Evidence map›Paper›PMID 30815820›Full record

Observational studyDigestive diseases and sciences2019

Risk of Early Colorectal Cancers Needs to Be Considered in Inflammatory Bowel Disease Care.

Shirley Cohen-Mekelburg, Yecheskel Schneider, Stephanie Gold, Gaurav Ghosh, Russell Rosenblatt, Kaveh Hajifathalian, Ellen Scherl, Felice Schnoll-Sussman, Philip Katz, Adam Steinlauf

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Digestive diseases and sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. 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

10 authors at 4 institutions in 1 country.

Shirley Cohen-MekelburgDivision of Gastroenterology and Hepatology, Michigan Medicine, 3912 Taubman Center, 1500 E. Medical Center Drive, SPC 5362, Ann Arbor, MI, 48109, USA. shcohen@umich.edu.ORCID 0000-0001-5058-5527
Yecheskel SchneiderDivision of Gastroenterology and Hepatology, University of Pennsylvania, Philadelphia, PA, USA.
Stephanie GoldDepartment of Medicine, NewYork Presbyterian Weill Cornell Medicine, New York, NY, USA.
Gaurav GhoshDepartment of Medicine, NewYork Presbyterian Weill Cornell Medicine, New York, NY, USA.
Russell RosenblattDivision of Gastroenterology and Hepatology, NewYork Presbyterian Weill Cornell Medicine, New York, NY, USA.
Kaveh HajifathalianDivision of Gastroenterology and Hepatology, NewYork Presbyterian Weill Cornell Medicine, New York, NY, USA.
Ellen ScherlDivision of Gastroenterology and Hepatology, NewYork Presbyterian Weill Cornell Medicine, New York, NY, USA.
Felice Schnoll-SussmanDivision of Gastroenterology and Hepatology, NewYork Presbyterian Weill Cornell Medicine, New York, NY, USA.
Philip KatzDivision of Gastroenterology and Hepatology, NewYork Presbyterian Weill Cornell Medicine, New York, NY, USA.
Adam SteinlaufDivision of Gastroenterology and Hepatology, Mount Sinai Hospital, New York, NY, USA.
Cornell University · USA. Alfred Taubman Health Care Center · USMount Sinai Hospital · USUniversity of Pennsylvania · US

Funding

Clinical and Translational Science CenterUL1TR000457 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI IMPERATO-MCGINLEY, JULIANNE L · 2012 to 2016
$46.0M
NCATS NIH HHS UL1 TR000457
6 · The paper itself

Abstract

backgroundCurrent guidelines recommend starting colorectal cancer (CRC) surveillance 8-10 years after inflammatory bowel disease (IBD) onset. Recent studies report that the incidence of CRC within 8-10 years of IBD onset (i.e., early CRC) ranges from 12 to 42%.

aimsTo describe the current prevalence of early CRC in a tertiary care center IBD cohort with CRC and to identify associated risk factors.

methodsWe performed a single-center observational study of IBD patients diagnosed with CRC from 2005 to 2015. We compared characteristics of patients with early CRC (diagnosis of CRC within 8 years of initial IBD onset) to those with CRC diagnosed later in their IBD course.

resultsNinety-three patients met inclusion criteria. Eleven (11.8%) patients developed CRC within 8 years of initial IBD onset. On multivariable logistic regression, age greater than 28 at IBD onset (adjusted OR 12.0; 95% CI 2.30, 62.75) and tobacco use (adjusted OR 8.52; 95% CI 1.38, 52.82) were significant predictors of early CRC. A validation cohort confirmed calibration and discrimination of the model.

conclusionsOne out of every eight IBD patients with CRC developed their malignancy prior to the currently recommended timeframe for the initiation of surveillance colonoscopy. IBD onset at 28 years or older and tobacco use were identified as predictors of early CRC. Early CRC should be considered in discussions of cancer surveillance in this population. Prospective cohort studies are necessary to further analyze the impact of early CRC in IBD.

Indexed as

AdultAgedColorectal NeoplasmsFemaleHumansInflammatory Bowel DiseasesMaleMiddle AgedPrevalenceRetrospective StudiesRisk FactorsTime FactorsCarcinomaCrohn’s diseaseMalignancyUlcerative colitis

Identifiers

PMID30815820
OpenAlexW2918582060

What OpenQuestion holds

Textmetadata
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.