Evidence map›Paper›PMID 30611218›Full record

ArticleBMC gastroenterology2019

Cancer risk in microscopic colitis: a retrospective cohort study.

Alexander Levy, Nienke Z Borren, Benjamin Maxner, William Tan, Danielle Bellavance, Kyle Staller, Daniel Chung, Hamed Khalili, Ashwin N Ananthakrishnan

Open access · goldAbstract read
In one paragraph

Article in BMC gastroenterology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
4.5field-weighted citation impact, top 5% 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

7 citing papers in PubMed, 36 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Controversials of Microscopic Colitis.Frontiers in medicine · 2021
    Review
  7. 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

9 authors at 3 institutions in 1 country.

Alexander LevyDivision of Gastroenterology, Tufts Medical Center, Boston, MA, 02111, USA.
Nienke Z BorrenDivision of Gastroenterology, Massachusetts General Hospital, Boston, MA, 02114, USA.
Benjamin MaxnerDivision of Gastroenterology, Massachusetts General Hospital, Boston, MA, 02114, USA.
William TanDivision of Gastroenterology, Massachusetts General Hospital, Boston, MA, 02114, USA.
Danielle BellavanceDivision of Gastroenterology, Massachusetts General Hospital, Boston, MA, 02114, USA.
Kyle StallerDivision of Gastroenterology, Massachusetts General Hospital, Boston, MA, 02114, USA.
Daniel ChungDivision of Gastroenterology, Massachusetts General Hospital, Boston, MA, 02114, USA.
Hamed KhaliliDivision of Gastroenterology, Massachusetts General Hospital, Boston, MA, 02114, USA.
Ashwin N AnanthakrishnanDivision of Gastroenterology, Massachusetts General Hospital, Boston, MA, 02114, USA. aananthakrishnan@mgh.harvard.edu.ORCID http://orcid.org/0000-0002-9436-1821
Harvard University · USMassachusetts General Hospital · USTufts Medical Center · US

Funding

Pilot & Feasibility ProgramP30DK043351 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI Ramnik J Xavier · 1991 to 2026
$35.3M
Genetic predictors of anti-TNF treatment response and infections in IBDK23DK097142 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI ANANTHAKRISHNAN, ASHWIN N · 2012 to 2016
$846k
NIDDK NIH HHS K23 DK097142NIDDK NIH HHS P30 DK043351
6 · The paper itself

Abstract

backgroundThe long-term natural history of microscopic colitis (MC) (collagenous colitis (CC), lymphocytic colitis (LC)), traditionally considered relapsing but non-progressive diseases, is poorly defined. Whether persistent histologic inflammation in such diseases is associated with an increased risk of colorectal neoplasia (CRN) or extracolonic cancers has not been robustly established.

methodsThis retrospective cohort included diagnosed with MC at a referral center. Rates of CRN and extracolonic cancer were compared to patients undergoing screening colonoscopy (n = 306) and to the United States population using data from the Surveillance, Epidemiology, and End-Results (SEER) program. Standardized incidence ratios (SIR) and 95% confidence intervals were calculated and multivariable regression models used to identify the effect of MC diagnosis and severity on cancer risk.

resultsOur study included 221 patients with microscopic colitis (112 CC, 109 LC) among whom 77% were women. Compared to the colonoscopy control population, MC was associated with similar odds of tubular adenoma (Odds ratio (OR) 1.07, 95% CI 0.69-1.66) or villous adenoma (OR 1.26, 95% CI 0.17-9.42). Compared to patients with a single episode of MC, those with 2 or more episodes had similar risk of colon cancer (OR 0.83, 95% CI 0.20-3.39) or tubular adenoma (OR 1.49 95% CI 0.83-2.67). We also identified no statistical increase in the rates of cancer in the MC population compared to US-SEER data.

conclusionMicroscopic colitis was not associated with increased risk of CRN and extracolonic cancers when compared to controls undergoing colonoscopy or the US SEER population.

Indexed as

AgedColitis, MicroscopicColonoscopyColorectal NeoplasmsComorbidityFemaleHumansIncidenceMaleMiddle AgedNeoplasmsRetrospective StudiesRisk FactorsSEER ProgramUnited StatesAdenomaCancerColorectal neoplasiaLymphocytic colitisMicroscopic colitis

Identifiers

PMID30611218
PMCPMC6321729
OpenAlexW2913678471

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.