Evidence map›Paper›PMID 32918621›Full record

ArticleInternational journal of colorectal disease2021

Colorectal cancer in Crohn's colitis is associated with advanced tumor invasion and a poorer survival compared with ulcerative colitis: a retrospective dual-center study.

Leonie E Vetter, Susanne Merkel, Alan Bénard, Christian Krautz, Maximilian Brunner, Anke Mittelstädt, Nicolas Schlegel, Armin Wiegering, Christoph-Thomas Germer, Klaus Weber and 2 more

Open access · hybridAbstract read
In one paragraph

Article in International journal of colorectal disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

9 citing papers in PubMed, 16 citations in OpenAlex.

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  8. Clinicopathological and molecular landscape in colorectal cancer associated with colorectal polyps and inflammatory bowel disease.Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie
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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

12 authors at 2 institutions in 1 country.

Leonie E VetterDepartment of Surgery, Friedrich-Alexander-University Erlangen, Krankenhausstraße 12, 91054, Erlangen, Germany.
Susanne MerkelDepartment of Surgery, Friedrich-Alexander-University Erlangen, Krankenhausstraße 12, 91054, Erlangen, Germany.
Alan BénardDepartment of Surgery, Friedrich-Alexander-University Erlangen, Krankenhausstraße 12, 91054, Erlangen, Germany.
Christian KrautzDepartment of Surgery, Friedrich-Alexander-University Erlangen, Krankenhausstraße 12, 91054, Erlangen, Germany.
Maximilian BrunnerDepartment of Surgery, Friedrich-Alexander-University Erlangen, Krankenhausstraße 12, 91054, Erlangen, Germany.
Anke MittelstädtDepartment of Surgery, Friedrich-Alexander-University Erlangen, Krankenhausstraße 12, 91054, Erlangen, Germany.
Nicolas SchlegelDepartment of General, Visceral, Transplant, Vascular and Pediatric Surgery, Julius-Maximilians-University Würzburg, Oberdürrbacher Straße 6, 97080, Würzburg, Germany.
Armin WiegeringDepartment of General, Visceral, Transplant, Vascular and Pediatric Surgery, Julius-Maximilians-University Würzburg, Oberdürrbacher Straße 6, 97080, Würzburg, Germany.
Christoph-Thomas GermerDepartment of General, Visceral, Transplant, Vascular and Pediatric Surgery, Julius-Maximilians-University Würzburg, Oberdürrbacher Straße 6, 97080, Würzburg, Germany.
Klaus WeberDepartment of Surgery, Friedrich-Alexander-University Erlangen, Krankenhausstraße 12, 91054, Erlangen, Germany.
Robert GrützmannDepartment of Surgery, Friedrich-Alexander-University Erlangen, Krankenhausstraße 12, 91054, Erlangen, Germany.
Georg F WeberDepartment of Surgery, Friedrich-Alexander-University Erlangen, Krankenhausstraße 12, 91054, Erlangen, Germany. georg.weber@uk-erlangen.de.ORCID http://orcid.org/0000-0003-1175-4505
Friedrich-Alexander-Universität Erlangen-Nürnberg · DEUniversity of Würzburg · DE

Funding

Deutsche Forschungsgemeinschaft WE4892/4-1
6 · The paper itself

Abstract

purposeColorectal cancer is a well-recognized complication of inflammatory bowel diseases (IBD), such as ulcerative colitis (UC) and Crohn's colitis (CC). In this study, we assess the clinico-pathological features and outcomes of patients with colorectal cancer from UC in comparison with CC.

methodsData of all patients with colitis-associated cancer (CAC) who underwent surgery at Erlangen or Würzburg University Clinic between 1995 and 2015 were selected. Clinical, histopathological, and survival data were analyzed retrospectively.

resultsOf all 88 patients with CAC, 20 patients had Crohn's colitis and 68 patients had ulcerative colitis. We observed a young median age at tumor diagnosis (49.5 years UC; 45.5 years CC, p = 0.208) in both diseases and a long median disease duration before CAC (19 years UC; 18 years CC; p = 0.840). Patients with CC suffered more often from rectal cancer (14 (70.0%) in CC; 23 (33.8%) in UC; p = 0.005) and advanced tumor stages (8 (47.0%) pT4 in CC; 14 (25.0%) pT4/ypT4 in UC; p = 0.008). Five-year overall survival rate was 39.3% for CC and 67.1% for UC (p = 0.009 for difference between the groups). Survival did not differ significantly between UC and CC in the multivariate analysis after correction for UICC tumor stage.

conclusionCAC in CC showed advanced tumor stages associated with reduced survival compared with CAC in UC. This may be explained by less intense surveillance in patients with CC leading to delayed cancer diagnosis.

Indexed as

Colitis, UlcerativeCrohn DiseaseInflammatory Bowel DiseasesRectal NeoplasmsHumansRetrospective StudiesColorectal cancerCrohn’s colitisUlcerative colitis

Identifiers

PMID32918621
PMCPMC7782386
OpenAlexW3085093090

What OpenQuestion holds

Textmetadata
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.