Evidence map›Paper›PMID 27859268›Full record

ArticleInternational journal of cancer2017

Heterogeneity of colorectal cancer risk by tumour characteristics: Large prospective study of UK women.

Andrea Burón Pust, Rupert Alison, Roger Blanks, Kirstin Pirie, Kezia Gaitskell, Isobel Barnes, Toral Gathani, Gillian Reeves, Valerie Beral, Jane Green and 1 more

Open access · hybridAbstract read
In one paragraph

Article in International journal of cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 5 pooled it
2.2field-weighted citation impact, top 10% 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

25 citing papers in PubMed, 5 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Adult-Attained Height and Colorectal Cancer Risk: A Cohort Study, Systematic Review, and Meta-Analysis.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2022
    Pooled it
  3. Pooled it
  4. Physical Activity in Cancer Prevention and Survival: A Systematic Review.Medicine and science in sports and exercise · 2019
    Pooled it
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  17. Female hormones and the risk of colorectal neoplasm.The Korean journal of internal medicine · 2019
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  19. Heterogeneity of Colorectal Cancer Risk Factors by Anatomical Subsite in 10 European Countries: A Multinational Cohort Study.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

11 authors at 2 institutions in 3 countries.

Andrea Burón PustNuffield Department of Population Health, Cancer Epidemiology Unit, University of Oxford, United Kingdom.
Rupert AlisonNuffield Department of Population Health, Cancer Epidemiology Unit, University of Oxford, United Kingdom.
Roger BlanksNuffield Department of Population Health, Cancer Epidemiology Unit, University of Oxford, United Kingdom.
Kirstin PirieNuffield Department of Population Health, Cancer Epidemiology Unit, University of Oxford, United Kingdom.
Kezia GaitskellNuffield Department of Population Health, Cancer Epidemiology Unit, University of Oxford, United Kingdom.
Isobel BarnesNuffield Department of Population Health, Cancer Epidemiology Unit, University of Oxford, United Kingdom.
Toral GathaniNuffield Department of Population Health, Cancer Epidemiology Unit, University of Oxford, United Kingdom.
Gillian ReevesNuffield Department of Population Health, Cancer Epidemiology Unit, University of Oxford, United Kingdom.
Valerie BeralNuffield Department of Population Health, Cancer Epidemiology Unit, University of Oxford, United Kingdom.
Jane GreenNuffield Department of Population Health, Cancer Epidemiology Unit, University of Oxford, United Kingdom.
Million Women Study Collaborators
University of Oxford · GBNuffield Health · GB

Funding

Cancer Research UK 16491Medical Research Council G0700474Medical Research Council G9900923Medical Research Council MR/K02700X/1
6 · The paper itself

Abstract

Associations between behavioural and other personal factors and colorectal cancer risk have been reported to vary by tumour characteristics, but evidence is inconsistent. In a large UK-based prospective study we examined associations of 14 postulated risk factors with colorectal cancer risk overall, and across three anatomical sites and four morphological subtypes. Among 1.3 million women, 18,518 incident colorectal cancers were identified during 13.8 (SD 3.4) years follow-up via record linkage to national cancer registry data. Cox regression yielded adjusted relative risks. Statistical significance was assessed using correction for multiple testing. Overall, colorectal cancer risk was significantly associated with height, body mass index (BMI), smoking, alcohol intake, physical activity, parity and menopausal hormone therapy use. For smoking there was substantial heterogeneity across morphological types; relative risks around two or greater were seen in current smokers both for signet ring cell and for neuroendocrine tumours. Obese women were also at higher risk for signet ring cell tumours. For adenocarcinomas, the large majority of colorectal cancers in the cohort, all risk factor associations were weak. There was little or no heterogeneity in risk between tumours of the right colon, left colon and rectum for any of the 14 factors examined. These epidemiological findings complement an emerging picture from molecular studies of possible different developmental pathways for different tumour types.

Indexed as

AdenocarcinomaAlcohol DrinkingCarcinomaColorectal NeoplasmsContraceptives, Oral, HormonalExerciseFemaleFollow-Up StudiesHormone Replacement TherapyHumansMenopauseMiddle AgedNeuroendocrine TumorsObesityOrgan SpecificityProportional Hazards ModelsContraceptives, Oral, Hormonalcolorectal cancerrisk factorssmokingsubtype

Identifiers

PMID27859268
PMCPMC5347941
OpenAlexW2556468825

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.