Evidence map›Paper›PMID 21378267›Full record

ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2011

Prediagnostic circulating parathyroid hormone concentration and colorectal cancer in the European Prospective Investigation into Cancer and Nutrition cohort.

Veronika Fedirko, Elio Riboli, H Bas Bueno-de-Mesquita, Sabina Rinaldi, Tobias Pischon, Teresa Norat, Eugène H J M Jansen, Fränzel J B van Duijnhoven, Anne Tjønneland, Anja Olsen and 34 more

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 16% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Prognostic Value of Long Non-Coding RNAs GUSB Pseudogene 11 in Colorectal Cancer and Its Regulatory Effect on Tumor Progression.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Calcium Intake and Survival after Colorectal Cancer Diagnosis.Clinical cancer research : an official journal of the American Association for Cancer Research · 2019
    Article
  9. Article
  10. Article
  11. Article
  12. The impact of recombinant parathyroid hormone on malignancies and mortality: 7 years of experience based on nationwide Danish registers.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2014
    Article
  13. Review
  14. Article
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

44 authors at 8 institutions in 7 countries.

Veronika FedirkoNutritional Epidemiology Group, International Agency for Research on Cancer, Lyon, France. fedirkov@fellows.iarc.fr
Elio Riboli
H Bas Bueno-de-Mesquita
Sabina Rinaldi
Tobias Pischon
Teresa Norat
Eugène H J M Jansen
Fränzel J B van Duijnhoven
Anne Tjønneland
Anja Olsen
Kim Overvad
Marie-Christine Boutron-Ruault
Françoise Clavel-Chapelon
Pierre Engel
Rudolf Kaaks
Birgit Teucher
Heiner Boeing
Brian Buijsse
Antonia Trichopoulou
Dimitrios Trichopoulos
Pagona Lagiou
Sabina Sieri
Paolo Vineis
Salvatore Panico
Domenico Palli
Rosario Tumino
Carla H van Gils
Petra H M Peeters
Maria-Dolores Chirlaque
Aurelio Barricarte Gurrea
Laudina Rodríguez
Esther Molina-Montes
Miren Dorronsoro
Catalina Bonet
Richard Palmqvist
Göran Hallmans
Timothy J Key
Konstantinos K Tsilidis
Kay-Tee Khaw
Isabelle Romieu
Kurt Straif
Petra A Wark
Dora Romaguera
Mazda Jenab
German Institute of Human Nutrition · DEImperial College London · GBUniversity of Oxford · GBCentre de recherche en Epidémiologie et Santé des Populations · FRNational Institute for Public Health and the Environment · NLInserm · FRInstitut Gustave Roussy · FRFondazione IRCCS Istituto Nazionale dei Tumori · IT

Funding

British Heart FoundationCancer Research UK A5028Department of HealthMedical Research Council G0401527Medical Research Council G1000143Wellcome Trust
6 · The paper itself

Abstract

backgroundParathyroid hormone (PTH) has been proposed to play a promoting role in carcinogenesis. However, no epidemiologic studies have yet directly investigated its role in colorectal cancer (CRC).

methodsA case-control study nested within the European Prospective Investigation into Cancer and Nutrition cohort was conducted with 1,214 incident, sporadic CRC cases matched to 1,214 controls. Circulating prediagnostic PTH and 25-hydroxy vitamin D [25(OH)D] concentrations were measured by enzyme-linked immunosorbent assays. Detailed dietary and lifestyle questionnaire data were collected at baseline. Multivariable conditional logistic regression was used to estimate the incidence rate ratio (RR) with 95% confidence intervals (95% CI) for the association between circulating PTH and CRC risk.

resultsIn multivariate analyses [including adjustment for 25(OH)D concentration] with a priori defined cutoff points, high levels of serum PTH (≥65 ng/L) compared with medium PTH levels of 30-65 ng/L were associated with increased CRC risk (RR = 1.41, 95% CI: 1.03-1.93). In analyses by sex, the CRC risk was 1.77 (95% CI: 1.14-2.75) and 1.15 (95% CI: 0.73-1.84) in men and women, respectively (P(heterogeneity) = 0.01). In subgroup analyses by anatomical subsite, the risk for colon cancer was RR = 1.56, 95% CI: 1.03-2.34, and for rectal cancer RR = 1.20, 95% CI: 0.72-2.01 (P(heterogeneity) = 0.21). Effect modification by various risk factors was examined.

conclusionsThe results of this study suggest that high serum PTH levels may be associated with incident, sporadic CRC in Western European populations, and in particular among men. IMPACT: To our knowledge, this is the first study on PTH and CRC. The role of PTH in carcinogenesis needs to be further investigated.

Indexed as

Case-Control StudiesCohort StudiesColorectal NeoplasmsEnzyme-Linked Immunosorbent AssayFemaleFollow-Up StudiesHumansIncidenceMaleMiddle AgedNutritional SciencesParathyroid HormonePrognosisProspective StudiesRisk FactorsWhite PeopleParathyroid Hormone

Identifiers

PMID21378267
PMCPMC3089802
OpenAlexW2000385033

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.