Evidence map›Paper›PMID 34172805›Full record

Observational studyScientific reports2021

Persistent elevation of plasma vitamin B12 is strongly associated with solid cancer.

Valentin Lacombe, Floris Chabrun, Carole Lacout, Alaa Ghali, Olivier Capitain, Anne Patsouris, Christian Lavigne, Geoffrey Urbanski

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 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
5.4field-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.

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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Vitamin BNutrients · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Elevated BBlood neoplasia · 2025
    Article
  12. The Interrelationship between Preconception Folate Nutritional Intake and Child Genetic Liability in the Risk of Childhood Acute Lymphoblastic Leukemia.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Article
  13. Review
  14. Article
  15. Article
  16. Advances in laboratory medicine · 2024
    Article
  17. Emerging Roles of Vitamin BInternational journal of molecular sciences · 2024
    Review
  18. Article
  19. Article
  20. Review
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 2 institutions in 1 country.

Valentin LacombeDepartment of Internal Medicine and Clinical Immunology, Angers University Hospital, Angers, France.
Floris ChabrunDepartment of Biochemistry and Genetics, Angers University Hospital, Angers, France.
Carole LacoutDepartment of Internal Medicine and Clinical Immunology, Angers University Hospital, Angers, France.
Alaa GhaliDepartment of Internal Medicine and Clinical Immunology, Angers University Hospital, Angers, France.
Olivier CapitainOuest Institute of Cancerology, Angers, France.
Anne PatsourisOuest Institute of Cancerology, Angers, France.
Christian LavigneDepartment of Internal Medicine and Clinical Immunology, Angers University Hospital, Angers, France.
Geoffrey UrbanskiDepartment of Internal Medicine and Clinical Immunology, Angers University Hospital, Angers, France. urbanskigeoffrey@gmail.com.
Université d'Angers · FRInstitut de Cancérologie de l'Ouest · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Elevated plasma vitamin B12 has been associated with solid cancers, based on a single B12 measurement. We evaluated the incidence of solid cancers following B12 measurement in patients with persistent elevated B12, compared to patients without elevated B12 and to patients with non-persistent elevated B12. The study population included patients with at least two plasma B12 measurements without already known elevated-B12-related causes. Patients with elevated plasma B12 (≥ 1000 ng/L) at first measurement (n = 344) were matched for age and sex with patients having 2 normal B12 measurements (< 1000 ng/L) (NN group, n = 344). The patients with elevated plasma B12 at first measurement were split into 2 groups, according to the presence (EE group, n = 144) or the absence (EN group, n = 200) of persistent elevated plasma B12 at second measurement. We compared the cancer-free survival during 60 months between the groups after adjustment for the other elevated-B12-related causes in a survival competing risk model. Compared to the NN group, a persistent elevated plasma B12 ≥ 1000 ng/mL was strongly associated with the occurrence of solid cancer (HR 5.90 [95% CI 2.79-12.45], p < 0.001), contrary to non-persistent plasma B12 elevation (p = 0.29). These results could help to select patients in whom the screening for solid cancers would be of interest.

Indexed as

AgedAged, 80 and overCase-Control StudiesFemaleHumansIncidenceMaleMiddle AgedNeoplasmsVitamin B 12Vitamin B 12

Identifiers

PMID34172805
PMCPMC8233305
OpenAlexW3173278280

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.