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  1. Adiposity is a strong risk factor for cancer incidence and mortality. However, most of the evidence available has focused on body mass index (BMI) as a marker of adiposity. There is limited evidence on relatio...

    Authors: Solange Parra-Soto, Emma S. Cowley, Leandro F. M. Rezende, Catterina Ferreccio, John C. Mathers, Jill P. Pell, Frederick K. Ho and Carlos Celis-Morales
    Citation: BMC Medicine 2021 19:7
  2. Medical costs and the burden associated with cardiovascular disease are on the rise. Therefore, to improve the overall economy and quality assessment of the healthcare system, we developed a predictive model o...

    Authors: Tomoyuki Takura, Keiko Hirano Goto and Asao Honda
    Citation: BMC Medicine 2021 19:15
  3. The optimal distribution between physical activity (PA) levels and sedentary behaviour (SB) for the greatest benefits for body composition among older adults with overweight/obesity and chronic health conditio...

    Authors: Aina M. Galmes-Panades, Jadwiga Konieczna, Veronica Varela-Mato, Itziar Abete, Nancy Babio, Miquel Fiol, José Antonio de Paz, Rosa Casas, Romina Olbeyra, Miguel Ruiz-Canela, Antoni Palau-Galindo, Olga Castañer, Arturo Martín-García, Ramón Estruch, Josep Vidal, Pilar Buil-Cosiales…
    Citation: BMC Medicine 2021 19:3
  4. Nutrition and lifestyle have been long established as risk factors for colorectal cancer (CRC). Modifiable lifestyle behaviours bear potential to minimize long-term CRC risk; however, translation of lifestyle ...

    Authors: Krasimira Aleksandrova, Robin Reichmann, Rudolf Kaaks, Mazda Jenab, H. Bas Bueno-de-Mesquita, Christina C. Dahm, Anne Kirstine Eriksen, Anne Tjønneland, Fanny Artaud, Marie-Christine Boutron-Ruault, Gianluca Severi, Anika Hüsing, Antonia Trichopoulou, Anna Karakatsani, Eleni Peppa, Salvatore Panico…
    Citation: BMC Medicine 2021 19:1
  5. Atrial fibrillation (AF) is common in older people with frailty and is associated with an increased risk of stroke and systemic embolism. Whilst oral anticoagulation is associated with a reduction in this risk...

    Authors: Chris Wilkinson, Jianhua Wu, Samuel D. Searle, Oliver Todd, Marlous Hall, Vijay Kunadian, Andrew Clegg, Kenneth Rockwood and Chris P. Gale
    Citation: BMC Medicine 2020 18:401
  6. Fetal growth restriction (FGR) due to placental insufficiency is a major risk factor for stillbirth. While small-for-gestational-age (SGA; weight < 10th centile) is a commonly used proxy for FGR, detection of ...

    Authors: Lucy M. Kennedy, Stephen Tong, Alice J. Robinson, Richard J. Hiscock, Lisa Hui, Kirsten M. Dane, Anna L. Middleton, Susan P. Walker and Teresa M. MacDonald
    Citation: BMC Medicine 2020 18:395
  7. Major depressive disorder (MDD) shows large heterogeneity of symptoms between patients, but within patients, particular symptom clusters may show similar trajectories. While symptom clusters and networks have ...

    Authors: K. Hebbrecht, M. Stuivenga, T. Birkenhäger, M. Morrens, E. I. Fried, B. Sabbe and E. J. Giltay
    Citation: BMC Medicine 2020 18:400
  8. In pregnancy lipid levels increase with gestation resembling an atherogenic lipid profile. Currently it is unclear whether gestational lipid levels are associated with an adverse cardiovascular risk profile la...

    Authors: Maria C. Adank, Laura Benschop, Sophia P. van Streun, Anna M. Smak Gregoor, Monique T. Mulder, Eric A. P. Steegers, Sarah Schalekamp-Timmermans and Jeanine E. Roeters van Lennep
    Citation: BMC Medicine 2020 18:394
  9. Colposcopy diagnosis and directed biopsy are the key components in cervical cancer screening programs. However, their performance is limited by the requirement for experienced colposcopists. This study aimed t...

    Authors: Peng Xue, Chao Tang, Qing Li, Yuexiang Li, Yu Shen, Yuqian Zhao, Jiawei Chen, Jianrong Wu, Longyu Li, Wei Wang, Yucong Li, Xiaoli Cui, Shaokai Zhang, Wenhua Zhang, Xun Zhang, Kai Ma…
    Citation: BMC Medicine 2020 18:406
  10. Silent cerebral infarcts (SCIs) are the most common neurological complication in children and adults with sickle cell disease (SCD). In this systematic review, we provide an overview of studies that have detec...

    Authors: Maite E. Houwing, Rowena L. Grohssteiner, Marjolein H. G. Dremmen, Ferdows Atiq, Wichor M. Bramer, Anne P. J. de Pagter, C. Michel Zwaan, Tonya J. H. White, Meike W. Vernooij and Marjon H. Cnossen
    Citation: BMC Medicine 2020 18:393
  11. The objectives of this study are to determine the effects of regularly scheduled administration of paracetamol (acetaminophen) on quality of life (QoL), discomfort, pain and neuropsychiatric symptoms of person...

    Authors: Paulien H. van Dam, Wilco P. Achterberg, Bettina S. Husebo and Monique A. A. Caljouw
    Citation: BMC Medicine 2020 18:407
  12. Oral rehydration solution (ORS) is a simple intervention that can prevent childhood deaths from severe diarrhea and dehydration. In a previous study, we mapped the use of ORS treatment subnationally and found ...

    Authors: Kirsten E. Wiens, Lauren E. Schaeffer, Samba O. Sow, Babacar Ndoye, Carrie Jo Cain, Mathew M. Baumann, Kimberly B. Johnson, Paulina A. Lindstedt, Brigette F. Blacker, Zulfiqar A. Bhutta, Natalie M. Cormier, Farah Daoud, Lucas Earl, Tamer Farag, Ibrahim A. Khalil, Damaris K. Kinyoki…
    Citation: BMC Medicine 2020 18:405
  13. The COVID-19 pandemic has placed significant pressure on health and social care. Survivors of COVID-19 may be left with substantial functional deficits requiring ongoing care. We aimed to determine whether pre...

    Authors: A. Vilches-Moraga, A. Price, P. Braude, L. Pearce, R. Short, A. Verduri, M. Stechman, J. T. Collins, E. Mitchell, A. G. Einarsson, S. J. Moug, T. J. Quinn, B. Stubbs, K. McCarthy, P. K. Myint, J. Hewitt…
    Citation: BMC Medicine 2020 18:408
  14. The COVID-19 pandemic has placed sustained demand on health systems globally, and the capacity to provide critical care has been overwhelmed in some jurisdictions. It is unknown which triage criteria for alloc...

    Authors: Kirsten M. Fiest, Karla D. Krewulak, Kara M. Plotnikoff, Laryssa G. Kemp, Ken Kuljit S. Parhar, Daniel J. Niven, John B. Kortbeek, Henry T. Stelfox and Jeanna Parsons Leigh
    Citation: BMC Medicine 2020 18:404
  15. Due to the overlapping clinical features of coronavirus disease 2019 (COVID-19) and influenza, parallels are often drawn between the two diseases. Patients with pre-existing cardiovascular diseases (CVD) are a...

    Authors: Muhammad Shahzeb Khan, Izza Shahid, Stefan D. Anker, Scott D. Solomon, Orly Vardeny, Erin D. Michos, Gregg C. Fonarow and Javed Butler
    Citation: BMC Medicine 2020 18:403
  16. The increasing use of preprints to disseminate evidence on the effect of interventions for the coronavirus disease 2019 (COVID-19) can lead to multiple evidence sources for a single study, which may differ in ...

    Authors: Theodora Oikonomidi, Isabelle Boutron, Olivier Pierre, Guillaume Cabanac and Philippe Ravaud
    Citation: BMC Medicine 2020 18:402
  17. Zika virus (ZIKV) emerged as a global epidemic in 2015–2016 from Latin America with its true geographical extent remaining unclear due to widely presumed underreporting. The identification of locations with po...

    Authors: Haoyang Sun, Borame L. Dickens, Mark Jit, Alex R. Cook and L. Roman Carrasco
    Citation: BMC Medicine 2020 18:399
  18. Higher adiposity increases the risk of colorectal cancer (CRC), but whether this relationship varies by anatomical sub-site or by sex is unclear. Further, the metabolic alterations mediating the effects of adi...

    Authors: Caroline J. Bull, Joshua A. Bell, Neil Murphy, Eleanor Sanderson, George Davey Smith, Nicholas J. Timpson, Barbara L. Banbury, Demetrius Albanes, Sonja I. Berndt, Stéphane Bézieau, D. Timothy Bishop, Hermann Brenner, Daniel D. Buchanan, Andrea Burnett-Hartman, Graham Casey, Sergi Castellví-Bel…
    Citation: BMC Medicine 2020 18:396
  19. Dementia is caused by a variety of neurodegenerative diseases and is associated with a decline in memory and other cognitive abilities, while inflicting an enormous socioeconomic burden. The complexity of deme...

    Authors: KongFatt Wong-Lin, Paula L. McClean, Niamh McCombe, Daman Kaur, Jose M. Sanchez-Bornot, Paddy Gillespie, Stephen Todd, David P. Finn, Alok Joshi, Joseph Kane and Bernadette McGuinness
    Citation: BMC Medicine 2020 18:398
  20. Cholera epidemics continue to challenge disease control, particularly in fragile and conflict-affected states. Rapid detection and response to small cholera clusters is key for efficient control before an epid...

    Authors: Ruwan Ratnayake, Flavio Finger, W. John Edmunds and Francesco Checchi
    Citation: BMC Medicine 2020 18:397
  21. The proportion of infections among young children that are antimicrobial-resistant is increasing across the globe. Newborns may be colonized with enteric antimicrobial-resistant pathogens early in life, which ...

    Authors: Maya L. Nadimpalli, Claire D. Bourke, Ruairi C. Robertson, Elisabeth Delarocque-Astagneau, Amee R. Manges and Amy J. Pickering
    Citation: BMC Medicine 2020 18:392
  22. Clinical decision-making of invasive high-intensity care for critically ill stage IV cancer patients in the emergency department (ED) is challenging. A reliable and clinically available prognostic score for ad...

    Authors: Youn-Jung Kim, Jihoon Kang, Min-Ju Kim, Seung Mok Ryoo, Gu Hyun Kang, Tae Gun Shin, Yoo Seok Park, Sung-Hyuk Choi, Woon Yong Kwon, Sung Phil Chung and Won Young Kim
    Citation: BMC Medicine 2020 18:390
  23. HIV is known to increase the likelihood of reactivation of latent tuberculosis to active TB disease; however, its impact on tuberculosis infectiousness and consequent transmission is unclear, particularly in l...

    Authors: Joanne R. Winter, Colette J. Smith, Jennifer A. Davidson, Maeve K. Lalor, Valerie Delpech, Ibrahim Abubakar and Helen R. Stagg
    Citation: BMC Medicine 2020 18:385
  24. Polycystic ovary syndrome (PCOS) is challenging to diagnose. While the 2003 Rotterdam criteria are widely used for adults, the 2018 international PCOS guideline recommended updated Rotterdam criteria with both...

    Authors: Chau Thien Tay, Roger J. Hart, Martha Hickey, Lisa J. Moran, Arul Earnest, Dorota A. Doherty, Helena J. Teede and Anju E. Joham
    Citation: BMC Medicine 2020 18:389
  25. Valid cause of death data are essential for health policy formation. The quality of medical certification of cause of death (MCCOD) by physicians directly affects the utility of cause of death data for public ...

    Authors: U. S. H. Gamage, Pasyodun Koralage Buddhika Mahesh, Jesse Schnall, Lene Mikkelsen, John D. Hart, Hafiz Chowdhury, Hang Li, Deirdre McLaughlin and Alan D. Lopez
    Citation: BMC Medicine 2020 18:384
  26. Pancreatitis is a critical public health problem, and the burden of pancreatitis is increasing. We report the rates and trends of the prevalence, incidence, and years lived with disability (YLDs) for pancreati...

    Authors: Guoqing Ouyang, Guangdong Pan, Qiang Liu, Yongrong Wu, Zhen Liu, Wuchang Lu, Shuai Li, Zheng Zhou and Yu Wen
    Citation: BMC Medicine 2020 18:388
  27. Methylmalonic acid (MMA) is best known for its use as a functional marker of vitamin B12 deficiency. However, MMA concentrations not only depend on adequate vitamin B12 status, but also relate to renal functio...

    Authors: Ineke J. Riphagen, Isidor Minović, Dion Groothof, Adrian Post, Manfred L. Eggersdorfer, Jenny E. Kootstra-Ros, Martin H. de Borst, Gerjan Navis, Frits A. J. Muskiet, Ido P. Kema, M. Rebecca Heiner-Fokkema and Stephan J. L. Bakker
    Citation: BMC Medicine 2020 18:380
  28. With antidepressants (ADs) having minimal therapeutic effects during the initial weeks of treatment, benzodiazepines (BZDs) are concomitantly used to alleviate depressive symptoms of insomnia or anxiety. Howev...

    Authors: Han Eol Jeong, Ha-Lim Jeon, In-Sun Oh, Woo Jung Kim and Ju-Young Shin
    Citation: BMC Medicine 2020 18:387
  29. Long-term care facilities (LTCFs) are vulnerable to outbreaks of coronavirus disease 2019 (COVID-19). Timely epidemiological surveillance is essential for outbreak response, but is complicated by a high propor...

    Authors: David R. M. Smith, Audrey Duval, Koen B. Pouwels, Didier Guillemot, Jérôme Fernandes, Bich-Tram Huynh, Laura Temime and Lulla Opatowski
    Citation: BMC Medicine 2020 18:386

    The Commentary to this article has been published in BMC Medicine 2021 19:25

  30. Hepatitis B virus-related acute-on-chronic liver failure (HBV-ACLF) is a severe condition with high mortality due to lack of efficient therapy. Until now, the use of methylprednisolone (MP) in HBV-ACLF is stil...

    Authors: Lin Jia, Ran Xue, Yueke Zhu, Juan Zhao, Juan Li, Wei-Ping He, Xiao-Mei Wang, Zhong-Hui Duan, Mei-Xin Ren, Hai-Xia Liu, Hui-Chun Xing and Qing-Hua Meng
    Citation: BMC Medicine 2020 18:383
  31. Sleep disturbances are prevalent among older adults and are associated with various individual diseases. The aim of this study was to investigate whether sleep disturbances are associated with the speed of mul...

    Authors: Shireen Sindi, Laura Monica Pérez, Davide L. Vetrano, Federico Triolo, Ingemar Kåreholt, Linnea Sjöberg, Alexander Darin-Mattsson, Miia Kivipelto, Marco Inzitari and Amaia Calderón-Larrañaga
    Citation: BMC Medicine 2020 18:382
  32. Clinical studies indicate chemotherapy agents used in childhood cancer treatment regimens may impact future fertility. However, effects of individual agents on prepubertal human testis, necessary to identify l...

    Authors: Melissa D. Tharmalingam, Gabriele Matilionyte, William H. B. Wallace, Jan-Bernd Stukenborg, Kirsi Jahnukainen, Elizabeth Oliver, Anne Goriely, Sheila Lane, Jingtao Guo, Bradley Cairns, Anne Jorgensen, Caroline M. Allen, Federica Lopes, Richard A. Anderson, Norah Spears and Rod T. Mitchell
    Citation: BMC Medicine 2020 18:374
  33. We update a previous systematic review to inform new World Health Organization HIV self-testing (HIVST) recommendations. We compared the effects of HIVST to standard HIV testing services to understand which se...

    Authors: T. Charles Witzel, Ingrid Eshun-Wilson, Muhammad S. Jamil, Nerissa Tilouche, Carmen Figueroa, Cheryl C. Johnson, David Reid, Rachel Baggaley, Nandi Siegfried, Fiona M. Burns, Alison J. Rodger and Peter Weatherburn
    Citation: BMC Medicine 2020 18:381

    The Commentary to this article has been published in BMC Medicine 2020 18:373

  34. Clinical guidelines recommend a stepped-escalation treatment strategy for type 2 diabetes (T2DM). Across multiple treatment strategies varying in efficacy and costs, no clinical or economic studies directly co...

    Authors: Shuyan Gu, Lizheng Shi, Hui Shao, Xiaoyong Wang, Xiaoqian Hu, Yuxuan Gu and Hengjin Dong
    Citation: BMC Medicine 2020 18:378
  35. Little is known about the inter-relationship among fruit and vegetable intake, gut microbiota and metabolites, and type 2 diabetes (T2D) in human prospective cohort study. The aim of the present study was to i...

    Authors: Zengliang Jiang, Ting-yu Sun, Yan He, Wanglong Gou, Luo-shi-yuan Zuo, Yuanqing Fu, Zelei Miao, Menglei Shuai, Fengzhe Xu, Congmei Xiao, Yuhui Liang, Jiali Wang, Yisong Xu, Li-peng Jing, Wenhua Ling, Hongwei Zhou…
    Citation: BMC Medicine 2020 18:371
  36. Highly pathogenic avian influenza A(H5N1) virus poses a global public health threat given severe and fatal zoonotic infections since 1997 and ongoing A(H5N1) virus circulation among poultry in several countrie...

    Authors: Xinhua Chen, Wei Wang, Yan Wang, Shengjie Lai, Juan Yang, Benjamin J. Cowling, Peter W. Horby, Timothy M. Uyeki and Hongjie Yu
    Citation: BMC Medicine 2020 18:377
  37. Observational studies have shown that milk consumption is inversely associated with colorectal, bladder, and breast cancer risk, but positively associated with prostate cancer. However, whether the association...

    Authors: Susanna C. Larsson, Amy M. Mason, Siddhartha Kar, Mathew Vithayathil, Paul Carter, John A. Baron, Karl Michaëlsson and Stephen Burgess
    Citation: BMC Medicine 2020 18:370
  38. Heterogeneity of prostate cancer (PCa) contributes to inaccurate cancer screening and diagnosis, unnecessary biopsies, and overtreatment. We intended to develop non-invasive urine tests for accurate PCa diagno...

    Authors: Heather Johnson, Jinan Guo, Xuhui Zhang, Heqiu Zhang, Athanasios Simoulis, Alan H. B. Wu, Taolin Xia, Fei Li, Wanlong Tan, Allan Johnson, Nishtman Dizeyi, Per-Anders Abrahamsson, Lukas Kenner, Xiaoyan Feng, Chang Zou, Kefeng Xiao…
    Citation: BMC Medicine 2020 18:376
  39. Improved survival means that cancer is increasingly becoming a chronic disease. Understanding and improving functional outcomes are critical to optimising survivorship. We quantified physical and mental health...

    Authors: Grace Joshy, Joanne Thandrayen, Bogda Koczwara, Phyllis Butow, Rebekah Laidsaar-Powell, Nicole Rankin, Karen Canfell, John Stubbs, Paul Grogan, Louise Bailey, Amelia Yazidjoglou and Emily Banks
    Citation: BMC Medicine 2020 18:372
  40. Malaria is still a major global health burden, with more than 3.2 billion people in 91 countries remaining at risk of the disease. Accurately distinguishing malaria from other diseases, especially uncomplicate...

    Authors: Collins M. Morang’a, Lucas Amenga–Etego, Saikou Y. Bah, Vincent Appiah, Dominic S. Y. Amuzu, Nicholas Amoako, James Abugri, Abraham R. Oduro, Aubrey J. Cunnington, Gordon A. Awandare and Thomas D. Otto
    Citation: BMC Medicine 2020 18:375
  41. In dengue-endemic countries, targeting limited control interventions to populations at risk of severe disease could enable increased efficiency. Individuals who have had their first (primary) dengue infection ...

    Authors: Joseph R. Biggs, Ava Kristy Sy, Oliver J. Brady, Adam J. Kucharski, Sebastian Funk, Mary Anne Joy Reyes, Mary Ann Quinones, William Jones-Warner, Yun-Hung Tu, Ferchito L. Avelino, Nemia L. Sucaldito, Huynh Kim Mai, Le Thuy Lien, Hung Do Thai, Hien Anh Thi Nguyen, Dang Duc Anh…
    Citation: BMC Medicine 2020 18:364
  42. Cortisol, a steroid hormone frequently used as a biomarker of stress, is associated with cardiovascular disease (CVD) and type 2 diabetes mellitus (T2DM). To clarify whether cortisol causes these outcomes, we ...

    Authors: Man Ki Kwok, Ichiro Kawachi, David Rehkopf and Catherine Mary Schooling
    Citation: BMC Medicine 2020 18:363
  43. Early provision of palliative care, at least 3–4 months before death, can improve patient quality of life and reduce burdensome treatments and financial costs. However, there is wide variation in the duration ...

    Authors: Roberta I. Jordan, Matthew J. Allsop, Yousuf ElMokhallalati, Catriona E. Jackson, Helen L. Edwards, Emma J. Chapman, Luc Deliens and Michael I. Bennett
    Citation: BMC Medicine 2020 18:368
  44. Patients with coeliac disease (CD) commonly report a variety of adverse symptoms to gluten, but descriptions of the symptomatic response in the literature may have been confounded by the presence of food compo...

    Authors: Jason A. Tye-Din, A. James M. Daveson, Kaela E. Goldstein, Holly L. Hand, Kristin M. Neff, Gautam Goel, Leslie J. Williams, Kenneth E. Truitt and Robert P. Anderson
    Citation: BMC Medicine 2020 18:362