Evidence map›Paper›PMID 28352187›Full record

ArticleOncoTargets and therapy2017

Risk of subsequent primary malignancies among patients with prior colorectal cancer: a population-based cohort study.

Jiao Yang, Shuting Li, Meng Lv, Yinying Wu, Zheling Chen, Yanwei Shen, Biyuan Wang, Ling Chen, Min Yi, Jin Yang

Open access · goldAbstract read
In one paragraph

Article in OncoTargets and therapy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 29% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

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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

10 authors at 2 institutions in 2 countries.

Jiao YangDepartment of Medical Oncology, First Affiliated Hospital of Xi'an Jiao Tong University, Xi'an, People's Republic of China.
Shuting LiDepartment of Medical Oncology, First Affiliated Hospital of Xi'an Jiao Tong University, Xi'an, People's Republic of China.
Meng LvDepartment of Medical Oncology, First Affiliated Hospital of Xi'an Jiao Tong University, Xi'an, People's Republic of China.
Yinying WuDepartment of Medical Oncology, First Affiliated Hospital of Xi'an Jiao Tong University, Xi'an, People's Republic of China.
Zheling ChenDepartment of Medical Oncology, First Affiliated Hospital of Xi'an Jiao Tong University, Xi'an, People's Republic of China.
Yanwei ShenDepartment of Medical Oncology, First Affiliated Hospital of Xi'an Jiao Tong University, Xi'an, People's Republic of China.
Biyuan WangDepartment of Medical Oncology, First Affiliated Hospital of Xi'an Jiao Tong University, Xi'an, People's Republic of China.
Ling ChenDepartment of Medical Oncology, First Affiliated Hospital of Xi'an Jiao Tong University, Xi'an, People's Republic of China.
Min YiDepartment of Medical Oncology, First Affiliated Hospital of Xi'an Jiao Tong University, Xi'an, People's Republic of China; Department of Breast Surgical Oncology, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Jin YangDepartment of Medical Oncology, First Affiliated Hospital of Xi'an Jiao Tong University, Xi'an, People's Republic of China.
Xi'an Jiaotong University · CNFirst Affiliated Hospital of Xi'an Jiaotong University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe site-distribution pattern and relative risk of subsequent primary malignancies (SPMs) in colorectal cancer (CRC) patients remains to be determined. MATERIALS AND

methodsA population-based cohort of 288,390 CRC patients diagnosed between 1973 and 2012 from the Surveillance, Epidemiology, and End Results database was retrospectively reviewed. Standardized incidence ratios were calculated to estimate the relative risk for SPMs.

resultsThe overall risk of SPMs increased in CRC patients (standardized incidence ratio 1.02) in the first 5 years after CRC diagnosis compared with that in the general population, and was negatively related to age at diagnosis. Risk increased significantly for cancers of the small intestine, ureter, colorectum, renal pelvis, endocrine system, and stomach, and decreased significantly for cancers of the gallbladder, liver, myeloma, and brain, as well as lymphoma. Patients with different prior CRC subsites showed specific sites at high risk of SPM. Prior right-sided colon cancer was associated with cancers of the small intestine, ureter, renal pelvis, thyroid, stomach, pancreas, and breast and prior left-sided colon cancer associated with secondary CRC, whereas rectal cancer was associated with cancers of the vagina, urinary bladder, and lung.

conclusionRisk of SPMs increases in CRC survivors, especially in the first 5 years after prior diagnosis. Intensive surveillance should be advocated among young patients, with specific attention to the small intestine, colorectum, renal pelvis, and ureter. The common sites at high risk of SPM originate from the embryonic endoderm. Genetic susceptibility may act as the main mechanism underlying the risk of multiple cancers.

Indexed as

cancer riskcolorectal cancermultiple primary malignanciesSEERstandard incidence ratio

Identifiers

PMID28352187
PMCPMC5359119
OpenAlexW2595534302

What OpenQuestion holds

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LicenceCC BY-NC
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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.