Evidence map›Paper›PMID 30805814›Full record

ArticleCancer causes & control : CCC2019

Pre-diagnostic 25-hydroxyvitamin D levels and survival in cancer patients.

Johanna E Torfadottir, Thor Aspelund, Unnur A Valdimarsdottir, Mary Frances Cotch, Laufey Tryggvadottir, Tamara B Harris, Vilmundur Gudnason, Hans-Olov Adami, Lorelei A Mucci, Edward L Giovannucci and 2 more

Open access · greenAbstract read
In one paragraph

Article in Cancer causes & control : CCC, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 24% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Review
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 5 institutions in 4 countries.

Johanna E TorfadottirCentre of Public Health Sciences, Faculty of Medicine, University of Iceland, 101, Reykjavik, Iceland. jet@hi.is.ORCID http://orcid.org/0000-0002-9721-0105
Thor AspelundCentre of Public Health Sciences, Faculty of Medicine, University of Iceland, 101, Reykjavik, Iceland.
Unnur A ValdimarsdottirCentre of Public Health Sciences, Faculty of Medicine, University of Iceland, 101, Reykjavik, Iceland.
Mary Frances CotchDivision of Epidemiology and Clinical Applications, Intramural Research Program, National Eye Institute, National Institutes of Health, Bethesda, MD, USA.
Laufey TryggvadottirThe Icelandic Cancer Registry, Reykjavik, Iceland.
Tamara B HarrisLaboratory of Epidemiology and Population Sciences, Intramural Research Program, National Institute on Aging, National Institutes of Health, Bethesda, MD, USA.
Vilmundur GudnasonThe Icelandic Heart Association, Kopavogur, Iceland.
Hans-Olov AdamiDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Lorelei A MucciDepartments of Nutrition and Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Edward L GiovannucciDepartments of Nutrition and Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Meir J StampferDepartments of Nutrition and Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Laufey SteingrimsdottirUnit for Nutrition Research, Faculty for Food Science and Nutrition, University of Iceland, Reykjavik, Iceland.
University of Iceland · ISBrigham and Women's Hospital · USNational Institutes of Health · USHarvard University · USUniversity of Oslo · NO

Funding

CLINICAL PROJECT: Age, Gene/Environment Susceptibility Study on the Multi-omics of Aging: A clinical epidemiologic prospective studyZIAAG007380 · NIA · NATIONAL INSTITUTE ON AGING · PI LAUNER, LENORE J · 2009 to 2025
$6.1M
Age, Gene/environment Susceptibility Study In Iceland - Ocular ComponentZIAEY000401 · NEI · NATIONAL EYE INSTITUTE · PI COTCH, MARY FRANCES · 2009 to 2020
$3.3M
AGES STUDY-THE REYKJAVIK STUDY OF HEALTHY AGING FOR THE NEW MILLENNIUM-26012100N01AG012100 · NIA · ICELANDIC HEART ASSOCIATION · 2002 to 2004
–
Háskóli Íslands Post-doc grantIcelandic Directorate of Health Public Health FundIntramural NIH HHS Z99 AG999999Intramural NIH HHS ZIA AG007380Intramural NIH HHS ZIA EY000401NEI NIH HHS ZIAEY000401NIA NIH HHS N01 AG012100NIA NIH HHS N01-AG-12100Seventh Framework Programme (ODIN) 613977
6 · The paper itself

Abstract

purposeOur main aim was to explore whether pre-diagnostic circulating levels of 25-hydroxyvitamin D (25(OH)D) among older individuals with cancer were associated with overall and cancer-specific survival after diagnosis.

designWe used data from the Reykjavik-AGES Study on participants (n = 4,619) without cancer at entry, when blood samples were taken for 25(OH)D standardized measurements. The association with cancer risk, all-cause- and cancer-specific mortality was assessed among those later diagnosed with cancer, comparing four 25(OH)D categories, using 50-69.9 nmol/L as the reference category.

resultsCancer was diagnosed in 919 participants on average 8.3 years after blood draw. No association was observed between the reference group and other 25(OH)D groups and total cancer incidence. Mean age at diagnosis was 80.9 (± 5.7) years. Of those diagnosed, 552 died during follow-up, 67% from cancer. Low pre-diagnostic levels of 25(OH)D < 30 nmol/L were significantly associated with increased total mortality (HR: 1.39, 95% CI 1.03, 1.88) and non-significantly with cancer-specific mortality (HR: 1.33, 95% CI 0.93, 1.90). Among patients surviving more than 2 years after diagnosis, higher pre-diagnostic 25(OH)D levels (≥ 70 nmol/L) were associated with lower risk of overall (HR: 0.68, 95% CI 0.46, 0.99) and cancer-specific mortality (HR: 0.47, 95% CI 0.26, 0.99).

conclusionsAmong elderly cancer patients, low pre-diagnostic serum 25(OH)D levels (< 30 nmol/L) were associated with increased overall mortality.

Indexed as

AgedAged, 80 and overFemaleFollow-Up StudiesHumansIncidenceMaleNeoplasmsRiskSurvivalVitamin DVitamin D Deficiency25-hydroxyvitamin DVitamin DCancerNutritionOlder individualsSurvivalVitamin D

Identifiers

PMID30805814
PMCPMC6602548
OpenAlexW2915134806

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.