Evidence map›Paper›PMID 28163082›Full record

ArticleUrology2017

Implications of Prostate Cancer Treatment in Men With Inflammatory Bowel Disease.

Peter S Kirk, Shail Govani, Tudor Borza, Brent K Hollenbeck, Jennifer Davis, Dean Shumway, Akbar K Waljee, Ted A Skolarus

Abstract read
In one paragraph

Article in Urology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

12 citing papers in PubMed, 20 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Rectal Cancer and Radiation in Colitis.Clinics in colon and rectal surgery · 2024
    Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Hormone Therapy for Cancer Is a Risk Factor for Relapse of Inflammatory Bowel Diseases.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2020
    Article
  12. 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

8 authors at 3 institutions in 1 country.

Peter S KirkDow Division of Health Services Research, Department of Urology, University of Michigan Health System, Ann Arbor, MI.
Shail GovaniDepartment of Gastroenterology, Division of Internal Medicine, University of Michigan Health System, Ann Arbor, MI.
Tudor BorzaDow Division of Health Services Research, Department of Urology, University of Michigan Health System, Ann Arbor, MI.
Brent K HollenbeckDow Division of Health Services Research, Department of Urology, University of Michigan Health System, Ann Arbor, MI.
Jennifer DavisVA Health Services Research and Development, Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI.
Dean ShumwayDepartment of Radiation Oncology, University of Michigan Health System, Ann Arbor, MI.
Akbar K WaljeeDepartment of Gastroenterology, Division of Internal Medicine, University of Michigan Health System, Ann Arbor, MI; VA Health Services Research and Development, Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI.
Ted A SkolarusDow Division of Health Services Research, Department of Urology, University of Michigan Health System, Ann Arbor, MI; VA Health Services Research and Development, Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI. Electronic address: tskolar@med.umich.edu.
Michigan Medicine · USVA Ann Arbor Healthcare System · USVA Center for Clinical Management Research · US

Funding

Advanced Training in Urologic OncologyT32CA180984 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Ganesh S Palapattu, VAHAKN B SHAHINIAN · 2014 to 2026
$3.4M
Michigan Institute for Clinical and Health Research (MCHR)TL1TR000435 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MASHOUR, GEORGE ALEXANDER · 2012 to 2016
$1.8M
Improving the prostate cancer survivorship care of veteransIK2HX001162 · VA · VETERANS HEALTH ADMINISTRATION · PI SKOLARUS, TED ALBERT · 2015 to 2018
–
HSRD VA IK2 HX001162NCATS NIH HHS TL1 TR000435NCI NIH HHS T32 CA180984
6 · The paper itself

Abstract

objectiveTo investigate the influences of inflammatory bowel disease (IBD), a rare but morbid disease with increasing incidence, on prostate cancer management decisions. We examined whether prostate cancer treatment differed for men with IBD, and whether treatment choice was associated with risk of IBD flare. MATERIALS AND

methodsUsing Veterans Health Administration cancer registry and administrative data, we identified 52,311 men diagnosed with prostate cancer from 2005 to 2008. We used International Classification of Diseases-9 codes and pharmacy and utilization data to identify IBD diagnoses, IBD-directed therapy, and flares (glucocorticoid escalation, hospitalization, and surgical intervention). We compared characteristics across men with and without IBD, and used multivariable regression to examine IBD flares after treatment according to treatment type.

resultsTwo hundred and forty men (0.5%) had IBD prior to prostate cancer diagnosis. Compared to non-IBD patients, IBD patients were more likely Caucasian (P < .001) with lower-risk cancer (P = .02). Surgery was more common in IBD patients (41% vs 28%, P < .001). In the year following prostate cancer treatment, 18% of IBD patients experienced flares. After adjustment, the only predictor of flare in the year after treatment was flare in the year prior to treatment (adjusted odds ratio, 12.5; 95% confidence interval, 5.4-29.2).

conclusionIBD patients were more likely to have lower-risk disease and be treated with surgery. Choice of prostate cancer treatment did not predict flares in the subsequent year. Better understanding of the intersection of IBD and prostate cancer can help inform treatment decisions for the increasing number of men managing both diseases.

Indexed as

AgedCohort StudiesGlucocorticoidsHospitalizationHumansInflammatory Bowel DiseasesMaleMiddle AgedMultivariate AnalysisOdds RatioPatient SelectionProstateProstatic NeoplasmsRegistriesRisk FactorsUnited StatesGlucocorticoids

Identifiers

PMID28163082
PMCPMC5520802
OpenAlexW2583280247

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.