Evidence map›Paper›PMID 32337058›Full record

ArticleBMJ open gastroenterology2020

Risk of colorectal cancer in a population-based study 20 years after diagnosis of ulcerative colitis: results from the IBSEN study.

Pasquale Klepp, Stephan Brackmann, Milada Cvancarova, Marte Lie Hoivik, Øistein Hovde, Magne Henriksen, Gert Huppertz-Hauss, Tomm Bernklev, Ole Hoie, Iril Kempski-Monstad and 5 more

Abstract read
In one paragraph

Article in BMJ open gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 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.

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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

15 authors.

Pasquale KleppUnger-Vetlesen Institute, Lovisenberg Diakonale Hospital, Oslo, Norway.ORCID 0000-0002-0477-691X
Stephan BrackmannDepartment of Gastroenterology, Akershus University Hospital, Lorenskog, Norway.
Milada CvancarovaDepartment of Gastroenterology, Oslo University Hospital, Oslo, Norway.
Marte Lie HoivikDepartment of Gastroenterology, Oslo University Hospital, Oslo, Norway.
Øistein HovdeFaculty of Medicine, Institute for Clinical Medicine, University of Oslo, Oslo, Norway.
Magne HenriksenDepartment of Gastroenterology, Østfold Hospital Trust, Gralum, Kalnes, Norway.
Gert Huppertz-HaussDepartment of Gastroenterology, Telemark Hospital, Ulefossveien, Skien, Norway.
Tomm BernklevFaculty of Medicine, Institute for Clinical Medicine, University of Oslo, Oslo, Norway.
Ole HoieDepartment of Internal Medicine, Sørlandet Hospital, Sykehusveien, Arendal, Norway.
Iril Kempski-MonstadDepartment of Internal Medicine, Lovisenberg Diakonale Hospital, Oslo, Norway.ORCID 0000-0002-0803-9503
Inger Camilla SolbergDepartment of Gastroenterology, Oslo University Hospital, Oslo, Norway.
Njaal StrayDepartment of Internal Medicine, Diakonhjemmet Hospital, Oslo, Norway.
Jorgen JahnsenDepartment of Gastroenterology, Akershus University Hospital, Lorenskog, Norway.
Morten H VatnFaculty of Medicine, Institute for Clinical Medicine, University of Oslo, Oslo, Norway.
Bjorn MoumDepartment of Gastroenterology, Oslo University Hospital, Oslo, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The association between ulcerative colitis (UC) and colorectal cancer (CRC) is widely accepted, although attenuated risk has been reported in recent years. Colonoscopic surveillance is recommended with intervals based on established clinical risk factors. Nevertheless, a significant number of patients develop interval cancers, indicating the need of improved individualised assessment. In the present study, we evaluated clinical risk factors associated with CRC during a prescheduled follow-up 20 years after diagnosis, the IBSEN study. Design: A population-based inception cohort of patients diagnosed with inflammatory bowel disease from 1 January 1990 until 31 December 1993, prospectively followed at 1, 5, 10 and 20 years after diagnosis. A total of 517 patients with UC were included; 264 (51 %) men; median age at inclusion 37.4 years (4-88). Results: The overall incidence of CRC was 1.6% (8/517) at a 20-year follow-up. The total lifetime risk of CRC prior to or after UC diagnosis was 2.3%. (12/517). Patients older than 70 years at diagnosis had a 15-fold higher risk of CRC compared with those diagnosed when younger than 40 years, with HR 15.68 (95% CI: 1.31 to 187.92). Neither sex, first-degree relative with CRC, extent of colitis nor primary sclerosing cholangitis affected the risk of CRC. Conclusion: The risk of CRC in UC was low and comparable with the risk of CRC in the background population of Norway.

Indexed as

Colitis, UlcerativeColorectal NeoplasmsInflammatory Bowel DiseasesColonoscopyHumansIncidenceMalecancer epidemiologycolorectal cancerulcerative colitis

Identifiers

PMID32337058
PMCPMC7170403

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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.