Evidence map›Paper›PMID 30046933›Full record

Trial reportCancer causes & control : CCC2018

C-reactive protein concentration and risk of selected obesity-related cancers in the Women's Health Initiative.

Theodore M Brasky, Geoffrey C Kabat, Gloria Y F Ho, Cynthia A Thomson, Wanda K Nicholson, Wendy E Barrington, Marisa A Bittoni, Sylvia Wassertheil-Smoller, Thomas E Rohan

Open access · greenAbstract readClinical TrialMulticenter StudyObservational Study
In one paragraph

Trial report in Cancer causes & control : CCC, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 37% 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

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. 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

9 authors at 8 institutions in 1 country.

Theodore M BraskyDivision of Cancer Prevention and Control, The Ohio State University College of Medicine, Columbus, OH, USA. Theodore.Brasky@osumc.edu.
Geoffrey C Kabat, New Rochelle, USA.
Gloria Y F HoDepartment of Occupational Medicine, Epidemiology & Prevention, Feinstein Institute for Medical Research, Hofstra Northwell School of Medicine, Great Neck, NY, USA.
Cynthia A ThomsonHealth Promotion Sciences Department, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA.
Wanda K NicholsonDepartment of Obstetrics & Gynecology, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
Wendy E BarringtonDepartment of Psychosocial & Community Health, School of Nursing, University of Washington, Seattle, WA, USA.
Marisa A BittoniThe Ohio State University-James Comprehensive Cancer Center, 1590 N. High St., Suite 525, Columbus, OH, 43201, USA.
Sylvia Wassertheil-SmollerDepartment of Epidemiology & Population Health, Albert Einstein College of Medicine, Bronx, NY, USA.
Thomas E RohanDepartment of Epidemiology & Population Health, Albert Einstein College of Medicine, Bronx, NY, USA.
Albert Einstein College of Medicine · USCollege of New Rochelle · USFeinstein Institute for Medical Research · USThe Ohio State University · USThe Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute · USUniversity of Arizona · USUniversity of North Carolina at Chapel Hill · USUniversity of Washington · US

Funding

NHLBI NIH HHS HHSN268201000046CNHLBI NIH HHS HHSN268201100001CNHLBI NIH HHS HHSN268201100001INHLBI NIH HHS HHSN268201100002CNHLBI NIH HHS HHSN268201100002INHLBI NIH HHS HHSN268201100003CNHLBI NIH HHS HHSN268201100003INHLBI NIH HHS HHSN2682011000046CNHLBI NIH HHS HHSN268201100004CNHLBI NIH HHS HHSN268201100004INHLBI NIH HHS HHSN268201100006CNHLBI NIH HHS HHSN268201100046CWHI NIH HHS HHSN268201100001CWHI NIH HHS HHSN268201100002CWHI NIH HHS HHSN268201100003CWHI NIH HHS HHSN268201100004C
6 · The paper itself

Abstract

backgroundObesity is a chronic inflammatory condition strongly associated with the risk of numerous cancers. We examined the association between circulating high-sensitivity C-reactive protein (hsCRP), a biomarker of inflammation and strong correlate of obesity, and the risk of three understudied obesity-related cancers in postmenopausal women: ovarian cancer, kidney cancer, and multiple myeloma.

methodsParticipants were 24,205 postmenopausal women who had measurements of baseline serum hsCRP (mg/L) in the Women's Health Initiative (WHI) CVD Biomarkers Cohort, a collection of four sub-studies within the WHI. Incident cancers were identified over 17.9 years of follow-up (n = 153 ovarian, n = 110 kidney, n = 137 multiple myeloma). hsCRP was categorized into study-specific quartiles. Adjusted Cox regression models were used to estimate hazard ratios (HR) and 95% confidence intervals (CI) for associations of baseline hsCRP with the risk of these cancers.

resultsThere was no clear association between baseline hsCRP concentration and the risk of ovarian cancer (quartile 4 vs. 1: HR 0.87, 95% CI 0.56-1.37), kidney cancer (HR 0.95, 95% CI 0.56-1.61), or multiple myeloma (HR 0.82, 95% CI 0.52-1.29). HRs for 1 mg/L increases in hsCRP also approximated the null value for each cancer.

conclusionsThe results of this study suggest that elevated CRP is not a major risk factor for these obesity-related cancers (ovarian or kidney cancers, or multiple myeloma) among postmenopausal women. Given the importance of elucidating the mechanisms underlying the association of obesity with cancer risk, further analysis with expanded biomarkers and in larger or pooled prospective cohorts is warranted.

Indexed as

AgedBiomarkersC-Reactive ProteinFemaleHumansInflammationKidney NeoplasmsMiddle AgedMultiple MyelomaObesityOvarian NeoplasmsPostmenopauseProportional Hazards ModelsProspective StudiesRisk FactorsWomen's HealthBiomarkersC-Reactive ProteinC-reactive proteinMultiple myelomaObesityOvarian cancerRenal cell carcinomaWomen’s health

Identifiers

PMID30046933
PMCPMC7203759
OpenAlexW2884554481

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.