Evidence map›Paper›PMID 29170864›Full record

ArticleDrugs & aging2017

Risk of Malignancy in a Nationwide Cohort of Elderly Inflammatory Bowel Disease Patients.

Nabeel Khan, Carlos Vallarino, Trevor Lissoos, Umar Darr, Michelle Luo

Open access · hybridAbstract read
In one paragraph

Article in Drugs & aging, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Pooled it
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  11. [Risks of Cancer Associated with Therapeutic Drugs for Inflammatory Bowel Disease].The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2024
    Review
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  20. Extent of Surgical Resection in Inflammatory Bowel Disease Associated Colorectal Cancer: a Population-Based Study.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021
    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

5 authors at 3 institutions in 1 country.

Nabeel KhanPhiladelphia VA Medical Center, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA. nabeelk@mail.med.upenn.edu.
Carlos VallarinoData Science Institute, Takeda Development Center Americas, Deerfield, IL, USA.
Trevor LissoosTakeda Pharmaceuticals USA, Inc, Deerfield, IL, USA.
Umar DarrUniversity of Toledo Medical Center, Toledo, OH, USA.ORCID 0000-0002-1487-2286
Michelle LuoTakeda Pharmaceuticals USA, Inc, Deerfield, IL, USA.
Deerfield (United States) · USPhiladelphia VA Medical Center · USUniversity of Toledo Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundManagement of elderly inflammatory bowel disease (IBD) patients (≥ 65 years of age) is complicated due to many factors, including a higher risk of cancer, which may impact therapeutic decisions.

objectiveThe aim of this study was to determine the risk of cancer among elderly IBD patients compared with younger IBD patients. Additionally, the absolute risk of malignancy and factors contributing to it were evaluated, and therapeutic patterns among the elderly were assessed.

methodsThis retrospective cohort study extracted data from the Truven Health Analytics MarketScan

resultsThe elderly IBD cohort (n = 8788) had a higher prevalence of cancer and several other ailments before starting treatment, relative to the younger IBD cohort aged 18-64 years (n = 54,971). During follow-up, the elderly IBD cohort experienced a higher incidence of malignancy, confirmed by a hazard ratio (HR) of 3.04 (95% confidence interval [CI] 2.71-3.41) from the Cox model fit. The risk of cancer was also significantly associated with male sex (HR 0.82 female), duration of disease (HR 1.08), several comorbidities and corticosteroid use (HR 1.35), but not with the use of immunomodulators or biologics. Non-Hodgkin's lymphoma, urinary tract malignancy, and prostate, lung, and female breast cancers were observed more commonly in this elderly IBD cohort when compared with the same age group in the Surveillance, Epidemiology, and End Results (SEER) database.

conclusionsThe elderly with IBD have a higher risk of malignancy when compared with younger IBD patients and the general age-matched population, with certain cancers being more common among these patients.

Indexed as

AdolescentAdrenal Cortex HormonesAdultAgedAge FactorsComorbidityFemaleHumansIncidenceInflammatory Bowel DiseasesMaleMiddle AgedNeoplasmsProportional Hazards ModelsRetrospective StudiesRisk FactorsAdrenal Cortex Hormones

Identifiers

PMID29170864
PMCPMC5705754
OpenAlexW2768739636

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.