Evidence map›Paper›PMID 31455888›Full record

ReviewNature reviews. Gastroenterology & hepatology2019

Global burden of colorectal cancer: emerging trends, risk factors and prevention strategies.

NaNa Keum, Edward Giovannucci

5 registry-linked trialsAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Gastroenterology & hepatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 1,539 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,539citing papers in PubMed, 6 pooled it
–field-weighted citation impact
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.

NCT05590117 early_phase1unknown statusnot on this mapstarted 2022, after this paper: background citation

The Possible Protective Effect of Pentoxifylline Against Chemotherapy Induced Toxicities in Patients With Colorectal Cancer

TypeinterventionalSponsorTanta UniversityRan2022 to 2024Enrolled48ConditionsColo-rectal Cancer, Neuropathy, Peripheral, MucositisArmsPentoxifylline, Placebo, FOLFOX-6 regimen
NCT05732623 recruitingnot on this mapstarted 2022, after this paper: background citation

Diet obEsity sMoking Epigenetics geneTics biomaRkers Physical Activity: An International Multicenter Case-control Study on Endogenous and Exogenous Risk Factors in Early-onset Colorectal Cancer

Typeobservational_patient_registrySponsorSan Raffaele UniversityRan2022 to 2035Enrolled2,300ConditionsColorectal Cancer, Early Onset Colorectal Cancer, Diet Habit, Risk ReductionArmsSemi Quantitative Food Frequency Questionnaire (SQFFQ)
NCT06342401 recruitingnot on this mapstarted 2023, after this paper: background citation

Development and Validation fo an Exosome-Based and Machine Learning Powered Liquid Biopsy for the Detection of Early-Onset Colorectal Cancer

TypeobservationalSponsorCity of Hope Medical CenterRan2023 to 2028Enrolled400ConditionsColorectal Cancer, Colorectal Neoplasms, Colorectal Adenocarcinoma, Colorectal Cancer Stage IArmsENCODE
NCT06704646 completednot on this map

Predictors of One-Year Mortality After Curative Surgery in Patients Aged 80 Years or Older With Non-Metastatic Colorectal Cancer

TypeobservationalSponsorNational Taiwan University HospitalRan2014 to 2020Enrolled310ConditionsColorectal CancerArmsCurative intent surgery
NCT07224789 recruitingnot on this mapstarted 2025, after this paper: background citation

Liquid Biopsy for Early Detection of Colorectal Cancer Using Circular RNA

TypeobservationalSponsorCity of Hope Medical CenterRan2025 to 2028Enrolled600ConditionsColorectal CancerArmscf-circRNA assay
3 · Its place in the literature

Who cites it

1,539 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Guideline
  5. Pooled it
  6. Pooled it
  7. Review
  8. Article
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  11. The intersection of colorectal cancer and cardiovascular disease: shared mechanisms and clinical implications.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  12. Article
  13. Article
  14. Article
  15. Network temperature and stability of symptom clusters in colorectal cancer patients undergoing adjuvant chemotherapy: a prospective longitudinal study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Observational
  16. Article
  17. Article
  18. Article
  19. Review
  20. Review

1,479 more citing papers are in PubMed but not listed here.

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

2 authors.

NaNa KeumDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Edward GiovannucciDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA. egiovann@hsph.harvard.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Globally, colorectal cancer (CRC) is the third most commonly diagnosed malignancy and the second leading cause of cancer death. Arising through three major pathways, including adenoma-carcinoma sequence, serrated pathway and inflammatory pathway, CRC represents an aetiologically heterogeneous disease according to subtyping by tumour anatomical location or global molecular alterations. Genetic factors such as germline MLH1 and APC mutations have an aetiologic role, predisposing individuals to CRC. Yet, the majority of CRC is sporadic and largely attributable to the constellation of modifiable environmental risk factors characterizing westernization (for example, obesity, physical inactivity, poor diets, alcohol drinking and smoking). As such, the burden of CRC is shifting towards low-income and middle-income countries as they become westernized. Furthermore, the rising incidence of CRC at younger ages (before age 50 years) is an emerging trend. This Review provides a comprehensive summary of CRC epidemiology, with emphasis on modifiable lifestyle and nutritional factors, chemoprevention and screening. Overall, the optimal reduction of CRC incidence and mortality will require concerted efforts to reduce modifiable risk factors, to leverage chemoprevention research and to promote population-wide and targeted screening.

Indexed as

Age FactorsAge of OnsetAspirinCalciumCarcinogenesisColorectal NeoplasmsDietEarly Detection of CancerGenetic Predisposition to DiseaseHumansIncidenceLife StyleRisk FactorsSex FactorsAspirinCalcium

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.