Evidence map›Paper›PMID 24409063›Full record

Observational studyWorld journal of gastroenterology2013

Risk of cancer, with special reference to extra-intestinal malignancies, in patients with inflammatory bowel disease.

Alicia Algaba, Iván Guerra, Angel Castaño, Gema de la Poza, Víctor M Castellano, Montserrat López, Fernando Bermejo

Abstract readObservational Study
In one paragraph

Observational study in World journal of gastroenterology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 4 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

20 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Review
  13. Review
  14. Review
  15. Article
  16. Article
  17. The Natural History of IBD: Lessons Learned.Current treatment options in gastroenterology · 2018
    Review
  18. Observational
  19. Monitoring for Extra-Intestinal Cancers in IBD.Current gastroenterology reports · 2015
    Review
  20. 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

7 authors.

Alicia AlgabaAlicia Algaba, Iván Guerra, Gema de la Poza, Fernando Bermejo, Department of Gastroenterology, Hospital Universitario de Fuenlabrada, 28942 Madrid, Spain.
Iván GuerraAlicia Algaba, Iván Guerra, Gema de la Poza, Fernando Bermejo, Department of Gastroenterology, Hospital Universitario de Fuenlabrada, 28942 Madrid, Spain.
Angel CastañoAlicia Algaba, Iván Guerra, Gema de la Poza, Fernando Bermejo, Department of Gastroenterology, Hospital Universitario de Fuenlabrada, 28942 Madrid, Spain.
Gema de la PozaAlicia Algaba, Iván Guerra, Gema de la Poza, Fernando Bermejo, Department of Gastroenterology, Hospital Universitario de Fuenlabrada, 28942 Madrid, Spain.
Víctor M CastellanoAlicia Algaba, Iván Guerra, Gema de la Poza, Fernando Bermejo, Department of Gastroenterology, Hospital Universitario de Fuenlabrada, 28942 Madrid, Spain.
Montserrat LópezAlicia Algaba, Iván Guerra, Gema de la Poza, Fernando Bermejo, Department of Gastroenterology, Hospital Universitario de Fuenlabrada, 28942 Madrid, Spain.
Fernando BermejoAlicia Algaba, Iván Guerra, Gema de la Poza, Fernando Bermejo, Department of Gastroenterology, Hospital Universitario de Fuenlabrada, 28942 Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo determine the incidence and characteristics of intestinal and extra-intestinal cancers among patients with inflammatory bowel disease in a Spanish hospital and to compare them with those of the local population.

methodsThis was a prospective, observational, 7-year follow-up, cohort study. Cumulative incidence, incidence rates based on person-years of follow-up and relative risk were calculated for patients with inflammatory bowel disease and compared with the background population. The incidence of cancer was determined using a hospital-based data registry from Hospital Universitario de Fuenlabrada. Demographic data and details about time from diagnosis of inflammatory bowel disease to occurrence of cancer, disease extent, inflammatory bowel disease treatment, cancer therapy and cancer evolution were also collected in the inflammatory bowel disease cohort.

resultsEighteen of 590 patients with inflammatory bowel disease developed cancer [cumulative incidence = 3% (95%CI: 1.58-4.52) vs 2% (95%CI: 1.99-2.11) in the background population; RR = 1.5; 95%CI: 0.97-2.29]. The cancer incidence among inflammatory bowel disease patients was 0.53% (95%CI: 0.32-0.84) per patient-year of follow-up. Patients with inflammatory bowel disease had a significantly increased relative risk of urothelial carcinoma (RR = 5.23, 95%CI: 1.95-13.87), appendiceal mucinous cystadenoma (RR = 36.6, 95%CI: 7.92-138.4), neuroendocrine carcinoma (RR = 13.1, 95%CI: 1.82-29.7) and rectal carcinoid (RR = 8.94, 95%CI: 1.18-59.7). Colorectal cancer cases were not found.

conclusionThe overall risk of cancer did not significantly increase in our inflammatory bowel disease patients. However, there was an increased risk of urinary bladder cancer and, with less statistical power, an increased risk of appendiceal mucinous cystadenoma and of neuroendocrine tumors. Colorectal cancer risk was low in our series.

Indexed as

AdultCase-Control StudiesDigestive System NeoplasmsFemaleFollow-Up StudiesHospitals, UniversityHumansIncidenceInflammatory Bowel DiseasesMaleMiddle AgedOdds RatioProspective StudiesRegistriesRisk AssessmentRisk FactorsAppendiceal mucinous cystadenomaBackground populationCancer riskExtra-intestinal cancerInflammatory bowel diseaseNeuroendocrine carcinomaRectal carcinoidUrothelial carcinoma

Identifiers

PMID24409063
PMCPMC3882409

What OpenQuestion holds

Textmetadata
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.