Evidence map›Paper›PMID 34572935›Full record

ArticleCancers2021

Effect of Vitamin D Supplements on Relapse of Digestive Tract Cancer with Tumor Stromal Immune Response: A Secondary Analysis of the AMATERASU Randomized Clinical Trial.

Taisuke Akutsu, Kazuki Kanno, Shinya Okada, Hironori Ohdaira, Yutaka Suzuki, Mitsuyoshi Urashima

Abstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. 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.

Taisuke AkutsuDivision of Molecular Epidemiology, The Jikei University School of Medicine, Tokyo 105-8461, Japan.ORCID 0000-0003-3649-4519
Kazuki KannoDivision of Molecular Epidemiology, The Jikei University School of Medicine, Tokyo 105-8461, Japan.
Shinya OkadaDepartment of Pathology, International University of Health and Welfare Hospital, Tochigi 329-2763, Japan.
Hironori OhdairaDepartment of Surgery, International University of Health and Welfare Hospital, Tochigi 329-2763, Japan.
Yutaka SuzukiDepartment of Surgery, International University of Health and Welfare Hospital, Tochigi 329-2763, Japan.
Mitsuyoshi UrashimaDivision of Molecular Epidemiology, The Jikei University School of Medicine, Tokyo 105-8461, Japan.ORCID 0000-0002-7395-5831

Funding

Japan Society for the Promotion of Science 20H03537
6 · The paper itself

Abstract

The aim was to examine whether vitamin D supplementation (2000 IU/day) reduces the risk of relapse in a subgroup of patients with digestive tract cancer, showing a sufficient immune response in tumor stroma by conducting secondary subgroup analyses of the AMATERASU randomized, double-blind, placebo-controlled trial (UMIN000001977). A total of 372 patients were divided into two subgroups stratified by the median density of immune cells infiltrating in tumor stroma into higher and lower halves. In the higher-half subgroup of CD56+ cells, the relapse ratio was significantly lower in the vitamin D group (7.4%) than in the placebo group (20.5%) (subdistribution hazard ratio (SHR), 0.35; 95% confidence interval (CI), 0.15-0.82), but it was equivalent (25.2% vs. 22.7%) in the lower-half subgroup of CD56+ cells (SHR, 1.21; 95% CI, 0.68-2.19) with a significant interaction (

Indexed as

cancerCD3CD4CD45ROCD56CD8survivaltumor-infiltrating lymphocytestumor stromavitamin D

Identifiers

PMID34572935
PMCPMC8470811

What OpenQuestion holds

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Registered trials

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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.