Evidence map›Paper›PMID 27193442›Full record

ArticleThe British journal of nutrition2016

Pre-diagnostic meat and fibre intakes in relation to colorectal cancer survival in the European Prospective Investigation into Cancer and Nutrition.

Heather A Ward, Teresa Norat, Kim Overvad, Christina C Dahm, H Bas Bueno-de-Mesquita, Mazda Jenab, Veronika Fedirko, Fränzel J B van Duijnhoven, Guri Skeie, Dora Romaguera-Bosch and 38 more

Open access · greenAbstract read
In one paragraph

Article in The British journal of nutrition, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 4 pooled it
5.1field-weighted citation impact, top 4% 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

19 citing papers in PubMed, 4 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Pooled it
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  12. Carbohydrate Nutrition and the Risk of Cancer.Current nutrition reports · 2019
    Review
  13. Association Between Intake of Red and Processed Meat and Survival in Patients With Colorectal Cancer in a Pooled Analysis.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2019
    Article
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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

48 authors at 20 institutions in 13 countries.

Heather A Ward1Imperial College London,London W2 1PG,UK.
Teresa Norat1Imperial College London,London W2 1PG,UK.
Kim Overvad2Section for Epidemiology,Department of Public Health,Aarhus University,Bartholins Allé 2 - Building 1260,DK-8000 Aarhus C,Denmark.
Christina C Dahm2Section for Epidemiology,Department of Public Health,Aarhus University,Bartholins Allé 2 - Building 1260,DK-8000 Aarhus C,Denmark.
H Bas Bueno-de-Mesquita1Imperial College London,London W2 1PG,UK.
Mazda Jenab6International Agency for Research on Cancer (WHO-IARC),150 Cours Albert Thomas,69372 Lyon CEDEX 08,France.
Veronika Fedirko7Department of Epidemiology,Rollins School of Public Health,Emory University,201 Dowman Drive, Atlanta, GA 30322,USA.
Fränzel J B van Duijnhoven8Division of Human Nutrition (Bode 62),PO Box 8129,6700 EV Wageningen,The Netherlands.
Guri Skeie10UiT The Arctic University of Norway,Postboks 6050, Langnes, 9037 Tromsø,Norway.
Dora Romaguera-Bosch1Imperial College London,London W2 1PG,UK.
Anne Tjønneland13Danish Cancer Society Research Center,Strandboulevarden 49, DK-2100 København Ø,Denmark.
Anja Olsen13Danish Cancer Society Research Center,Strandboulevarden 49, DK-2100 København Ø,Denmark.
Franck Carbonnel14Center for Research in Epidemiology and Population Health (CESP),U1018,Lifestyle, Genes and Health: Integrative Trans-Generational Epidemiology,Institut National de la Santé et de la Recherche Médicale,F-94805 Villejuif,France.
Aurélie Affret14Center for Research in Epidemiology and Population Health (CESP),U1018,Lifestyle, Genes and Health: Integrative Trans-Generational Epidemiology,Institut National de la Santé et de la Recherche Médicale,F-94805 Villejuif,France.
Marie-Christine Boutron-Ruault14Center for Research in Epidemiology and Population Health (CESP),U1018,Lifestyle, Genes and Health: Integrative Trans-Generational Epidemiology,Institut National de la Santé et de la Recherche Médicale,F-94805 Villejuif,France.
Verena Katzke17German Cancer Research Center (DKFZ),Division of Cancer Epidemiology,Im Neuenheimer Feld 280, 69120 Heidelberg,Germany.
Tilman Kühn17German Cancer Research Center (DKFZ),Division of Cancer Epidemiology,Im Neuenheimer Feld 280, 69120 Heidelberg,Germany.
Krassimira Aleksandrova18Department of Epidemiology,German Institute of Human Nutrition (DIfE),Arthur-Scheunert-Allee 114-116, 14558 Bergholz-Rehbrücke,Germany.
Heiner Boeing18Department of Epidemiology,German Institute of Human Nutrition (DIfE),Arthur-Scheunert-Allee 114-116, 14558 Bergholz-Rehbrücke,Germany.
Antonia Trichopoulou19Hellenic Health Foundation,Kaisareias 13 & Alexandroupoleos, GR-115 27, Athens,Greece.
Pagona Lagiou19Hellenic Health Foundation,Kaisareias 13 & Alexandroupoleos, GR-115 27, Athens,Greece.
Christina Bamia19Hellenic Health Foundation,Kaisareias 13 & Alexandroupoleos, GR-115 27, Athens,Greece.
Domenico Palli22ISPO - Cancer Research and Prevention Institute,Clinical and Descriptive Epidemiology Unit,Via delle Oblate 2, 50141,Florence, Italy.
Sabina Sieri23Epidemiology and Prevention Unit,Fondazione IRCCS Istituto Nazionale dei Tumouri,Via Giacomo Venezian 1, 20133 Milan,Italy.
Rosario Tumino24Cancer Registry and Histopathology Unit,'Civic-M.P.Arezzo' Hospital,ASP, Via Dante No. 109, Ragusa 97100,Italy.
Alessio Naccarati25Molecular and Genetic Epidemiology Unit,Human Genetics Foundation (HuGeF),Via Nizza 52, 10126 Torino,Italy.
Amalia Mattiello26Dipartimento di Medicina Clinica e Chirurgia,Federico II University,Via Pansini, 5-80131 - Naples,Italy.
Petra H Peeters1Imperial College London,London W2 1PG,UK.
Elisabete Weiderpass28Department of Community Medicine, Faculty of Health Sciences,University of Tromsø - The Arctic University of Norway,Postboks 6050 Langnes, 9037 Tromsø,Norway.
Lene Angell Åsli28Department of Community Medicine, Faculty of Health Sciences,University of Tromsø - The Arctic University of Norway,Postboks 6050 Langnes, 9037 Tromsø,Norway.
Paula Jakszyn32Unit of Nutrition, Environment and Cancer,Catalan Institute of Oncology,Avda Gran Via 199-203, 08908 L'Hospitalet de Llobregat, Barcelona,Spain.
J Ramón Quirós33Public Health Directorate,Asturias, Ciriaco Miguel Vigil St 9,Oviedo 33006,Spain.
María-José Sánchez34Escuela Andaluza de Salud Pública,Instituto de Investigación Biosanitaria ibs,Hospitales Universitarios de Granada/Universidad de Granada,Cuesta del Observatorio, 4, Campus Universitario de Cartuja,Granada 18080,Spain.
Miren Dorronsoro36Basque Regional Health Department,Public Health Direction and Biodonostia Research Institute - CIBERESP,Avenida de Navarra, 4, 20013 Donostia-San Sebastián,Spain.
José-María Huerta35CIBER de Epidemiología y Salud Pública (CIBERESP),Melchor Fernández Almagro,3-5, Madrid 28029,Spain.
Aurelio Barricarte35CIBER de Epidemiología y Salud Pública (CIBERESP),Melchor Fernández Almagro,3-5, Madrid 28029,Spain.
Karin Jirström40Department of Clinical Sciences,Division of Oncology and Pathology,Lund University,Box 117, SE-221 00 Lund,Sweden.
Ulrika Ericson41Diabetes and Cardiovascular Disease - Genetic Epidemiology,Department of Clinical Sciences,Lund University,Box 117, SE-221 00 Lund,Sweden.
Ingegerd Johansson42Department of Odontology,Umeå University, SE-901 87 Umeå,Sweden.
Björn Gylling43Department of Pathology,Umeå University, SE-901 87 Umeå,Sweden.
Kathryn E Bradbury44Cancer Epidemiology Unit,Nuffield Department of Population Health, University of Oxford,Richard Doll Building, Oxford OX3 7LF,UK.
Kay-Tee Khaw45Department of Public Health and Primary Care,University of Cambridge, Addenbrooke's Hospital, Hills Rd,Cambridge CB2 0SP,UK.
Nicholas J Wareham46Medical Research Council Epidemiology Unit,University of Cambridge, Institute of Metabolic Science,Box 285, Addenbrooke's Hospital, Hills Road, Cambridge CB2 0QQ,UK.
Magdalena Stepien6International Agency for Research on Cancer (WHO-IARC),150 Cours Albert Thomas,69372 Lyon CEDEX 08,France.
Heinz Freisling6International Agency for Research on Cancer (WHO-IARC),150 Cours Albert Thomas,69372 Lyon CEDEX 08,France.
Neil Murphy1Imperial College London,London W2 1PG,UK.
Amanda J Cross1Imperial College London,London W2 1PG,UK.
Elio Riboli1Imperial College London,London W2 1PG,UK.
Imperial College London · GBCentre International de Recherche sur le Cancer · FRHellenic Health Foundation · GRAarhus University · DKDanish Cancer Society · DKGerman Institute of Human Nutrition · DELund University · SEUmeå University · SEUniversité Paris-Sud · FRAddenbrooke's Hospital · GBAzienda Usl 8 Arezzo · ITBiogipuzkoa Health Research Institute · ESCentre de recherche en Epidémiologie et Santé des Populations · FRCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública · ESEmory University · USFederico II University Hospital · ITFolkhälsans Forskningscentrum · FIFondazione IRCCS Istituto Nazionale dei Tumori · ITGerman Cancer Research Center · DEHeidelberg University · DE

Funding

Cancer Research UK 14136Cancer Research UK 16491Cancer Research UK C570/A16491Medical Research Council 1000143Medical Research Council G0401527Medical Research Council G1000143Medical Research Council MC_UU_12015/1Medical Research Council MR/N003284/1World Health Organization 001
6 · The paper itself

Abstract

Improvements in colorectal cancer (CRC) detection and treatment have led to greater numbers of CRC survivors, for whom there is limited evidence on which to provide dietary guidelines to improve survival outcomes. Higher intake of red and processed meat and lower intake of fibre are associated with greater risk of developing CRC, but there is limited evidence regarding associations with survival after CRC diagnosis. Among 3789 CRC cases in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort, pre-diagnostic consumption of red meat, processed meat, poultry and dietary fibre was examined in relation to CRC-specific mortality (n 1008) and all-cause mortality (n 1262) using multivariable Cox regression models, adjusted for CRC risk factors. Pre-diagnostic red meat, processed meat or fibre intakes (defined as quartiles and continuous grams per day) were not associated with CRC-specific or all-cause mortality among CRC survivors; however, a marginal trend across quartiles of processed meat in relation to CRC mortality was detected (P 0·053). Pre-diagnostic poultry intake was inversely associated with all-cause mortality among women (hazard ratio (HR)/20 g/d 0·92; 95 % CI 0·84, 1·00), but not among men (HR 1·00; 95 % CI 0·91, 1·09) (P for heterogeneity=0·10). Pre-diagnostic intake of red meat or fibre is not associated with CRC survival in the EPIC cohort. There is suggestive evidence of an association between poultry intake and all-cause mortality among female CRC survivors and between processed meat intake and CRC-specific mortality; however, further research using post-diagnostic dietary data is required to confirm this relationship.

Indexed as

DietDietary FiberFeeding BehaviorMeatAdultAgedAnimalsColorectal NeoplasmsEuropeFemaleHumansLife StyleMaleMiddle AgedNutrition PolicyPoultryDietary FiberCancer survivalCohortsColorectal cancersCRC colorectal cancerDietsEPIC European Prospective Investigation into Cancer and NutritionEuropean Prospective Investigation into Cancer and NutritionHR hazard ratioSSB sugar-sweetened beverages

Identifiers

PMID27193442
PMCPMC5570524
OpenAlexW2408467471

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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.