Evidence map›Paper›PMID 30873589›Full record

ArticleInternational journal of cancer2020

Radiation risk of incident colorectal cancer by anatomical site among atomic bomb survivors: 1958-2009.

Hiromi Sugiyama, Munechika Misumi, Alina Brenner, Eric J Grant, Ritsu Sakata, Atsuko Sadakane, Mai Utada, Dale L Preston, Kiyohiko Mabuchi, Kotaro Ozasa

Open access · hybridAbstract read
In one paragraph

Article in International journal of cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
4.1field-weighted citation impact, top 6% 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

27 citing papers in PubMed, 56 citations in OpenAlex.

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  14. Colorectal Cancer: From Risk Factors to Oncogenesis.Medicina (Kaunas, Lithuania) · 2023
    Review
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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

10 authors at 3 institutions in 3 countries.

Hiromi SugiyamaDepartment of Epidemiology, Radiation Effects Research Foundation, Hiroshima, Japan.ORCID 0000-0003-2536-0865
Munechika MisumiDepartment of Statistics, Radiation Effects Research Foundation, Hiroshima, Japan.
Alina BrennerDepartment of Epidemiology, Radiation Effects Research Foundation, Hiroshima, Japan.
Eric J GrantRadiation Effects Research Foundation, Hiroshima, Japan.
Ritsu SakataDepartment of Epidemiology, Radiation Effects Research Foundation, Hiroshima, Japan.
Atsuko SadakaneDepartment of Epidemiology, Radiation Effects Research Foundation, Hiroshima, Japan.
Mai UtadaDepartment of Epidemiology, Radiation Effects Research Foundation, Hiroshima, Japan.ORCID 0000-0002-9178-3252
Dale L PrestonHirosoft International Corporation, Eureka, CA, USA.
Kiyohiko MabuchiDivision of Cancer Epidemiology and Genetics, Radiation Epidemiology Branch, National Cancer Institute, Rockville, MD, USA.
Kotaro OzasaDepartment of Epidemiology, Radiation Effects Research Foundation, Hiroshima, Japan.
Radiation Effects Research Foundation · JPISCO International (United States) · USNational Cancer Institute · US

Funding

Studies of Populations Exposed to Environmental Sources of RadiationZIACP010132 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI CAHOON, ELIZABETH · 2009 to 2025
$35.2M
NCI NIH HHS HHSN261201400009C
6 · The paper itself

Abstract

Radiation effects on colorectal cancer rates, adjusted for smoking, alcohol intake and frequency of meat consumption and body mass index (BMI) by anatomical subsite (proximal colon, distal colon and rectum) were examined in a cohort of 105,444 atomic bomb survivors. Poisson regression methods were used to describe radiation-associated excess relative risks (ERR) and excess absolute rates (EAR) for the 1958-2009 period. There were 2,960 first primary colorectal cancers including 894 proximal, 871 distal and 1,046 rectal cancers. Smoking, alcohol intake and BMI were associated with subsite-specific cancer background rates. Significant linear dose-responses were found for total colon (sex-averaged ERR/Gy for 70 years old exposed at age 30 = 0.63, 95% confidence interval [CI]: 0.34; 0.98), proximal [ERR = 0.80, 95% CI: 0.32; 1.44] and distal colon cancers [ERR = 0.50, 95% CI: 0.04; 0.97], but not for rectal cancer [ERR = 0.023, 95% CI: -0.081; 0.13]. The ERRs for proximal and distal colon cancers were not significantly different (p = 0.41). The ERR decreased with attained age for total colon, but not for proximal colon cancer, and with calendar year for distal colon cancer. The ERRs and EARs did not vary by age at exposure, except for decreasing trend in EAR for proximal colon cancer. In conclusion, ionizing radiation is associated with increased risk of proximal and distal colon cancers. The ERR for proximal cancer persists over time, but that for distal colon cancer decreases. There continues to be no indication of radiation effects on rectal cancer incidence in this population.

Indexed as

AdolescentAdultAgedAged, 80 and overAge FactorsAlcohol DrinkingAtomic Bomb SurvivorsBody Mass IndexChildChild, PreschoolColonColonic NeoplasmsDose-Response Relationship, RadiationFemaleFollow-Up StudiesHumanscolorectal cancerdistal colonionizing radiationproximal colonradiation risk

Identifiers

PMID30873589
PMCPMC6916284
OpenAlexW2921559577

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.