

Funding not disclosed

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Meta-analysis (indexed by PubMed)
Studied in
People
Main outcome
Clinical events such as disease or death
Intake measured by
Not stated

Who paid for it

Funding
Funding not disclosed

Publication

Published
2015-01-01 · World J Gastroenterol · vol. 21 · issue 12 · p. 3711
Publisher
Baishideng Publishing Group
Cited
70 citations · more than 36% of similar papers · 0.2× the field average
References
45 works
Access
Open access (hybrid journal) · CC-BY-NC
Research areas
Cancer, Lipids, and Metabolism · Pancreatic and Hepatic Oncology Research · Pancreatitis Pathology and Treatment
Keywords
Medicine, Meta-analysis, Pancreatic cancer, Internal medicine, Relative risk, Subgroup analysis, Confidence interval, Cohort study, Cholesterol, Cancer, Gastroenterology
MeSH
humans, pancreatic neoplasms, hypercholesterolemia, cholesterol, dietary, prognosis, odds ratio, risk assessment, risk factors, aged, middle aged, female, male

1 author

  • Jia Hao Wang · corresponding

Abstract

Aim

To evaluate the effect of dietary cholesterol and serum total cholesterol (TC) on the risk of pancreatic cancer.

Methods

A literature search was performed up to June 2014 in PubMed, EMBASE, China National Knowledge Infrastructure and China Biology Medical literature database for relevant articles published in English or Chinese. Pooled relative risks (RRs) with 95% confidence intervals (CIs) were calculated with a random-effects model.

Results

We included 14 published articles with 439355 participants for dietary cholesterol, and 6 published articles with 1805697 participants for serum TC. For the highest vs lowest category of dietary cholesterol, the pooled RR (95%CI) of pancreatic cancer was 1.308 (1.097-1.559). After excluding two studies (RR > 3.0), the pooled RR (95%CI) was 1.204 (1.050-1.380). In subgroup analysis stratified by study design, the pooled RRs (95%CIs) were 1.523 (1.226-1.893) for case-control studies and 1.023 (0.871-1.200) for cohort studies. The association of dietary cholesterol with the risk of pancreatic cancer was significant for studies conducted in North America [1.275 (1.058-1.537)] and others [2.495 (1.565-3.977)], but not in Europe [1.149 (0.863-1.531)]. No significant association [1.003 (0.859-1.171)] was found between the risk of pancreatic cancer and serum TC.

Conclusion

Dietary cholesterol may be associated with an increased risk of pancreatic cancer in worldwide populations, except for Europeans. The results need to be confirmed further.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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