Evidence map›Paper›PMID 28815035›Full record

ArticleUnited European gastroenterology journal2017

Long-term follow-up reveals high incidence of colorectal cancer in Indian patients with inflammatory bowel disease.

Sawan Bopanna, Saurabh Kedia, Prasenjit Das, S Dattagupta, V Sreenivas, V Pratap Mouli, Rajan Dhingra, Rajesh Pradhan, N Suraj Kumar, Dawesh P Yadav and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in United European gastroenterology journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.5field-weighted citation impact, top 14% 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, 20 citations in OpenAlex.

  1. Epidemiology of colorectal cancer: A review with special emphasis on India.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2025
    Review
  2. Inflammatory bowel disease in south Asia: a scoping review.The lancet. Gastroenterology & hepatology · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Inflammatory bowel disease: An Indian perspective.The Indian journal of medical research · 2021
    Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. A low-cost method for chromoendoscopy for surveillance in ulcerative colitis.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2016
    Article
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

12 authors at 1 institution in 1 country.

Sawan BopannaDepartment of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India.
Saurabh KediaDepartment of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India.
Prasenjit DasDepartment of Pathology, All India Institute of Medical Sciences, New Delhi, India.
S DattaguptaDepartment of Pathology, All India Institute of Medical Sciences, New Delhi, India.
V SreenivasDepartment of Biostatistics, All India Institute of Medical Sciences, New Delhi, India.
V Pratap MouliDepartment of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India.
Rajan DhingraDepartment of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India.
Rajesh PradhanDepartment of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India.
N Suraj KumarDepartment of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India.
Dawesh P YadavDepartment of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India.
Govind MakhariaDepartment of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India.
Vineet AhujaDepartment of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India.
All India Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs the magnitude of sporadic colorectal cancer (CRC) in India is low, magnitude of CRC in ulcerative colitis (UC) is also considered low. As a result, screening for CRC in UC although advocated may not be followed everywhere. We report our data of UC-related CRC from a low-incidence area of sporadic CRC.

methodsA total of 1012 patients with left-sided colitis/pancolitis having more than one full-length colonoscopy performed at least a year after the onset of symptoms were included in retrospective analysis of prospectively maintained case records. In addition, 136 patients with duration of disease >10 years underwent surveillance white-light colonoscopy prospectively during the study period.

resultsA total of 1012 individuals were finally included (6542 person-years of follow-up, 68.5% males, disease duration: 6.4 ± 6.8 years). Twenty (1.97%) patients developed CRC. Two (10%) patients developed CRC during the first decade, 10/20 (50%) during the second and 8/20 (40%) after the second decade of disease. The cumulative risk of developing CRC was 1.5%, 7.2% and 23.6% in the first, second and third decade, respectively. Of 136 high-risk UC cases, five (3.6%) had CRC on screening colonoscopy. Disease duration and increasing age of onset were associated with higher risk of CRC.

conclusionsCumulative risk of CRC in Indian UC patients is as high as 23.6% at 30 years. The risk of CRC increases with increasing age of onset and increasing duration of disease. A low risk of sporadic CRC does not confer a low risk of UC-related CRC, and regular screening is warranted.

Indexed as

colorectal carcinomarisk factorsUlcerative colitis

Identifiers

PMID28815035
PMCPMC5548352
OpenAlexW2549848956

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.