Evidence map›Paper›PMID 26526082›Full record

ArticleThe American journal of gastroenterology2015

Colonic Diverticula Are Not Associated With an Increased Risk of Colorectal Adenomas.

Anne F Peery, Christopher F Martin, Sidney E Levinson, Robert S Sandler

Open access · greenAbstract read
In one paragraph

Article in The American journal of gastroenterology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Colonic diverticulosis is not a risk factor for colonic adenoma.Therapeutics and clinical risk management · 2018
    Article
  11. Low frequency of polyps in colonic regions with diverticulosis.International journal of colorectal disease · 2017
    Article
  12. Is early colonoscopy after CT-diagnosed diverticulitis still necessary?International journal of colorectal disease · 2017
    Observational
  13. Recent Advances in Diverticular Disease.Current gastroenterology reports · 2016
    Review
  14. Article
  15. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Anne F PeeryUniversity of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.
Christopher F MartinUniversity of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.
Sidney E LevinsonUniversity of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.
Robert S SandlerUniversity of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.
University of North Carolina at Chapel Hill · US

Funding

PILOT AND FEASIBILITY STUDIESP30DK034987 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ROBERT S. SANDLER · 1985 to 2026
$30.5M
North Carolina Translational & Clinical Sciences Institute (NC TraCS)KL2TR001109 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, CAREY, TIMOTHY S · 2013 to 2017
$5.7M
Risk Factors for Asymptomatic DiverticulosisR01DK094738 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KEKU, TEMITOPE O., SANDLER, ROBERT S. · 2012 to 2022
$4.8M
NCATS NIH HHS 1KL2 TR001109NCATS NIH HHS KL2 TR001109NIDDK NIH HHS L30 DK103302NIDDK NIH HHS P30 DK034987NIDDK NIH HHS R01 DK094738
6 · The paper itself

Abstract

objectivesPatients with missed colorectal cancer have been reported to be more likely to have colonic diverticulosis. Such an association could be due to either higher risk of neoplasia or difficulty examining the colon in patients with diverticulosis. The aim of this study was to determine whether colonic diverticula are associated with an increased risk for colonic neoplasia.

methodsWe analyzed data from a prospective study of patients undergoing screening colonoscopy that included detailed assessment of all colonic diverticula and colorectal polyps. We used logistic regression to estimate odds ratios and 95% confidence intervals while adjusting for confounding variables.

resultsOur analyses included 624 participants. Of these, 216 (35%) had one or more colorectal adenomas. Diverticula on colonoscopy were not associated with an increased risk of adenomas (odds ratio (OR) 1.0, 95% confidence interval (CI) 0.7-1.4) or advanced adenomas (OR 0.8, 95% CI 0.4-1.5). Those with the greatest burden of diverticula (10 or more) did not have an increased risk of adenomas (OR 1.1, 95% CI 0.7-1.8) compared with no diverticula. Colonic diverticula were not associated with an increased risk of proximal (OR 1.0, 95% CI 0.6-1.6) or distal adenomas (OR 1.0, 95% CI 0.6-1.7).

conclusionsPatients with colonic diverticula do not have an increased risk of colorectal adenomas or advanced adenomas.

Indexed as

ColonoscopyAdenomaAgedCell Transformation, NeoplasticColorectal NeoplasmsDiverticulum, ColonEarly Detection of CancerFemaleHumansLogistic ModelsMaleMass ScreeningMiddle AgedOdds RatioProspective Studies

Identifiers

PMID26526082
PMCPMC4765899
OpenAlexW2196545959

What OpenQuestion holds

Textmetadata
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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.