Evidence map›Paper›PMID 26851188›Full record

ArticleJournal of cystic fibrosis : official journal of the European Cystic Fibrosis Society2016

Colonoscopic screening shows increased early incidence and progression of adenomas in cystic fibrosis.

David E Niccum, Joanne L Billings, Jordan M Dunitz, Alexander Khoruts

Open access · bronzeAbstract read
In one paragraph

Article in Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 5% 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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 75 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Investigating the Association Between Cystic Fibrosis and Colorectal Neoplasia: A Matched Case-Control Study.JGH open : an open access journal of gastroenterology and hepatology · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Imaging of cystic fibrosis manifestations in the abdomen.Abdominal radiology (New York) · 2025
    Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Lower Expression ofCancers · 2023
    Article
  13. Review
  14. CFTR and Gastrointestinal Cancers: An Update.Journal of personalized medicine · 2022
    Review
  15. Article
  16. Review
  17. Review
  18. Luminal Gastrointestinal Manifestations of Cystic Fibrosis.Current gastroenterology reports · 2021
    Review
  19. Review
  20. Review
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

4 authors at 1 institution in 1 country.

David E NiccumDepartment of Medicine, Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, University of Minnesota, United States.
Joanne L BillingsDepartment of Medicine, Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, University of Minnesota, United States.
Jordan M DunitzDepartment of Medicine, Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, University of Minnesota, United States.
Alexander KhorutsDepartment of Medicine, Division of Gastroenterology, Hepatology, and Nutrition, University of Minnesota, United States. Electronic address: khoru001@umn.edu.
University of Minnesota · US

Funding

TRAINING-PULMONARY CELL &MOLECULAR BIOLOGY &PHYSIOLOGYT32HL007741 · NHLBI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI DUDLEY, R. ADAMS, INGBAR, DAVID H · 1994 to 2023
$13.9M
NHLBI NIH HHS T32 HL007741
6 · The paper itself

Abstract

backgroundColorectal cancer is an emerging problem in cystic fibrosis (CF). The goal of this study was to evaluate adenoma detection by systematic colonoscopic screening and surveillance.

methodsWe analyzed prospectively collected results of colonoscopies initiated at age 40years from 88 CF patients at a single Cystic Fibrosis Center. We also reviewed results of diagnostic colonoscopies from 27 patients aged 30-39years performed during the same time period at the Center.

resultsThe incidence of polyp detection increased markedly after age 40 in CF patients. Greater than 50% were found to have adenomatous polyps; approximately 25% had advanced adenomas as defined by size and/or histopathology; 3% were found to have colon cancer. Multivariate analysis demonstrated specific risk factors for adenoma formation and progression.

conclusionsEarly screening and more frequent surveillance should be considered in patients with CF due to early incidence and progression of adenomas in this patient population.

Indexed as

AdenomaColonoscopyColorectal NeoplasmsAdultAge FactorsCystic FibrosisDisease ProgressionEarly Detection of CancerFemaleHumansIncidenceMaleNeoplasm StagingRisk FactorsUnited StatesAdenomaColon cancerColorectal cancer screeningCystic fibrosis

Identifiers

PMID26851188
PMCPMC5920645
OpenAlexW2271490085

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.