Evidence map›Paper›PMID 33317113›Full record

ArticleCancers2020

Inflammation Is a Mediating Factor in the Association between Lifestyle and Fatigue in Colorectal Cancer Patients.

Evertine Wesselink, Harm van Baar, Moniek van Zutphen, Meilissa Tibosch, Ewout A Kouwenhoven, Eric T P Keulen, Dieuwertje E Kok, Henk K van Halteren, Stephanie O Breukink, Johannes H W de Wilt and 9 more

Abstract read
In one paragraph

Article in Cancers, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 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

13 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Determinants of healthy lifestyle behaviours in colorectal cancer survivors: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Pooled it
  3. Risk factors for cancer-related fatigue in patients with colorectal cancer: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Pooled it
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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

19 authors.

Evertine WesselinkDivision of Human Nutrition and Health, Wageningen University, 6708 WE Wageningen, The Netherlands.ORCID 0000-0001-9347-7913
Harm van BaarDivision of Human Nutrition and Health, Wageningen University, 6708 WE Wageningen, The Netherlands.
Moniek van ZutphenDivision of Human Nutrition and Health, Wageningen University, 6708 WE Wageningen, The Netherlands.
Meilissa TiboschDivision of Human Nutrition and Health, Wageningen University, 6708 WE Wageningen, The Netherlands.
Ewout A KouwenhovenDepartment of Surgery, Ziekenhuis Groep Twente, 7600 SZ Almelo, The Netherlands.
Eric T P KeulenDepartment of Gastroenterology, Zuyderland Medical Centre, 6162 BG Sittard-Geleen, The Netherlands.
Dieuwertje E KokDivision of Human Nutrition and Health, Wageningen University, 6708 WE Wageningen, The Netherlands.ORCID 0000-0001-7154-8207
Henk K van HalterenDepartment of Internal Medicine, Admiraal de Ruyter Ziekenhuis, 4462 RA Goes, The Netherlands.
Stephanie O BreukinkDepartment of Surgery, Maastricht University Medical Center, 6229 HX Maastricht, The Netherlands.
Johannes H W de WiltDepartment of Surgery, Radboud University Medical Centre, 6500 HB Nijmegen, The Netherlands.
Matty P WeijenbergDepartment of Epidemiology, GROW-School for Oncology and Developmental Biology, Maastricht University, 6200 MD Maastricht, The Netherlands.
Marlou-Floor KenkhuisDepartment of Epidemiology, GROW-School for Oncology and Developmental Biology, Maastricht University, 6200 MD Maastricht, The Netherlands.
Michiel G J BalversDivision of Human Nutrition and Health, Wageningen University, 6708 WE Wageningen, The Netherlands.
Renger F WitkampDivision of Human Nutrition and Health, Wageningen University, 6708 WE Wageningen, The Netherlands.ORCID 0000-0002-7935-8261
Fränzel J B van DuijnhovenDivision of Human Nutrition and Health, Wageningen University, 6708 WE Wageningen, The Netherlands.
Ellen KampmanDivision of Human Nutrition and Health, Wageningen University, 6708 WE Wageningen, The Netherlands.
Sandra BeijerDepartment of Research & Development, Netherlands Comprehensive Cancer Organisation (IKNL), 3511 DT Utrecht, The Netherlands.ORCID 0000-0002-2510-8179
Martijn J L BoursDepartment of Epidemiology, GROW-School for Oncology and Developmental Biology, Maastricht University, 6200 MD Maastricht, The Netherlands.
Renate M WinkelsDivision of Human Nutrition and Health, Wageningen University, 6708 WE Wageningen, The Netherlands.ORCID 0000-0002-0376-8811

Funding

Alpe d`Huzes / KWF Kankerbestrijding (NL) UM2010-4867Alpe d`Huzes / KWF Kankerbestrijding (NL) UM 2012-5653Alpe d`Huzes / KWF Kankerbestrijding (NL) UW 2013-5927Alpe d`Huzes / KWF Kankerbestrijding (NL) UW 2015-7946Kankeronderzoeksfonds Limburg 00005739TRANSCAN:KWF Kankerbestrijding (NL) UW2013-6397TRANSCAN:KWF Kankerbestrijding (NL) UW2014-6877Wereld Kanker Onderzoeks Fonds 2014/1179
6 · The paper itself

Abstract

Fatigue is very common among colorectal cancer (CRC) patients. We examined the association between adherence to the World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) lifestyle recommendations and fatigue among stage I-III CRC patients, and whether inflammation mediated this association. Data from two prospective cohort studies were used. Adherence to the WCRF/AICR recommendations was expressed as a score ranging from 0-7, and assessed shortly after diagnosis. Six months post-diagnosis, fatigue was assessed with the European Organization for Research and Treatment of Cancer quality of life questionnaire C30 (EORTC QLQ-C30), and in a subpopulation, the plasma levels of inflammation markers (IL6, IL8, TNFα, and hsCRP) were assessed. Multiple linear regression analyses were performed to investigate the association between adherence to the WCRF/AICR recommendations and fatigue. To test mediation by inflammation, the PROCESS analytic tool developed by Hayes was used. A higher WCRF/AICR adherence score was associated with less fatigue six months after diagnosis (

Indexed as

colorectal cancerfatigueinflammation markerslifestylemediation analyses

Identifiers

PMID33317113
PMCPMC7763620

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Registered trials

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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.