Evidence map›Paper›PMID 33853659›Full record

ArticleParasites & vectors2021

Colorectal cancer and Blastocystis sp. infection.

Violetta Sulżyc-Bielicka, Lidia Kołodziejczyk, Małgorzata Adamska, Bogumiła Skotarczak, Sylwia Jaczewska, Krzysztof Safranow, Paweł Bielicki, Józef Kładny, Dariusz Bielicki

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Parasites & vectors, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06379035 (Blastocystis and Cryptosporidium Infection in Colorectal Cancer Patients), which is not on this map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
5.5field-weighted citation impact, top 3% 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.

NCT06379035 unknown statusnot on this mapstarted 2024, after this paper: background citation

Blastocystis and Cryptosporidium Infection in Colorectal Cancer Patients

TypeobservationalSponsorAssiut UniversityRan2024 to 2025Enrolled54ConditionsBlastocystis Infection, Cryptosporidium Infection, Colorectal CancerArmsELISA / PCR
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. Antiprotozoal Effects ofPathogens (Basel, Switzerland) · 2025
    Article
  8. The Role ofPathogens (Basel, Switzerland) · 2025
    Review
  9. Review
  10. Article
  11. An Update onMicroorganisms · 2024
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. The associated risk ofFrontiers in oncology · 2023
    Article
  18. Review
  19. Article
  20. 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

9 authors at 3 institutions in 1 country.

Violetta Sulżyc-BielickaDepartment of Clinical Oncology, Pomeranian Medical University, Szczecin, Poland. violabielicka@icloud.com.ORCID http://orcid.org/0000-0001-7542-1414
Lidia KołodziejczykDepartment of Biology and Medical Parasitology, Pomeranian Medical University, Szczecin, Poland.
Małgorzata AdamskaInstitute of Biology, University of Szczecin, Szczecin, Poland.
Bogumiła SkotarczakInstitute of Biology, University of Szczecin, Szczecin, Poland.
Sylwia JaczewskaEarly Phase Clinical Trial Unit. Maria Sklodowska-Curie Memorial Cancer Centre-Institute of Oncology, Warsaw, Poland.
Krzysztof SafranowDepartment of Biochemistry and Medical Chemistry, Pomeranian Medical University, Szczecin, Poland.
Paweł BielickiDepartment of Radiotherapy, Pomeranian Medical University, Szczecin, Poland.
Józef KładnyDepartment of Oncological Surgery, Pomeranian Medical University, Szczecin, Poland.
Dariusz BielickiDepartment of Gastroenterology, Pomeranian Medical University, Szczecin, Poland.
Pomeranian Medical University · PLUniversity of Szczecin · PLThe Maria Sklodowska-Curie National Research Institute of Oncology · PL

Funding

grant number WLBiML-418-02/S/12/2019, https://www.pum.edu.pl. WLBiML-418-02/S/12/2019
6 · The paper itself

Abstract

backgroundBlastocystis sp. is a common intestinal protozoan found worldwide. Based on gene analysis, 17 subtypes (STs, ST1-ST17) have been identified, 9 of which have been isolated from humans. Differences in clinical consequences may depend on differences among the STs. Here, we evaluated the prevalence of Blastocystis sp. in patients with colorectal cancer (CRC) compared to a control group and assessed the relationships between Blastocystis sp. infection and sex; age; and CRC grade, stage, and location.

methodsThe study included 107 CRC patients (41 women and 66 men, median age 65 years); 124 subjects without colorectal cancer or a history of oncological disease comprised the control group (55 women and 69 men, median age 63). Stool samples were collected from patients before oncological treatment and examined using light microscopy (iodine-stained smear). Additionally, PCR-based identification of Blastocystis sp. was performed in 95 stool samples from CRC patients and 76 stool samples from the control group.

resultsLight microscopy showed that the prevalence of Blastocystis sp. was significantly higher in CRC patients than in the control group (12.15% and 2.42%, respectively; p = 0.0041). Multivariate analysis showed that the odds of Blastocystis sp. infection were fivefold higher in the CRC group than in the control group. PCR-based molecular examinations demonstrated that the proportion of patients infected with Blastocystis sp. was significantly higher in the CRC group than in the control group (12.63% and 2.63%, respectively; p = 0.023). The predominant ST in the CRC group was ST3, detected in nine patients (75%), followed by ST1 (2 patients, 16.7%) and ST2 (1 patient, 8.3%). No association was found between Blastocystis sp. infection and age, sex, or CRC stage, grade, or location.

conclusionsThe results showed that CRC was associated with an increased risk of opportunistic Blastocystis sp. infection, even before oncological treatment. To the best of our knowledge, this is the first report estimating the prevalence of Blastocystis sp. infection in CRC patients before oncological treatment in Europe.

Indexed as

AdultAgedAged, 80 and overAge FactorsBlastocystisBlastocystis InfectionsCase-Control StudiesColorectal NeoplasmsDNA, ProtozoanFecesFemaleHumansMaleMiddle AgedPolymerase Chain ReactionSex FactorsDNA, ProtozoanBlastocystis sp.Colorectal cancerLight microscopyPCRST subtypes

Identifiers

PMID33853659
PMCPMC8048192
OpenAlexW3156345815

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.