Evidence map›Paper›PMID 24161349›Full record

ArticleClinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association2014

Association between reduced plasma 25-hydroxy vitamin D and increased risk of cancer in patients with inflammatory bowel diseases.

Ashwin N Ananthakrishnan, Su-Chun Cheng, Tianxi Cai, Andrew Cagan, Vivian S Gainer, Peter Szolovits, Stanley Y Shaw, Susanne Churchill, Elizabeth W Karlson, Shawn N Murphy and 2 more

Abstract readMulticenter Study
In one paragraph

Article in Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 5 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

58 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  13. Observational
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  18. Review
  19. Prior Adaptive Semi-supervised Learning with Application to EHR Phenotyping.Journal of machine learning research : JMLR · 2022
    Article
  20. Vitamin D Status in Hospitalized Patients with SARS-CoV-2 Infection.The Journal of clinical endocrinology and metabolism · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Ashwin N AnanthakrishnanDivision of Gastroenterology, Massachusetts General Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts. Electronic address: aananthakrishnan@partners.org.
Su-Chun ChengDepartment of Biostatistics, Harvard School of Public Health, Boston, Massachusetts.
Tianxi CaiDepartment of Biostatistics, Harvard School of Public Health, Boston, Massachusetts.
Andrew CaganResearch Computing, Partners HealthCare, Charlestown, Massachusetts.
Vivian S GainerResearch Computing, Partners HealthCare, Charlestown, Massachusetts.
Peter SzolovitsMassachusetts Institute of Technology, Cambridge, Massachusetts.
Stanley Y ShawHarvard Medical School, Boston, Massachusetts; Center for Systems Biology, Massachusetts General Hospital, Boston, Massachusetts.
Susanne Churchilli2b2 National Center for Biomedical Computing, Brigham and Women's Hospital, Boston, Massachusetts.
Elizabeth W KarlsonHarvard Medical School, Boston, Massachusetts; Division of Rheumatology, Brigham and Women's Hospital, Boston, Massachusetts.
Shawn N MurphyHarvard Medical School, Boston, Massachusetts; Research Computing, Partners HealthCare, Charlestown, Massachusetts; Department of Neurology, Massachusetts General Hospital, Boston, Massachusetts.
Isaac KohaneHarvard Medical School, Boston, Massachusetts; Children's Hospital Boston, Boston, Massachusetts; i2b2 National Center for Biomedical Computing, Brigham and Women's Hospital, Boston, Massachusetts.
Katherine P LiaoHarvard Medical School, Boston, Massachusetts; Division of Rheumatology, Brigham and Women's Hospital, Boston, Massachusetts.

Funding

Informatics for Integrating Biology/ the Bedside (RMI)U54LM008748 · NLM · BRIGHAM AND WOMEN'S HOSPITAL · PI KOHANE, ISAAC S. · 2004 to 2013
$39.0M
Trial of risk mangement for prevention of accelerated atherosclerosis in SLEP60AR047782 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI SOLOMON, DANIEL HAL · 2001 to 2016
$18.8M
Novel Biomarkers and Prediction Models for Rheumatoid ArthritisR01AR049880 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI COSTENBADER, KAREN H, KARLSON, ELIZABETH W · 2003 to 2018
$8.7M
Genetic Predictors of Early Atherosclerosis in SLEK24AR052403 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI KARLSON, ELIZABETH W · 2005 to 2014
$1.5M
Genetic predictors of anti-TNF treatment response and infections in IBDK23DK097142 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI ANANTHAKRISHNAN, ASHWIN N · 2012 to 2016
$846k
Genetic Risk Factors for Coronary Artery Disease in Rheumatoid ArthritisK08AR060257 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI LIAO, KATHERINE PHOENIX · 2011 to 2015
$649k
NIAMS NIH HHS K08 AR060257NIAMS NIH HHS K24 AR052403NIAMS NIH HHS P60 AR047782NIAMS NIH HHS R01 AR049880NIDDK NIH HHS K23 DK097142NLM NIH HHS U54 LM008748NLM NIH HHS U54-LM008748
6 · The paper itself

Abstract

BACKGROUND &

aimsVitamin D deficiency is common among patients with inflammatory bowel diseases (IBD) (Crohn's disease or ulcerative colitis). The effects of low plasma 25-hydroxy vitamin D (25[OH]D) on outcomes other than bone health are understudied in patients with IBD. We examined the association between plasma level of 25(OH)D and risk of cancers in patients with IBD.

methodsFrom a multi-institutional cohort of patients with IBD, we identified those with at least 1 measurement of plasma 25(OH)D. The primary outcome was development of any cancer. We examined the association between plasma 25(OH)D and risk of specific subtypes of cancer, adjusting for potential confounders in a multivariate regression model.

resultsWe analyzed data from 2809 patients with IBD and a median plasma level of 25(OH)D of 26 ng/mL. Nearly one-third had deficient levels of vitamin D (<20 ng/mL). During a median follow-up period of 11 years, 196 patients (7%) developed cancer, excluding nonmelanoma skin cancer (41 cases of colorectal cancer). Patients with vitamin D deficiency had an increased risk of cancer (adjusted odds ratio, 1.82; 95% confidence interval, 1.25-2.65) compared with those with sufficient levels. Each 1-ng/mL increase in plasma 25(OH)D was associated with an 8% reduction in risk of colorectal cancer (odds ratio, 0.92; 95% confidence interval, 0.88-0.96). A weaker inverse association was also identified for lung cancer.

conclusionsIn a large multi-institutional IBD cohort, a low plasma level of 25(OH)D was associated with an increased risk of cancer, especially colorectal cancer.

Indexed as

AdultCohort StudiesFemaleHumansIncidenceInflammatory Bowel DiseasesMaleMiddle AgedNeoplasmsRisk FactorsVitamin DVitamin D Deficiency25-hydroxyvitamin DVitamin DColorectal CancerCrohn’s DiseaseMalignancyUlcerative ColitisVitamin D

Identifiers

PMID24161349
PMCPMC3995841

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Registered trials

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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.