Evidence map›Paper›PMID 21654257›Full record

Trial reportDiseases of the colon and rectum2011

Inverse relationship between moderate alcohol intake and rectal cancer: analysis of the North Carolina Colon Cancer Study.

Seth D Crockett, Millie D Long, Evan S Dellon, Christopher F Martin, Joseph A Galanko, Robert S Sandler

Abstract readClinical Trial, Phase IIComparative StudyMulticenter Study
In one paragraph

Trial report in Diseases of the colon and rectum, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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, 3 syntheses or guidelines pooled it.

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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

6 authors.

Seth D CrockettDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina, USA. seth_crockett@med.unc.edu
Millie D Long
Evan S Dellon
Christopher F Martin
Joseph A Galanko
Robert S Sandler

Funding

PILOT AND FEASIBILITY STUDIESP30DK034987 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ROBERT S. SANDLER · 1985 to 2026
$30.5M
DIGESTIVE DISEASES EPIDEMIOLOGY TRAINING PROGRAMT32DK007634 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ROBERT S. SANDLER · 1990 to 2026
$7.4M
Population Study of Rectal Cancer in Blacks and WhitesR01CA066635 · NCI · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · PI SANDLER, ROBERT S · 1996 to 2005
$4.2M
NCI NIH HHS R01 CA066635NCI NIH HHS R01 CA66635NIDDK NIH HHS P30 DK034987NIDDK NIH HHS P30 DK3497NIDDK NIH HHS T32 DK007634
6 · The paper itself

Abstract

backgroundThe relationship between alcohol intake and rectal cancer is uncertain.

objectiveWe sought to evaluate whether alcohol consumption is associated with distal colorectal cancer and rectal cancer specifically.

designData on alcohol intake were examined from the North Carolina Colon Cancer Study, a population-based case-control study of distal colorectal cancer.

settingThis study encompassed 33 counties in the central and eastern part of North Carolina. PATIENTS: Cases had adenocarcinoma of the rectum, rectosigmoid, and sigmoid colon. Controls were frequency-matched on age, race, and sex.

interventionsDemographic and dietary intake data were collected with use of a validated questionnaire.

main outcome measuresLogistic regression was used to estimate odds ratios for the relationship between alcohol consumption and distal colorectal cancer.

resultsIncluded in the study were 1033 cases and 1011 controls. The odds ratio for rectal cancer comparing any vs no alcohol intake was 0.73 (95% CI 0.60, 0.90), adjusted for age, sex, race, smoking status, obesity, education, red meat intake, use of nonsteroidal anti-inflammatory medications, and family history of colorectal cancer. The odds ratio for moderate alcohol (≤14 g/day) was 0.66 (95% CI 0.53, 0.82), whereas the odds ratio for heavy alcohol (>14 g/day) was 0.93 (95% CI 0.70, 1.23). Moderate beer and wine intakes were also inversely associated with distal colorectal cancer: odds ratios 0.76 (95% CI 0.60, 0.96) and 0.69 (95% CI 0.56, 0.86). LIMITATIONS: This was a retrospective, observational study. Residual confounding is possible.

conclusionsIn this study, moderate alcohol intake (especially wine) was inversely associated with distal colorectal cancer.

Indexed as

AdenocarcinomaAdultAgedAge DistributionAlcohol DrinkingFemaleHumansIncidenceMaleMiddle AgedNorth CarolinaOdds RatioPrognosisRectal NeoplasmsRetrospective StudiesRisk Factors

Identifiers

PMID21654257
PMCPMC3111915

What OpenQuestion holds

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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.