Evidence map›Paper›PMID 32362277›Full record

ArticleBMC cancer2020

A population-based survey to assess the association between cannabis and quality of life among colorectal cancer survivors.

Susan L Calcaterra, Andrea N Burnett-Hartman, J David Powers, Douglas A Corley, Carmit M McMullen, Pamala A Pawloski, Heather Spencer Feigelson

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
1.9field-weighted citation impact, top 16% 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

15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Cannabis use among cancer survivors: a systematic review and meta-analysis.Archives of public health = Archives belges de sante publique · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Post-diagnosis cannabis use and its association with health status and quality of life in cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  5. Article
  6. Article
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  8. Cannabis use among Danish patients with cancer: a cross-sectional survey of sociodemographic traits, quality of life, and patient experiences.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  9. The association of bowel function, participation in life activities, and quality of life in rectal cancer survivors.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
    Article
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  15. High Doses of ΔClinical drug investigation · 2020
    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

7 authors at 5 institutions in 1 country.

Susan L CalcaterraDivision of General Internal Medicine, Department of Medicine, University of Colorado School of Medicine, 8th Floor, Academic Office 1 Mailstop B180, 12631 E 17th Ave, Aurora, CO, 80045, USA. susan.calcaterra@cuanschutz.edu.
Andrea N Burnett-HartmanInstitute for Health Research, Kaiser Permanente Colorado, Denver, Colorado, USA.
J David PowersInstitute for Health Research, Kaiser Permanente Colorado, Denver, Colorado, USA.
Douglas A CorleyDepartment of Gastroenterology, Kaiser Permanente San Francisco, San Francisco, California, USA.
Carmit M McMullenCenter for Health Research, Kaiser Permanente, Portland, Oregon, USA.
Pamala A PawloskiHealthPartners Institute, Bloomington, Minnesota, USA.
Heather Spencer FeigelsonInstitute for Health Research, Kaiser Permanente Colorado, Denver, Colorado, USA.
Kaiser Permanente · USHealthPartners · USKaiser Permanente Center for Health Research · USKaiser Permanente San Francisco Medical Center · USUniversity of Colorado Denver · US

Funding

Understanding Factors that Limit Access to Opioid Use Disorder Treatment in the Hospital to Inform Innovative Approaches to Expand Hospital-Based TreatmentK08DA049905 · NIDA · UNIVERSITY OF COLORADO DENVER · PI CALCATERRA, SUSAN L · 2020 to 2024
$945k
NIDA NIH HHS K08 DA049905Patient-Centered Outcomes Research Institute CDRN-1306-04681
6 · The paper itself

Abstract

backgroundAs more states legalize cannabis for medical and recreational use, people increasingly use cannabis to treat medical conditions and associated symptoms. The prevalence and utility of cannabis for cancer-related symptoms may be clarified by examining cannabis use among patients with a common cancer diagnosis. We aimed to determine the prevalence of cannabis use among colorectal cancer (CRC) survivors and its associations with quality of life (QoL) and cancer-related symptomatology.

methodsA cross-sectional survey of patient-reported QoL outcomes and behaviors, including cannabis use, was conducted within the Patient Outcomes To Advance Learning network's (PORTAL) CRC Cohort. The cohort included a population-based sample of healthcare system members ≥18 years old diagnosed with adenocarcinoma of the colon or rectum from 2010 through 2016. We assessed the association between cannabis use and QoL using the European Organization for Research and Treatment of Cancer QLQ-C30 summary score.

resultsOf the 1784 respondents, 293 (16.4%) reported cannabis use following CRC diagnosis. Current tobacco smokers were more likely to use cannabis compared to former or never tobacco smokers (adjusted odds ratio [aOR] 2.71, 95% confidence interval [CI] 1.56 to 4.70). Greater alcohol use (> 4 drinks per month versus ≤4 drinks per month) was associated with cannabis use (aOR 2.17, 95% CI 1.65 to 2.85). There was an association between cannabis use and cancer stage at diagnosis, with stage 3 or 4 CRC patients more likely to use cannabis than stage 1 or 2 CRC patients (aOR 1.68, 95% CI 1.25 to 2.25). After adjusting for demographics, medical comorbidities, stage and site of CRC diagnosis, and prescription opioid use, people who used cannabis had significantly lower QoL than people who did not use cannabis (difference of - 6.14, 95% CI - 8.07 to - 4.20).

conclusionAmong CRC survivors, cannabis use was relatively common, associated with more advanced stages of disease, associated with tobacco and alcohol use, and not associated with better QoL. Clinicians should inquire about cannabis use among their patients and provide evidence-based recommendations for cancer-related symptoms.

Indexed as

AdolescentAdultAgedCancer SurvivorsColorectal NeoplasmsCross-Sectional StudiesFemaleFollow-Up StudiesHumansMaleMedical MarijuanaMiddle AgedPrognosisQuality of LifeRetrospective StudiesSurveys and QuestionnairesMedical MarijuanaCannabisColorectal cancerFunctional statusQuality-of-lifeSymptomology

Identifiers

PMID32362277
PMCPMC7197173
OpenAlexW3021306991

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.