Evidence map›Paper›PMID 34300293›Full record

ArticleJournal of clinical medicine2021

Colorectal Cancer Risk in Women with Gynecologic Cancers-A Population Retrospective Cohort Study.

Szu-Chia Liao, Hong-Zen Yeh, Chi-Sen Chang, Wei-Chih Chen, Chih-Hsin Muo, Fung-Chang Sung

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 38% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Epidemiology of colorectal cancer: A review with special emphasis on India.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2025
    Review
  2. Review
  3. 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

6 authors at 4 institutions in 1 country.

Szu-Chia LiaoDivision of Gastroenterology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung 407, Taiwan.ORCID 0000-0003-3164-2578
Hong-Zen YehDivision of Gastroenterology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung 407, Taiwan.ORCID 0000-0002-2726-604X
Chi-Sen ChangDivision of Gastroenterology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung 407, Taiwan.
Wei-Chih ChenDepartment of Obstetrics and Gynecology, Taichung Veterans General Hospital, Taichung 407, Taiwan.
Chih-Hsin MuoManagement Office for Health Data, China Medical University Hospital, Taichung 404, Taiwan.
Fung-Chang SungManagement Office for Health Data, China Medical University Hospital, Taichung 404, Taiwan.
China Medical University · TWTaichung Veterans General Hospital · TWAsia University · TWNational Yang Ming Chiao Tung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We conducted a retrospective cohort study to evaluate the subsequent colorectal cancer (CRC) risk for women with gynecologic malignancy using insurance claims data of Taiwan. We identified patients who survived cervical cancer (N = 25,370), endometrial cancer (N = 8149) and ovarian cancer (N = 7933) newly diagnosed from 1998 to 2010, and randomly selected comparisons (N = 165,808) without cancer, matched by age and diagnosis date. By the end of 2011, the incidence and hazard ratio (HR) of CRC were estimated. We found that CRC incidence rates were 1.26-, 2.20-, and 1.61-fold higher in women with cervical, endometrial and ovarian cancers, respectively, than in comparisons (1.09/1000 person-years). The CRC incidence increased with age. Higher adjusted HRs of CRC appeared within 3 years for women with endometrial and ovarian cancers, but not until the 4th to 7th years of follow up for cervical cancer survivals. Cancer treatments could reduce CRC risks, but not significantly. However, ovarian cancer patients receiving surgery alone had an incidence of 3.33/1000 person-years for CRC with an adjusted HR of 3.79 (95% CI 1.11-12.9) compared to patients without any treatment. In conclusion, gynecologic cancer patients are at an increased risk of developing CRC, sooner for those with endometrial or ovarian cancer than those with cervical cancer.

Indexed as

colonoscopy screeningcolorectal cancergynecologic cancerretrospective cohort study

Identifiers

PMID34300293
PMCPMC8303695
OpenAlexW3178750429

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.