Evidence map›Paper›PMID 31290073›Full record

ArticleCancer causes & control : CCC2019

The association between colorectal sessile serrated adenomas/polyps and subsequent advanced colorectal neoplasia.

Andrea N Burnett-Hartman, Jessica Chubak, Xinwei Hua, Rebecca Ziebell, Aruna Kamineni, Lee-Ching Zhu, Melissa P Upton, Rachel C Malen, Sheetal Hardikar, Polly A Newcomb

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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.7field-weighted citation impact, top 27% 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, 12 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. [Korean Guidelines for Postpolypectomy Colonoscopic Surveillance: 2022 Revised Edition].The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2022
    Review
  5. Article
  6. Article
  7. 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

10 authors at 4 institutions in 1 country.

Andrea N Burnett-HartmanKaiser Permanente Colorado Institute for Health Research, 2550 S. Parker Rd, Aurora, CO, USA. Andrea.N.Burnett-Hartman@kp.org.
Jessica ChubakKaiser Permanente Washington Health Research Institute, Seattle, WA, USA.
Xinwei HuaFred Hutchinson Cancer Research Center, Seattle, WA, USA.
Rebecca ZiebellKaiser Permanente Washington Health Research Institute, Seattle, WA, USA.
Aruna KamineniKaiser Permanente Washington Health Research Institute, Seattle, WA, USA.
Lee-Ching ZhuKaiser Permanente Washington Health Research Institute, Seattle, WA, USA.
Melissa P UptonUniversity of Washington, School of Medicine, Seattle, WA, USA.
Rachel C MalenFred Hutchinson Cancer Research Center, Seattle, WA, USA.
Sheetal HardikarFred Hutchinson Cancer Research Center, Seattle, WA, USA.
Polly A NewcombFred Hutchinson Cancer Research Center, Seattle, WA, USA.
Kaiser Permanente Washington Health Research Institute · USFred Hutch Cancer Center · USUniversity of Washington · USParker Hannifin (United States) · US

Funding

Colon Cancer Pathways: Hyperplastic Polyps and AdenomasR01CA097325 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI NEWCOMB, POLLY A · 2004 to 2009
$2.7M
A Cohort Study of Sessile Serrated Polyps and Subsequent Colorectal NeoplasiaR01CA168338 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI NEWCOMB, POLLY A · 2013 to 2016
$2.6M
Training and Research in Colon Cancer SurvivalK05CA152715 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI NEWCOMB, POLLY A · 2010 to 2019
$991k
Diabetes, Medications and the Cost-Effectiveness of Screening for Colorectal NeoplasiaK07CA222060 · NCI · UNIVERSITY OF UTAH · PI HARDIKAR, SHEETAL · 2018 to 2022
$791k
COLON CANCER PREVENTION RESEARCH UNITP01CA050305 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI ELMER, PATRICIA J · 1990 to 1994
–
NCI NIH HHS K05 CA152715NCI NIH HHS K07 CA222060NCI NIH HHS P01 CA050305NCI NIH HHS R01 CA097325NCI NIH HHS R01 CA168338
6 · The paper itself

Abstract

purposeColorectal cancer (CRC) screening guidelines recommend increased surveillance of individuals with sessile serrated adenomas/polyps (SSA/Ps), but there is uncertainty about the risk associated with SSA/Ps. We aimed to determine the association between SSA/Ps and subsequent advanced colorectal neoplasia.

methodsThis case-control study included Kaiser Permanente Washington (KPWA) members who received an index colonoscopy between 1/1/1998 and 12/31/2007, and had hyperplastic polyps (HPs) or SSA/Ps but no conventional adenomas according to study pathologist histologic review. Subsequent pathology reports and biopsies through 1/1/2013 were reviewed for advanced colorectal neoplasia. We linked to the Seattle-Puget Sound Surveillance Epidemiology and End Results (SEER) registry to identify additional CRC cases. We used generalized estimating equations with a logit link to estimate adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for advanced colorectal neoplasia, comparing those with SSA/Ps to those with HPs.

resultsThere were 161 individuals with index SSA/Ps, 548 with HPs, and 918 subsequent endoscopies included in analyses. Of those with index SSA/Ps, 19 had subsequent advanced colorectal neoplasia; 39 with HPs had subsequent advanced colorectal neoplasia. Compared to those with HPs, those with SSA/Ps were not statistically significantly more likely to have subsequent advanced colorectal neoplasia (adjusted OR 1.79; CI 0.98-3.28). Polyp size ≥ 10 mm, right colon location, and the presence of multiple serrated polyps were also not associated with advanced colorectal neoplasia.

conclusionsOur results suggest that there is not a strong association between SSA/Ps and subsequent advanced colorectal neoplasia during the 5 years following SSA/P removal.

Indexed as

AdenomaAdultAgedBiopsyCase-Control StudiesColonic PolypsColonoscopyColorectal NeoplasmsEarly Detection of CancerFemaleHumansMaleMiddle AgedOdds RatioColonoscopyColorectal cancerScreeningSessile serrated adenoma/polypSurveillance

Identifiers

PMID31290073
PMCPMC6736607
OpenAlexW2962547971

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.