Evidence map›Paper›PMID 32050436›Full record

ArticleJournal of clinical medicine2020

Strength of the Association of Elevated Vitamin B12 and Solid Cancers: An Adjusted Case-Control Study.

Geoffrey Urbanski, Jean-François Hamel, Benoît Prouveur, Cédric Annweiler, Alaa Ghali, Julien Cassereau, Pierre Lozac'h, Christian Lavigne, Valentin Lacombe

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

18 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Elevated BBlood neoplasia · 2025
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Observational
  12. Review
  13. Review
  14. Article
  15. Observational
  16. Is There a Carcinogenic Risk Attached to Vitamin BMolecular nutrition & food research · 2021
    Review
  17. Evolution of plasma vitamin BArchives of medical science : AMS · 2021
    Article
  18. 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

9 authors at 1 institution in 1 country.

Geoffrey UrbanskiDepartment of Internal Medicine, Angers University Hospital, 49933 Angers, France.ORCID 0000-0001-5719-8423
Jean-François HamelDepartment of Biostatistics and Methodology, Angers University Hospital, 49933 Angers, France.
Benoît ProuveurDepartment of Internal Medicine, Angers University Hospital, 49933 Angers, France.
Cédric AnnweilerDepartment of Geriatric Medicine and Memory Clinic, Angers University Hospital, 49933 Angers, France.ORCID 0000-0002-7199-8109
Alaa GhaliDepartment of Internal Medicine, Angers University Hospital, 49933 Angers, France.
Julien CassereauDepartment of Neurology, Angers University Hospital, 49933 Angers, France.
Pierre Lozac'hDepartment of Internal Medicine, Angers University Hospital, 49933 Angers, France.
Christian LavigneDepartment of Internal Medicine, Angers University Hospital, 49933 Angers, France.ORCID 0000-0002-2538-0076
Valentin LacombeDepartment of Internal Medicine, Angers University Hospital, 49933 Angers, France.
Université d'Angers · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The association between elevated plasma vitamin B12 (B12) level and solid cancers has been documented by two national registries. However, their design did not allow for the adjustment for other conditions associated with elevated B12. The objectives of this study were to confirm this association after the adjustment for all causes of elevated B12, and to study the variations according to the increasing B12 level, the type of cancers, and the presence of metastases. We compared 785 patients with B12 ≥ 1000 ng/L with 785 controls matched for sex and age with B12 < 1000 ng/L. Analyses were adjusted for the causes of elevated B12: myeloid blood malignancies, acute or chronic liver diseases, chronic kidney failure, autoimmune or inflammatory diseases, and excessive B12 supplementation. A B12 ≥ 1000 ng/L was associated with the presence of solid cancer without metastases (OR 1.96 [95%CI: 1.18 to 3.25]) and with metastases (OR 4.21 [95%CI: 2.67 to 6.64]) after adjustment for all elevated B12-related causes. The strength of the association rose with the increasing B12 level, in particular in cases of metastases. No association between liver cancers and elevated B12 level was found after adjustment for chronic liver diseases. In conclusion, unexplained elevated B12 levels should be examined as a possible marker of solid cancer.

Indexed as

biomarkerscase-control studyneoplasm metastasisneoplasmsvitamin B12

Identifiers

PMID32050436
PMCPMC7073937
OpenAlexW3005006106

What OpenQuestion holds

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LicenceCC BY
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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.