Evidence map›Paper›PMID 24559536›Full record

ArticleJournal of Crohn's & colitis2014

Mortality and extraintestinal cancers in patients with primary sclerosing cholangitis and inflammatory bowel disease.

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

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Journal of Crohn's & colitis, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
3.6field-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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Pooled it
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  14. Crohn's Disease and the Risk of Cancer.Clinics in colon and rectal surgery · 2019
    Review
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  16. Article
  17. Review
  18. Review
  19. Article
  20. Statin Use Is Associated With Reduced Risk of Colorectal Cancer in Patients With Inflammatory Bowel Diseases.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2016
    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

12 authors at 6 institutions in 1 country.

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

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

introductionPrimary sclerosing cholangitis (PSC) and inflammatory bowel disease (IBD) frequently co-occur. PSC is associated with increased risk for colorectal cancer (CRC). However, whether PSC is associated with increased risk of extraintestinal cancers or affects mortality in an IBD cohort has not been examined previously.

methodsIn a multi-institutional IBD cohort of IBD, we established a diagnosis of PSC using a novel algorithm incorporating narrative and codified data with high positive and negative predictive value. Our primary outcome was occurrence of extraintestinal and digestive tract cancers. Mortality was determined through monthly linkage to the social security master death index.

resultsIn our cohort of 5506 patients with CD and 5522 patients with UC, a diagnosis of PSC was established in 224 patients (2%). Patients with IBD-PSC were younger and more likely to be male compared to IBD patients without PSC; three-quarters had UC. IBD-PSC patients had significantly increased overall risk of cancers compared to patients without PSC (OR 4.36, 95% CI 2.99-6.37). Analysis of specific cancer types revealed that a statistically significant excess risk for digestive tract cancer (OR 10.40, 95% CI 6.86-15.76), pancreatic cancer (OR 11.22, 95% CI 4.11-30.62), colorectal cancer (OR 5.00, 95% CI 2.80-8.95), and cholangiocarcinoma (OR 55.31, 95% CI 22.20-137.80) but not for other solid organ or hematologic malignancies.

conclusionsPSC is associated with increased risk of colorectal and pancreatobiliary cancer but not with excess risk of other solid organ cancers.

Indexed as

Risk AssessmentAdultCholangiopancreatography, Endoscopic RetrogradeCholangitis, SclerosingDisease ProgressionEndoscopy, GastrointestinalFemaleFollow-Up StudiesHumansIncidenceInflammatory Bowel DiseasesMaleMassachusettsMiddle AgedNeoplasmsPrognosisCancer;Colorectal cancerCrohn's disease;Sclerosing cholangitis;Ulcerative colitis;

Identifiers

PMID24559536
PMCPMC4136996
OpenAlexW2121262913

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.