Evidence map›Paper›PMID 27049526›Full record

Trial reportPloS one2016

Serum 25-Hydroxyvitamin D Concentrations ≥40 ng/ml Are Associated with >65% Lower Cancer Risk: Pooled Analysis of Randomized Trial and Prospective Cohort Study.

Sharon L McDonnell, Carole Baggerly, Christine B French, Leo L Baggerly, Cedric F Garland, Edward D Gorham, Joan M Lappe, Robert P Heaney

Erratum issuedAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 54 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 2 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

54 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  11. Vitamin DLife (Basel, Switzerland) · 2023
    Article
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  13. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Sharon L McDonnellGrassrootsHealth, Encinitas, California, United States of America.
Carole BaggerlyGrassrootsHealth, Encinitas, California, United States of America.
Christine B FrenchGrassrootsHealth, Encinitas, California, United States of America.
Leo L BaggerlyGrassrootsHealth, Encinitas, California, United States of America.
Cedric F GarlandDepartment of Family Medicine and Public Health, University of California San Diego, La Jolla, California, United States of America.
Edward D GorhamDepartment of Family Medicine and Public Health, University of California San Diego, La Jolla, California, United States of America.
Joan M LappeDepartment of Medicine, Creighton University, Omaha, Nebraska, United States of America.
Robert P HeaneyDepartment of Medicine, Creighton University, Omaha, Nebraska, United States of America.

Funding

CALCIUM AND VITAMIN D MALNUTRITION IN ELDERLY WOMENR01AG014683 · NIA · CREIGHTON UNIVERSITY · PI LAPPE, JOAN · 1999 to 2003
$2.1M
NIA NIH HHS AG14683-01A2NIA NIH HHS R01 AG014683
6 · The paper itself

Abstract

backgroundHigher serum 25-hydroxyvitamin D [25(OH)D] concentrations have been associated with a lower risk of multiple cancer types across a range of 25(OH)D concentrations.

objectivesTo investigate whether the previously reported inverse association between 25(OH)D and cancer risk could be replicated, and if a 25(OH)D response region could be identified among women aged 55 years and older across a broad range of 25(OH)D concentrations.

methodsData from two cohorts representing different median 25(OH)D concentrations were pooled to afford a broader range of 25(OH)D concentrations than either cohort alone: the Lappe cohort (N = 1,169), a randomized clinical trial cohort (median 25(OH)D = 30 ng/ml) and the GrassrootsHealth cohort (N = 1,135), a prospective cohort (median 25(OH)D = 48 ng/ml). Cancer incidence over a multi-year period (median: 3.9 years) was compared according to 25(OH)D concentration. Kaplan-Meier plots were developed and the association between 25(OH)D and cancer risk was examined with multivariate Cox regression using multiple 25(OH)D measurements and spline functions. The study included all invasive cancers excluding skin cancer.

resultsAge-adjusted cancer incidence across the combined cohort (N = 2,304) was 840 cases per 100,000 person-years (1,020 per 100,000 person-years in the Lappe cohort and 722 per 100,000 person-years in the GrassrootsHealth cohort). Incidence was lower at higher concentrations of 25(OH)D. Women with 25(OH)D concentrations ≥40 ng/ml had a 67% lower risk of cancer than women with concentrations <20 ng/ml (HR = 0.33, 95% CI = 0.12-0.90).

conclusions25(OH)D concentrations ≥40 ng/ml were associated with substantial reduction in risk of all invasive cancers combined.

Indexed as

AgedFemaleHumansIncidenceMiddle AgedNeoplasmsProspective StudiesRisk FactorsVitamin D25-hydroxyvitamin DVitamin D

Identifiers

PMID27049526
PMCPMC4822815

What OpenQuestion holds

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Registered trials

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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.