Background Although the incidence and mortality of gastric cancer (GC) decreased in the last years, some countries remain highly affected. Especially in high-income economies the cases of cardia types are steadily increasing. Currently, GC is ranked third as cause for cancer death worldwide, whereby two-thirds of deaths still occur in lowincome countries. But the global numbers are changing, and new regional challenges must be addressed.
Methods Therefore, this disease has been chosen for in-depth bibliometric analyses that combines the evaluation of publication meta-data with density equalizing visualization techniques. This study focuses on the chronological and geographical characteristics of GC research worldwide. Epidemiological and socio-economic parameters were analyzed and the influence of political framework conditions was examined. In addition, international collaborations and research priorities were evaluated.
Results In the last years, the publication numbers are rising more extensively in comparison to other cancer types. Albeit the usual leading positions, the United States is not the most publishing country on GC. It occupies the third position. Instead, China and Japan are the most publishing countries and together with South Korea also the key players as well as the most affected countries. These countries’ governments are also the main donors for GC-research. The number of articles and the expenditures for research and development (R&D) as well as the incidence rate are correlated. Despite the scarce contribution of low-economic countries to the publication output, international collaborations lead to a modest output in those regions.
Conclusion This study pools background information for scientists, practitioners, funders and decision-makers by providing information on the development and priorities of GC research. Adaptive international approaches and partnerships are crucial to meet future changing epidemiological features worldwide.
IARC. Cancer Today, Estimated age-standardized incidence rates (World) in 2018, worldwide, both sexes, all ages. https://rb.gy/9xlaf6. Accessed October 2019. Published 2018.
Arnold M, Pandeya N, Byrnes G, et al. Global burden of cancer attributable to high body-mass index in 2012: a population-based study. Lancet Oncol. 2015;16(1):36-46. doi:10.1016/s1470-2045(14)71123-4
Sitarz R, Skierucha M, Mielko J, Offerhaus GJA, Maciejewski R, Polkowski WP. Gastric cancer: epidemiology, prevention, classification, and treatment. Cancer Manag Res. 2018;10:239-248. doi:10.2147/cmar.s149619
Stock M, Otto F. Gene deregulation in gastric cancer. Gene. 2005;360(1):1-19. doi:10.1016/j.gene.2005.06.026
Uthman OA, Jadidi E, Moradi T. Socioeconomic position and incidence of gastric cancer: a systematic review and meta-analysis. J Epidemiol Community Health. 2013;67(10):854-860. doi:10.1136/jech-2012-201108
Camargo MC, Anderson WF, King JB, et al. Divergent trends for gastric cancer incidence by anatomical subsite in US adults. Gut. 2011;60(12):1644-1649. doi:10.1136/gut.2010.236737
Blaser MJ, Chen Y. A new gastric cancer among us. J Natl Cancer Inst. 2018;110(6):549-550. doi:10.1093/jnci/djx279
Lagergren F, Xie SH, Mattsson F, Lagergren J. Updated incidence trends in cardia and non-cardia gastric adenocarcinoma in Sweden. Acta Oncol. 2018;57(9):1173-1178. doi:10.1080/0284186x.2018.1457797
Groneberg-Kloft B, Fischer TC, Quarcoo D, Scutaru C. New quality and quantity indices in science (NewQIS): the study protocol of an international project. J Occup Med Toxicol. 2009;4:16. doi:10.1186/1745-6673-4-16
Bruggmann D, Alafi A, Jaque J, et al. World-wide research architecture of vitamin D research: density-equalizing mapping studies and socio-economic analysis. Nutr J. 2018;17(1):3. doi:10.1186/s12937-018-0313-6
Götting M, Schwarzer M, Gerber A, Klingelhöfer D, Groneberg DA. Pulmonary hypertension: scientometric analysis and density-equalizing mapping. PLoS One. 2017;12(1):e0169238. doi:10.1371/journal.pone.0169238
Groneberg DA, Geier V, Klingelhöfer D, Gerber A, Kuch U, Kloft B. Snakebite envenoming–a combined density equalizing mapping and scientometric analysis of the publication history. PLoS Negl Trop Dis. 2016;10(11):e0005046. doi:10.1371/journal.pntd.0005046
Falagas ME, Pitsouni EI, Malietzis GA, Pappas G. Comparison of PubMed, Scopus, web of science, and Google scholar: strengths and weaknesses. FASEB J. 2008;22(2):338-342. doi:10.1096/fj.07-9492LSF
Klingelhöfer D, Zhu Y, Braun M, Brüggmann D, Schöffel N, Groneberg DA. A world map of esophagus cancer research: a critical accounting. J Transl Med. 2019;17(1):150. doi:10.1186/s12967-019-1902-7
Gastner MT, Newman ME. Diffusion-based method for producing density-equalizing maps. Proc Natl Acad Sci U S A. 2004;101(20):7499-7504. doi:10.1073/pnas.0400280101
van Eck NJ, Waltman L. VOSviewer: A Computer Program for Bibliometric Mapping. Proceedings of Issi 2009 - 12th International Conference of the International Society for Scientometrics and Informetrics. 2009;2:886-897.
Lauren P. The two histological main types of gastric carcinoma: diffuse and so‐called intestinal‐type carcinoma: an attempt at a histo‐clinical classification. Acta Pathol Microbiol Scand. 1965;64:31-49. doi:10.1111/apm.1965.64.1.31
Parsonnet J, Friedman GD, Vandersteen DP, et al. Helicobacter pylori infection and the risk of gastric carcinoma. N Engl J Med. 1991;325(16):1127-1131. doi:10.1056/nejm199110173251603
Nomura A, Stemmermann GN, Chyou PH, Kato I, Perez-Perez GI, Blaser MJ. Helicobacter pylori infection and gastric carcinoma among Japanese Americans in Hawaii. N Engl J Med. 1991;325(16):1132-1136. doi:10.1056/nejm199110173251604
Blaser MJ, Perez-Perez GI, Kleanthous H, et al. Infection with Helicobacter pylori strains possessing cagA is associated with an increased risk of developing adenocarcinoma of the stomach. Cancer Res. 1995;55(10):2111-2115.
El-Omar EM, Carrington M, Chow WH, et al. Interleukin-1 polymorphisms associated with increased risk of gastric cancer. Nature. 2000;404(6776):398-402. doi:10.1038/35006081
Correa P. Human gastric carcinogenesis: a multistep and multifactorial process--first American Cancer Society award lecture on cancer epidemiology and prevention. Cancer Res. 1992;52(24):6735-6740.
Devesa SS, Blot WJ, Fraumeni JF Jr. Changing patterns in the incidence of esophageal and gastric carcinoma in the United States. Cancer. 1998;83(10):2049-2053.
Uemura N, Okamoto S, Yamamoto S, et al. Helicobacter pylori infection and the development of gastric cancer. N Engl J Med. 2001;345(11):784-789. doi:10.1056/NEJMoa001999
Macdonald JS, Smalley SR, Benedetti J, et al. Chemoradiotherapy after surgery compared with surgery alone for adenocarcinoma of the stomach or gastroesophageal junction. N Engl J Med. 2001;345(10):725-730. doi:10.1056/NEJMoa010187
Bang YJ, Van Cutsem E, Feyereislova A, Investigators TT. Trastuzumab in combination with chemotherapy versus chemotherapy alone for treatment of HER2-positive advanced gastric or gastro-oesophageal junction cancer (TOGA): a phase 3, open-label, randomised controlled trial (vol 376, pg 687, 2010). Lancet. 2010;376(9749):1302-1302.
Schöffel N, Brüggmann D, Klingelhöfer D, Bendels MHK, Groneberg DA. Crohn's disease: a critical approach to publication procedures and citation behavior of the global research network. J Clin Gastroenterol. 2018;52(3):246-254. doi:10.1097/mcg.0000000000000798
Brüggmann D, Pulch K, Klingelhöfer D, Pearce CL, Groneberg DA. Ovarian cancer: density equalizing mapping of the global research architecture. Int J Health Geogr. 2017;16(1):3. doi:10.1186/s12942-016-0076-2
Bosman FT, Carneiro F, Hruban RH, Theise ND. WHO Classification of Tumours of the Digestive System. Vol 3. 4th ed. WHO Press; 2010.
Magri MH, Solari A. The SCI journal citation reports: a potential tool for studying journals? Scientometrics. 1996;35(1):93-117. doi:10.1007/BF02018235
Warren JR, Marshall B. Unidentified curved bacilli on gastric epithelium in active chronic gastritis. Lancet. 1983;1(8336):1273-1275.
Forman D, Newell DG, Fullerton F, et al. Association between infection with Helicobacter pylori and risk of gastric cancer: evidence from a prospective investigation. BMJ. 1991;302(6788):1302-1305. doi:10.1136/bmj.302.6788.1302
Schistosomes, liver flukes and Helicobacter pylori. IARC Working Group on the Evaluation of Carcinogenic Risks to Humans. Lyon, 7-14 June 1994. IARC Monogr Eval Carcinog Risks Hum. 1994;61:1-241.
Ono H, Kondo H, Gotoda T, et al. Endoscopic mucosal resection for treatment of early gastric cancer. Gut. 2001;48(2):225-229. doi:10.1136/gut.48.2.225
Bombardier C, Laine L, Reicin A, et al. Comparison of upper gastrointestinal toxicity of rofecoxib and naproxen in patients with rheumatoid arthritis. VIGOR Study Group. N Engl J Med. 2000;343(21):1520-1528. doi:10.1056/nejm200011233432103
Köster C, Klingelhöfer D, Groneberg DA, Schwarzer M. Rotavirus–global research density equalizing mapping and gender analysis. Vaccine. 2016;34(1):90-100. doi:10.1016/j.vaccine.2015.11.002
Boeing H. Epidemiological research in stomach cancer: progress over the last ten years. J Cancer ResClin Oncol. 1991;117(2):133-143. doi:10.1007/BF01613137
Inoue M, Tsugane S. Epidemiology of gastric cancer in Japan. Postgrad Med J. 2005;81(957):419-424. doi:10.1136/pgmj.2004.029330
Adams J. Collaborations: the fourth age of research. Nature. 2013;497(7451):557-560. doi:10.1038/497557a
Adams J. Collaborations: the rise of research networks. Nature. 2012;490(7420):335-336. doi:10.1038/490335a
Wang L, Jacob J, Li Z. Exploring the spatial dimensions of nanotechnology development in China: the effects of funding and spillovers. Reg Stud. 2019;53(2):245-260. doi:10.1080/00343404.2018.1457216
Nolte I. The future of African studies: what we can do to keep Africa at the heart of our research. J Afr Cult Stud. 2019;31(3):296-313. doi:10.1080/13696815.2019.1584552
Lee S, Bozeman B. The impact of research collaboration on scientific productivity. Soc Stud Sci. 2005;35(5):673-702. doi:10.1177/0306312705052359
He ZL, Geng XS, Campbell-Hunt C. Research collaboration and research output: a longitudinal study of 65 biomedical scientists in a New Zealand university. Res Policy. 2009;38(2):306-317. doi:10.1016/j.respol.2008.11.011
Klingelhöfer, D., Braun, M., Schöffel, N., Brüggmann, D., & Groneberg, D. A. (2021). Gastric Cancer: Bibliometric Analysis of Epidemiological, Geographical and Socio-Economic Parameters of the Global Research Landscape. International Journal of Health Policy and Management, 10(3), 118-128. doi: 10.34172/ijhpm.2020.29
MLA
Doris Klingelhöfer; Markus Braun; Norman Schöffel; Dörthe Brüggmann; David A. Groneberg. "Gastric Cancer: Bibliometric Analysis of Epidemiological, Geographical and Socio-Economic Parameters of the Global Research Landscape", International Journal of Health Policy and Management, 10, 3, 2021, 118-128. doi: 10.34172/ijhpm.2020.29
HARVARD
Klingelhöfer, D., Braun, M., Schöffel, N., Brüggmann, D., Groneberg, D. A. (2021). 'Gastric Cancer: Bibliometric Analysis of Epidemiological, Geographical and Socio-Economic Parameters of the Global Research Landscape', International Journal of Health Policy and Management, 10(3), pp. 118-128. doi: 10.34172/ijhpm.2020.29
VANCOUVER
Klingelhöfer, D., Braun, M., Schöffel, N., Brüggmann, D., Groneberg, D. A. Gastric Cancer: Bibliometric Analysis of Epidemiological, Geographical and Socio-Economic Parameters of the Global Research Landscape. International Journal of Health Policy and Management, 2021; 10(3): 118-128. doi: 10.34172/ijhpm.2020.29