Evidence map›Paper›PMID 33931723›Full record

Observational studyScientific reports2021

Risk of cancer development in patients with keloids.

Ying-Yi Lu, Hung-Pin Tu, Chieh-Hsin Wu, Chien-Hui Hong, Kuo-Chia Yang, Hui-Ju Yang, Kee-Lung Chang, Chih-Hung Lee

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.3field-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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Scars.Nature reviews. Disease primers · 2023
    Review
  9. Review
  10. [Keloid nomogram prediction model based on weighted gene co-expression network analysis and machine learning].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2023
    Article
  11. Article
  12. Article
  13. Review
  14. The mFrontiers in cell and developmental biology · 2022
    Article
  15. A Signature of Genes FeaturingEmergency medicine international · 2022
    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

8 authors at 6 institutions in 1 country.

Ying-Yi LuDepartment of Dermatology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
Hung-Pin TuDepartment of Public Health and Environmental Medicine, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
Chieh-Hsin WuDivision of Neurosurgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Chien-Hui HongDepartment of Dermatology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
Kuo-Chia YangDepartments of Dermatology, Changhua Christian Hospital, No. 135, Nanxiao St., Changhua City, Changhua County, 500054, Taiwan.
Hui-Ju YangDepartments of Dermatology, Changhua Christian Hospital, No. 135, Nanxiao St., Changhua City, Changhua County, 500054, Taiwan. 149777@cch.org.tw.
Kee-Lung ChangGraduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, No. 100, Shih-Chuan 1st Road, Kaohsiung, 80708, Taiwan. keeluch@kmu.edu.tw.
Chih-Hung LeeDepartment of Dermatology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, No. 123, Ta Pei Rd., Niaosong Dist., Kaohsiung, 833, Taiwan. dermlee@gmail.com.
Changhua Christian Hospital · TWKaohsiung Medical University Chung-Ho Memorial Hospital · TWKaohsiung Chang Gung Memorial Hospital · TWKaohsiung Medical University · TWMin-Hwei College of Health Care Management · TWNational Yang Ming Chiao Tung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Keloid is a skin disease characterized by exaggerated scar formation, excessive fibroblast proliferation, and excessive collagen deposition. Cancers commonly arise from a fibrotic microenvironment; e.g., hepatoma arises from liver cirrhosis, and oral cancers arise from submucosal fibrosis. As keloids are a prototypic fibroproliferative disease, this study investigated whether patients with keloids have an increased cancer risk. In a matched, population-based study, first 17,401 patients treated for keloids during 1998-2010 with 69,604 controls without keloids at a ratio of 1:4 were evaluated. The association between keloids and risk of cancer was estimated by logistic regression or Cox proportional hazard regression models after adjustment of covariates. In total, 893 first-time cases of cancer were identified in the 17,401 patients with keloids. The overall cancer risk was 1.49-fold higher in the keloids group compared to controls. Regarding specific cancers, the keloids group, had a significantly higher risk of skin cancer compared to controls (Relative risk = 1.73). The relative risk for skin cancer was even higher for males with keloids (Relative risk = 2.16). Further stratified analyses also revealed a significantly higher risk of developing pancreatic cancer in female patients with keloids compared to controls (Relative risk = 2.19) after adjustment for known pancreatic cancer risk factors. This study indicates that patients with keloids have a higher than normal risk for several cancer types, especially skin cancers (both genders) and pancreatic cancer (females). Therefore, patients with keloids should undergo regular skin examinations, and females with keloids should regularly undergo abdominal ultrasonography.

Indexed as

AdultCase-Control StudiesCross-Sectional StudiesFemaleFollow-Up StudiesHumansKeloidMaleMiddle AgedNeoplasmsPrognosisRetrospective StudiesTaiwanYoung Adult

Identifiers

PMID33931723
PMCPMC8087779
OpenAlexW3157217079

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.