Evidence map›Paper›PMID 33975557›Full record

ArticleBMC cancer2021

Sex disparities in vitamin D status and the impact on systemic inflammation and survival in rectal cancer.

Hanna Abrahamsson, Sebastian Meltzer, Vidar Nyløkken Hagen, Christin Johansen, Paula A Bousquet, Kathrine Røe Redalen, Anne Hansen Ree

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01816607 (Functional MRI of Hypoxia-mediated Rectal Cancer Aggressiveness), which is not on this map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 34% 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.

NCT01816607 completednot on this map

Functional MRI of Hypoxia-mediated Rectal Cancer Aggressiveness

TypeobservationalSponsorUniversity Hospital, AkershusRan2013 to 2017Enrolled192ConditionsRectal Diseases, Rectal Neoplasms, Gastrointestinal Diseases, Gastrointestinal NeoplasmsArmsnew functional magnetic resonance imaging (MRI) protocols
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. 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

7 authors at 3 institutions in 1 country.

Hanna AbrahamssonDepartment of Oncology, Akershus University Hospital, Lørenskog, Norway.
Sebastian MeltzerDepartment of Oncology, Akershus University Hospital, Lørenskog, Norway.
Vidar Nyløkken HagenDepartment of Multidisciplinary Laboratory Medicine and Medical Biochemistry, Akershus University Hospital, Lørenskog, Norway.
Christin JohansenDepartment of Oncology, Akershus University Hospital, Lørenskog, Norway.
Paula A BousquetDepartment of Oncology, Akershus University Hospital, Lørenskog, Norway.
Kathrine Røe RedalenDepartment of Physics, Norwegian University of Science and Technology, Trondheim, Norway.
Anne Hansen ReeDepartment of Oncology, Akershus University Hospital, Lørenskog, Norway. a.h.ree@medisin.uio.no.ORCID http://orcid.org/0000-0002-8264-3223
Akershus University Hospital · NOUniversity of Oslo · NONorwegian University of Science and Technology · NO

Funding

Helse Sør-Øst RHF 2015033Helse Sør-Øst RHF 2016050Helse Sør-Øst RHF 2018054
6 · The paper itself

Abstract

backgroundWe reported previously that rectal cancer patients given curative-intent chemotherapy, radiation, and surgery for non-metastatic disease had enhanced risk of metastatic progression and death if circulating levels of 25-hydroxyvitamin D [25(OH) D] were low. Here we investigated whether the association between the vitamin D status and prognosis pertains to the general, unselected population of rectal cancer patients.

methodsSerum 25(OH) D at the time of diagnosis was assessed in 129 patients, enrolled 2013-2017 and representing the entire range of rectal cancer stages, and analyzed with respect to season, sex, systemic inflammation, and survival.

resultsIn the population-based cohort residing at latitude 60°N, 25(OH) D varied according to season in men only, who were overrepresented among the vitamin D-deficient (< 50 nmol/L) patients. Consistent with our previous findings, the individuals presenting with T4 disease had significantly reduced 25(OH) D levels. Low vitamin D was associated with systemic inflammation, albeit with distinct modes of presentation. While men with low vitamin D showed circulating markers typical for the systemic inflammatory response (e.g., elevated erythrocyte sedimentation rate), the corresponding female patients had elevated serum levels of interleukin-6 and the chemokine (C-X-C motif) ligand 7. Despite disparities in vitamin D status and the potential effects on disease attributes, significantly shortened cancer-specific survival was observed in vitamin D-deficient patients irrespective of sex.

conclusionThis unselected rectal cancer cohort confirmed the interconnection of low vitamin D, more advanced disease presentation, and poor survival, and further suggested it may be conditional on disparate modes of adverse systemic inflammation in men and women.

trial registrationClinicalTrials.gov NCT01816607 ; registration date: 22 March 2013.

Indexed as

AdultAgedAged, 80 and overDietary SupplementsFemaleHumansInflammationMaleMiddle AgedRectal NeoplasmsSex CharacteristicsVitamin D25-hydroxyvitamin DVitamin DInflammationRectal cancerSexSurvivalVitamin D

Identifiers

PMID33975557
PMCPMC8111928
OpenAlexW3161885439

What OpenQuestion holds

Textmetadata
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.