Evidence map›Paper›PMID 35739525›Full record

ArticleBMC cancer2022

Pre-diagnostic C-reactive protein concentrations, CRP genetic variation and mortality among individuals with colorectal cancer in Western European populations.

Katharina Nimptsch, Krasimira Aleksandrova, Veronika Fedirko, Mazda Jenab, Marc J Gunter, Peter D Siersema, Kana Wu, Verena Katzke, Rudolf Kaaks, Salvatore Panico and 21 more

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.0field-weighted citation impact, top 22% 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

7 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Review
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  6. Yacon (Nutrients · 2023
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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

31 authors at 20 institutions in 10 countries.

Katharina NimptschMolecular Epidemiology Research Group, Max Delbrück Center for Molecular Medicine in the Helmholtz Association (MDC), Berlin, Germany. katharina.nimptsch@mdc-berlin.de.ORCID http://orcid.org/0000-0001-7877-205X
Krasimira AleksandrovaDepartment Epidemiological Methods and Etiological Research, Leibniz Institute for Prevention Research and Epidemiology, Bremen, Germany.
Veronika FedirkoDepartment of Epidemiology, University of Texas M. D. Anderson Cancer Center, Houston, TX, USA.
Mazda JenabInternational Agency for Research on Cancer (IARC-WHO), Lyon, France.
Marc J GunterInternational Agency for Research on Cancer (IARC-WHO), Lyon, France.
Peter D SiersemaDepartment of Gastroenterology and Hepatology, Radboud university medical center, Nijmegen, The Netherlands.
Kana WuDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Verena KatzkeDepartment of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Rudolf KaaksDepartment of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Salvatore PanicoDipartimento di Medicina Clinica e Chirurgia, Federico II University, Naples, Italy.
Domenico PalliCancer Risk Factors and Life-Style Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Network - ISPRO, Florence, Italy.
Anne M MayJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Sabina SieriEpidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milano, Italy.
Bas Bueno-de-MesquitaCentre for Nutrition, Prevention and Health Services, National Institute for Public Health and the Environment, Bilthoven, The Netherlands.
Karina StandahlDepartment of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway.
Maria-Jose SánchezEscuela Andaluza de Salud Pública (EASP), Granada, Spain.
Aurora Perez-CornagoCancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Anja OlsenDanish Cancer Society Research Center, Copenhagen, Denmark.
Anne TjønnelandDanish Cancer Society Research Center, Copenhagen, Denmark.
Catalina Bonet BonetUnit of Nutrition and Cancer, Catalan Institute of Oncology - ICO, Barcelona, Spain.
Christina C DahmDepartment of Public Health, University of Århus, Århus, Denmark.
María-Dolores ChirlaqueCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.
Valentina FianoCancer Epidemiology Unit, Department of Medical Sciences, University of Turin, Turin, Italy.
Rosario TuminoCancer Registry and Histopathology Department Provincial Health Authority (ASP 7), Ragusa, Italy.
Aurelio Barricarte GurreaCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.
Marie-Christine Boutron-RuaultParis-Saclay University, UVSQ, Gustave Roussy, "Exposome and Heredity" team, CESP UMR1018, Villejuif, Inserm, France.
Florence MenegauxParis-Saclay University, UVSQ, Gustave Roussy, "Exposome and Heredity" team, CESP UMR1018, Villejuif, Inserm, France.
Gianluca SeveriParis-Saclay University, UVSQ, Gustave Roussy, "Exposome and Heredity" team, CESP UMR1018, Villejuif, Inserm, France.
Bethany van GuelpenDepartment of Radiation Sciences, Oncology, Umeå University, Umeå, Sweden.
Young-Ae LeeGenetics of Allergic Disease Research Group, Max Delbrück Center for Molecular Medicine in the Helmholtz Association (MDC), Berlin, Germany.
Tobias PischonMolecular Epidemiology Research Group, Max Delbrück Center for Molecular Medicine in the Helmholtz Association (MDC), Berlin, Germany.
Inserm · FRCentre international de recherche sur le cancer · FRGerman Cancer Research Center · DEHarvard University · USMax Delbrück Center · DEDanish Cancer Society · DKFederico II University Hospital · ITFondazione IRCCS Istituto Nazionale dei Tumori · ITInstitut Català d'Ornitologia · ESInstituto de Salud Pública de Navarra · ESInstituto Murciano de Investigación Biosanitaria · ESNational Institute for Public Health and the Environment · NLPiedmont Reference Center for Epidemiology and Cancer Prevention · ITRadboud University Nijmegen · NLThe University of Texas MD Anderson Cancer Center · USUiT The Arctic University of Norway · NOUmeå University · SEUniversidad de Granada · ESUniversity of Bremen · DEUniversity of Copenhagen · DK

Funding

Medical Research Council MR/M012190/1Medical Research Council MR/N003284/1World Health Organization 001
6 · The paper itself

Abstract

backgroundThe role of elevated pre-diagnostic C-reactive protein (CRP) concentrations on mortality in individuals with colorectal cancer (CRC) remains unclear.

methodsWe investigated the association between pre-diagnostic high-sensitivity CRP concentrations and CRP genetic variation associated with circulating CRP and CRC-specific and all-cause mortality based on data from 1,235 individuals with CRC within the European Prospective Investigation into Cancer and Nutrition cohort using multivariable-adjusted Cox proportional hazards regression.

resultsDuring a median follow-up of 9.3 years, 455 CRC-specific deaths were recorded, out of 590 deaths from all causes. Pre-diagnostic CRP concentrations were not associated with CRC-specific (hazard ratio, HR highest versus lowest quintile 0.92, 95% confidence interval, CI 0.66, 1.28) or all-cause mortality (HR 0.91, 95% CI 0.68, 1.21). Genetic predisposition to higher CRP (weighted score based on alleles of four CRP SNPs associated with higher circulating CRP) was not significantly associated with CRC-specific mortality (HR per CRP-score unit 0.95, 95% CI 0.86, 1.05) or all-cause mortality (HR 0.98, 95% CI 0.90, 1.07). Among four investigated CRP genetic variants, only SNP rs1205 was significantly associated with CRC-specific (comparing the CT and CC genotypes with TT genotype, HR 0.54, 95% CI 0.35, 0.83 and HR 0.58, 95% CI 0.38, 0.88, respectively) and all-cause mortality (HR 0.58, 95% CI 0.40, 0.85 and 0.64, 95% CI 0.44, 0.92, respectively).

conclusionsThe results of this prospective cohort study do not support a role of pre-diagnostic CRP concentrations on mortality in individuals with CRC. The observed associations with rs1205 deserve further scientific attention.

Indexed as

Colorectal NeoplasmsC-Reactive ProteinGenetic Predisposition to DiseaseHumansPolymorphism, Single NucleotideProspective StudiesRisk FactorsC-Reactive Protein

Identifiers

PMID35739525
PMCPMC9229883
OpenAlexW4283378556

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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.