Evidence map›Paper›PMID 32507936›Full record

ReviewFamilial cancer2021

Chemoprevention in familial adenomatous polyposis: past, present and future.

Phillip M Kemp Bohan, Gautam Mankaney, Timothy J Vreeland, Robert C Chick, Diane F Hale, Jessica L Cindass, Annelies T Hickerson, Daniel C Ensley, Vance Sohn, G Travis Clifton and 2 more

Open access · bronzeAbstract readReview
In one paragraph

Review in Familial cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 8% 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

34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Primary and Secondary Prevention Interventions to Reduce Risk Factors Associated with Colorectal Cancer in High-Risk Groups: a Systematic Literature Review.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023
    Pooled it
  2. Pooled it
  3. Trial
  4. Identification, design, andFrontiers in immunology · 2026
    Article
  5. Review
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  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Update on Surgical Management of FAP.Clinics in colon and rectal surgery · 2023
    Review
  19. Review
  20. Predicting Duodenal Cancer Risk in Patients with Familial Adenomatous Polyposis Using Machine Learning Model.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2023
    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

12 authors at 3 institutions in 1 country.

Phillip M Kemp BohanDepartment of Surgery, Brooke Army Medical Center, 3551 Roger Brooke Dr., Ft Sam Houston, TX, 78234, USA. phillip.m.kempbohan.mil@mail.mil.ORCID 0000-0003-1240-3889
Gautam MankaneyDepartment of Gastroenterology, Hepatology, and Nutrition, Cleveland Clinic, Cleveland, OH, USA.
Timothy J VreelandDepartment of Surgery, Brooke Army Medical Center, 3551 Roger Brooke Dr., Ft Sam Houston, TX, 78234, USA.
Robert C ChickDepartment of Surgery, Brooke Army Medical Center, 3551 Roger Brooke Dr., Ft Sam Houston, TX, 78234, USA.
Diane F HaleDepartment of Surgery, Brooke Army Medical Center, 3551 Roger Brooke Dr., Ft Sam Houston, TX, 78234, USA.
Jessica L CindassDepartment of Surgery, Brooke Army Medical Center, 3551 Roger Brooke Dr., Ft Sam Houston, TX, 78234, USA.
Annelies T HickersonDepartment of Surgery, Brooke Army Medical Center, 3551 Roger Brooke Dr., Ft Sam Houston, TX, 78234, USA.
Daniel C EnsleyDepartment of Urology, Brooke Army Medical Center, Ft. Sam Houston, TX, USA.
Vance SohnDepartment of Surgery, Madigan Army Medical Center, Joint Base Lewis-McChord, Tacoma, WA, USA.
G Travis CliftonDepartment of Surgery, Brooke Army Medical Center, 3551 Roger Brooke Dr., Ft Sam Houston, TX, 78234, USA.
George E PeoplesCancer Vaccine Development Program, San Antonio, TX, USA.
Carol A BurkeDepartment of Gastroenterology, Hepatology, and Nutrition, Cleveland Clinic, Cleveland, OH, USA.
Brooke Army Medical Center · USCleveland Clinic · USMadigan Army Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Familial adenomatous polyposis (FAP) is a hereditary colorectal cancer syndrome characterized by colorectal adenomas and a near 100% lifetime risk of colorectal cancer (CRC). Prophylactic colectomy, usually by age 40, is the gold-standard therapy to mitigate this risk. However, colectomy is associated with morbidity and fails to prevent extra-colonic disease manifestations, including gastric polyposis, duodenal polyposis and cancer, thyroid cancer, and desmoid disease. Substantial research has investigated chemoprevention medications in an aim to prevent disease progression, postponing the need for colectomy and temporizing the development of extracolonic disease. An ideal chemoprevention agent should have a biologically plausible mechanism of action, be safe and easily tolerated over a prolonged treatment period, and produce a durable and clinically meaningful effect. To date, no chemoprevention agent tested has fulfilled these criteria. New agents targeting novel pathways in FAP are needed. Substantial preclinical literature exists linking the molecular target of rapamycin (mTOR) pathway to FAP. A single case report of rapamycin, an mTOR inhibitor, used as chemoprevention in FAP patients exists, but no formal clinical studies have been conducted. Here, we review the prior literature on chemoprevention in FAP, discuss the rationale for rapamycin in FAP, and outline a proposed clinical trial testing rapamycin as a chemoprevention agent in patients with FAP.

Indexed as

Adenomatous Polyposis ColiAntibiotics, AntineoplasticAnti-Inflammatory Agents, Non-SteroidalAscorbic AcidAspirinCapsulesCelecoxibChemopreventionCyclooxygenase 2Cyclooxygenase 2 InhibitorsDrug Therapy, CombinationEflornithineErlotinib HydrochlorideFatty Acids, NonesterifiedGenes, APCHumansAntibiotics, AntineoplasticAnti-Inflammatory Agents, Non-SteroidalAscorbic AcidAspirinCapsulesCelecoxibCyclooxygenase 2Cyclooxygenase 2 InhibitorsEflornithineErlotinib HydrochlorideFatty Acids, NonesterifiedMTOR protein, humanSirolimusSulindacTOR Serine-Threonine KinasesVitaminsChemopreventionColorectal cancerFamilial adenomatous polyposisMammalian target of rapamycinRapamycin

Identifiers

PMID32507936
PMCPMC7276278
OpenAlexW3033600144

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.