Evidence map›Paper›PMID 30161027›Full record

ArticleEuropean journal of gastroenterology & hepatology2018

Differences in risk factor-colorectal adenoma associations according to non-steroidal anti-inflammatory drug use.

Sobia Mujtaba, Roberd M Bostick

Abstract readComparative Study
In one paragraph

Article in European journal of gastroenterology & hepatology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 32% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Association between Dietary Fibre Intake and Colorectal Adenoma: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2021
    Pooled it
  2. 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

2 authors at 1 institution in 1 country.

Sobia MujtabaDepartment of Epidemiology, Rollins School of Public Health.
Roberd M BostickDepartment of Epidemiology, Rollins School of Public Health.
Emory University · US

Funding

COLON CANCER PREVENTION RESEARCH UNITP01CA050305 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI ELMER, PATRICIA J · 1990 to 1994
–
DIET, CELL PROLIFERATION, AND COLON NEOPLASIA STUDYR01CA066539 · NCI · WAKE FOREST UNIVERSITY · PI BOSTICK, ROBERD · 1994 to 1996
–
NCI NIH HHS P01 CA050305NCI NIH HHS R01 CA066539
6 · The paper itself

Abstract

objectiveBecause multiple observational studies and large, randomized controlled trials indicate that NSAIDs strongly reduce the risk of colorectal neoplasms, we investigated whether NSAID use masks associations of various other risk factors with colorectal neoplasms. MATERIALS AND

methodsUsing pooled data from three case-control studies of incident, sporadic colorectal adenoma (pooled n=789 cases, 2035 polyp-free controls), using multivariable logistic regression, we investigated various risk factor-colorectal adenoma associations stratified by NSAID use.

resultsExample multivariable-adjusted odds ratios [95% confidence intervals (CI)] for those in the highest relative to the lowest quartiles of exposure, by regular nonaspirin NSAID nonuse/use, respectively, were 1.57 (95% CI: 0.96-2.55) versus 1.14 (95% CI: 0.37, 3.49) for total fat, 1.37 (95% CI: 0.86-2.18) versus 0.70 (95% CI: 0.23-2.25) for saturated fat, 0.93 (95% CI: 0.68-1.28) versus 1.30 (95% CI: 0.61-2.75) for calcium, 0.89 (95% CI: 0.64-1.23) versus 1.38 (95% CI: 0.65-2.94) for total fruits and vegetables, and 0.85 (95% CI: 0.65-1.11) versus 0.94 (95% CI: 0.52-1.71) for physical activity. For current versus never smokers, the odds ratios (95% CIs) among regular non-NSAID users/nonusers were 2.91 (95% CI: 2.22-3.82) versus 1.75 (95% CI: 0.90-3.41), respectively, and for those who were obese versus those who were normal weight, they were 1.67 (95% CI: 1.28-2.17) versus 1.19 (95% CI: 0.69-2.04), respectively.

conclusionOur findings suggest that regular nonaspirin NSAID use may mask, beyond simple confounding, associations of major risk factors with colorectal adenoma, and support routinely assessing such associations stratified by regular nonaspirin NSAID use.

Indexed as

AdenomaAdultAgedAnticarcinogenic AgentsAnti-Inflammatory Agents, Non-SteroidalCase-Control StudiesColorectal NeoplasmsConfounding Factors, EpidemiologicFemaleHumansIncidenceMaleMiddle AgedPrognosisProtective FactorsRisk FactorsAnticarcinogenic AgentsAnti-Inflammatory Agents, Non-Steroidal

Identifiers

PMID30161027
PMCPMC6156923
OpenAlexW2889427005

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.