Evidence map›Paper›PMID 20354509›Full record

ArticleThe American journal of gastroenterology2010

Prevalence and predictors of appropriate colorectal cancer surveillance in Lynch syndrome.

Elena M Stoffel, Rowena C Mercado, Wendy Kohlmann, Beth Ford, Shilpa Grover, Peggy Conrad, Amie Blanco, Kristen M Shannon, Mark Powell, Daniel C Chung and 3 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in The American journal of gastroenterology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
3.9field-weighted citation impact, top 6% of its field
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

43 citing papers in PubMed, 70 citations in OpenAlex.

  1. Trial
  2. A randomized trial to increase colonoscopy screening in members of high-risk families in the colorectal cancer family registry and cancer genetics network.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2014
    Trial
  3. Article
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  11. Review
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  13. Review
  14. Cost-effectiveness of Active Identification and Subsequent Colonoscopy Surveillance of Lynch Syndrome Cases.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2020
    Article
  15. Article
  16. Article
  17. Article
  18. MethylatedBMJ open gastroenterology · 2019
    Article
  19. Worldwide Practice Patterns in Lynch Syndrome Diagnosis and Management, Based on Data From the International Mismatch Repair Consortium.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2018
    Article
  20. Review
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

13 authors at 6 institutions in 1 country.

Elena M StoffelDivision of Gastroenterology, Brigham and Women's Hospital, Boston, Massachusetts 02115, USA. estoffel@partners.org
Rowena C Mercado
Wendy Kohlmann
Beth Ford
Shilpa Grover
Peggy Conrad
Amie Blanco
Kristen M Shannon
Mark Powell
Daniel C Chung
Jonathan Terdiman
Stephen B Gruber
Sapna Syngal
Dana-Farber Cancer Institute · USUniversity of California, San Francisco · USBrigham and Women's Hospital · USMassachusetts General Hospital · USUniversity of Michigan–Ann Arbor · USHarvard University · US

Funding

The Genetics and Prevention of Gastrointestinal CancersK24CA113433 · NCI · DANA-FARBER CANCER INSTITUTE · PI SYNGAL, SAPNA · 2005 to 2014
$1.7M
Genetic Testing and Cancer Screening in Hereditary Cancer SyndromesK07CA120448 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI STOFFEL, ELENA MARTINEZ · 2007 to 2011
$753k
NCI NIH HHS K07 CA120448NCI NIH HHS K07 NCI CA 120448-01-A2NCI NIH HHS K24 CA113433NCI NIH HHS K24 NCI CA 113433
6 · The paper itself

Abstract

objectivesLynch syndrome (LS) is a hereditary cancer syndrome that conveys a high risk of colorectal cancer (CRC). Guidelines recommend colonoscopy every 1 to 2 years. There is limited information about screening compliance in this high-risk group.

methodsData about cancer screening behaviors were obtained from subjects recruited through four US cancer genetics clinics. The main outcome was prevalence of appropriate CRC surveillance for LS.

resultsA total of 181 individuals had a family history that met the Amsterdam criteria for LS (n=154) and/or had an identified mutation in a mismatch repair (MMR) gene (n=105). Of these 181 individuals, 131 (73%) had appropriate LS surveillance with colonoscopies at least every 2 years for their age >25 years. Of those with inadequate surveillance, 26/49 (53%) had colonoscopies at 3- to 5-year intervals. There were no significant differences in health-care setting, perceived risk of CRC, or compliance with screening for other cancers. Rates of appropriate surveillance were higher among individuals who had been referred for genetic evaluation for LS compared with those who had not (109/136 (80%) vs. 23/45 (51%), respectively, P=0.0004). In multivariate analysis, personal history of CRC (odds ratio (OR) 2.81), having a first-degree relative with CRC at age <50 years (OR 2.61), and having undergone a genetic evaluation (OR 4.62) were associated with appropriate CRC surveillance for LS.

conclusionsThe time between colonoscopic exams in patients with LS is often longer than recommended by current guidelines and may place them at risk for interval cancers. Recognizing clinical features of LS and providing genetic counseling, evaluation, and intensive surveillance may improve cancer prevention for those at the highest risk for CRC.

Indexed as

ColonoscopyAdultColorectal Neoplasms, Hereditary NonpolyposisCross-Sectional StudiesFemaleHumansLogistic ModelsMaleMass ScreeningMiddle AgedPatient CompliancePopulation SurveillancePrevalenceRisk FactorsSurveys and QuestionnairesUnited States

Identifiers

PMID20354509
PMCPMC3091484
OpenAlexW2021410974

What OpenQuestion holds

Textmetadata
LicenceTDM
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 OpenQuestion graph.