Evidence map›Paper›PMID 32029911›Full record

SynthesisEuropean journal of clinical nutrition2020

Processed meat intake and incidence of colorectal cancer: a systematic review and meta-analysis of prospective observational studies.

M N Händel, J F Rohde, R Jacobsen, S M Nielsen, R Christensen, D D Alexander, P Frederiksen, B L Heitmann

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European journal of clinical nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 4 pooled it
7.0field-weighted citation impact, top 2% 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

23 citing papers in PubMed, 4 syntheses or guidelines pooled it, 51 citations in OpenAlex.

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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

8 authors at 4 institutions in 3 countries.

M N HändelThe Parker Institute, Bispebjerg and Frederiksberg Hospital, Frederiksberg, Denmark. mina.nicole.holmgaard.handel@regionh.dk.ORCID http://orcid.org/0000-0001-8256-8756
J F RohdeThe Parker Institute, Bispebjerg and Frederiksberg Hospital, Frederiksberg, Denmark.
R JacobsenThe Parker Institute, Bispebjerg and Frederiksberg Hospital, Frederiksberg, Denmark.
S M NielsenThe Parker Institute, Bispebjerg and Frederiksberg Hospital, Frederiksberg, Denmark.
R ChristensenThe Parker Institute, Bispebjerg and Frederiksberg Hospital, Frederiksberg, Denmark.
D D AlexanderEpidStat Institute, Ann Arbor, MI, USA.
P FrederiksenThe Parker Institute, Bispebjerg and Frederiksberg Hospital, Frederiksberg, Denmark.
B L HeitmannThe Parker Institute, Bispebjerg and Frederiksberg Hospital, Frederiksberg, Denmark.
Frederiksberg Hospital · DKUniversity of Copenhagen · DKUniversity of Southern Denmark · DKMichigan United · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The objective was to use accumulated evidence to explore the association between processed meat intake and risk of colorectal cancer (CRC) and to investigate the reliability of associations by evaluating patterns of risk by study population characteristics and research quality parameters. We included 29 observational prospective cohort studies with relative risk estimates and 95% confidence intervals for CRC according to various levels of processed meat consumption. Risk of bias was assessed using Risk Of Bias In Non-randomized Studies-of Interventions (ROBINS-I) tool. Data sources were PubMed and Embase up to January 2017. The summary relative risks for high versus low processed meat consumption and risk of CRC, colon, and rectal cancer were 1.13 (95% CI: 1.01, 1.26), 1.19 (95% CI: 1.09, 1.31), and 1.21 (95% CI: 0.98, 1.49), respectively. Similar estimates were observed for the dose-response analyses. Heterogeneity across studies was detected in most analytical models. The overall judgment showed that two out of 29 studies had a moderate risk of bias, 25 had a serious risk of bias, and 2 had a critical risk of bias. The bias domains most often rated critical were bias due to risk of confounding, bias due to missing data, and selective outcome reporting bias. Although this meta-analysis indicates a modest association between processed meat intake and an increased risk of CRC, our assessment of internal validity warrants a cautious interpretation of these results, as most of the included studies were judged to have serious or critical risks of bias.

Indexed as

Colorectal NeoplasmsHumansIncidenceMeatObservational Studies as TopicProspective StudiesReproducibility of ResultsRisk Factors

Identifiers

PMID32029911
OpenAlexW3005527120

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.