Evidence map›Paper›PMID 26731613›Full record

ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2016

Risk of Colorectal Cancer After Solid Organ Transplantation in the United States.

M Safaeian, H A Robbins, S I Berndt, C F Lynch, J F Fraumeni, E A Engels

Open access · hybridAbstract read
In one paragraph

Article in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 4 pooled it
6.3field-weighted citation impact, top 2% 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

45 citing papers in PubMed, 4 syntheses or guidelines pooled it, 106 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Population-level cancer trends among solid organ transplant recipients in the United States during 1995-2021.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2026
    Article
  6. Article
  7. Article
  8. Liver Transplantation Is Associated With a Reduced Risk of Colorectal Dysplasia in Patients With IBD and Concomitant PSC.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2026
    Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Safety of Colonoscopies in Patients on Advanced Heart Failure Therapies Who Received a Heart Transplant.JGH open : an open access journal of gastroenterology and hepatology · 2025
    Article
  15. Review
  16. Article
  17. Article
  18. Previous Solid Organ Transplantation Influences Both Cancer Treatment and Survival Among Colorectal Cancer Patients.Transplant international : official journal of the European Society for Organ Transplantation · 2024
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

M SafaeianDivision of Cancer Epidemiology and Genetics, National Cancer Institute/National Institutes of Health/Department of Health and Human Services, Bethesda, MD.
H A RobbinsDivision of Cancer Epidemiology and Genetics, National Cancer Institute/National Institutes of Health/Department of Health and Human Services, Bethesda, MD.
S I BerndtDivision of Cancer Epidemiology and Genetics, National Cancer Institute/National Institutes of Health/Department of Health and Human Services, Bethesda, MD.
C F LynchDepartment of Epidemiology, College of Public Health, University of Iowa, Iowa City, IA.
J F FraumeniDivision of Cancer Epidemiology and Genetics, National Cancer Institute/National Institutes of Health/Department of Health and Human Services, Bethesda, MD.
E A EngelsDivision of Cancer Epidemiology and Genetics, National Cancer Institute/National Institutes of Health/Department of Health and Human Services, Bethesda, MD.
National Cancer Institute · USNational Institutes of Health · USUniversity of Iowa · US

Funding

Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Douglas Robert Spitz · 2000 to 2026
$70.0M
INSTITUTIONAL RESEARCH CANCER EPIDEMIOLOGY FELLOWSHIPT32CA009314 · NCI · JOHNS HOPKINS UNIVERSITY · PI Corinne E. Joshu, Meghan Bridgid Moran · 1985 to 2026
$11.2M
Human microbiome and cancerZIACP010215 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI VOGTMANN, EMILY · 2010 to 2025
$5.3M
Intramural NIH HHS Z99 CA999999NCI NIH HHS T32 CA009314
6 · The paper itself

Abstract

Solid organ transplant recipients have increased colorectal cancer (CRC) risk. We assessed CRC risk among transplant recipients and identified factors contributing to this association. The US transplant registry was linked to 15 population-based cancer registries (1987-2010). We compared CRC risk in recipients to the general population by using standardized incidence ratios (SIRs) and identified CRC risk factors by using Poisson regression. Based on 790 cases of CRC among 224 098 transplant recipients, the recipients had elevated CRC risk (SIR 1.12, 95% confidence interval [CI] 1.04 to 1.20). The increase was driven by an excess of proximal colon cancer (SIR 1.69, 95% CI 1.53 to 1.87), while distal colon cancer was not increased (SIR 0.93, 95% CI 0.80 to 1.07), and rectal cancer was reduced (SIR 0.64, 95% CI 0.54 to 0.76). In multivariate analyses, CRC was increased markedly in lung recipients with cystic fibrosis (incidence rate ratio [IRR] 12.3, 95% CI 6.94 to 21.9, vs. kidney recipients). Liver recipients with primary sclerosing cholangitis and inflammatory bowel disease also had elevated CRC risk (IRR 5.32, 95% CI 3.73 to 7.58). Maintenance therapy with cyclosporine and azathioprine was associated with proximal colon cancer (IRR 1.53, 95% CI 1.05 to 2.23). Incidence was not elevated in a subgroup of kidney recipients treated with tacrolimus and mycophenolate mofetil, pointing to the relevance of the identified risk factors. Transplant recipients have increased proximal colon cancer risk, likely related to underlying medical conditions (cystic fibrosis and primary sclerosing cholangitis) and specific immunosuppressive regimens.

Indexed as

Postoperative ComplicationsRegistriesAdultAgedColorectal NeoplasmsFemaleFollow-Up StudiesGraft RejectionGraft SurvivalHumansIncidenceMaleMiddle AgedOrgan TransplantationPrognosisRisk AssessmentDiscipline: organ transplantation in generalepidemiologyFocus: cancer / malignancy / neoplasia: risk factorsScope: health services and outcomes researchtranslational research / science

Identifiers

PMID26731613
PMCPMC5218822
OpenAlexW2225931980

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.