Evidence map›Paper›PMID 36384819›Full record

SynthesisEpidemiology and psychiatric sciences2022

Colorectal cancer treatment in people with severe mental illness: a systematic review and meta-analysis.

Melinda M Protani, Meshary Khaled N Alotiby, Rebecca Seth, David Lawrence, Susan J Jordan, Hayley Logan, Bradley J Kendall, Dan Siskind, Grant Sara, Steve Kisely

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Epidemiology and psychiatric sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 13% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. The experiences of people diagnosed with severe mental illness and colorectal cancer: A qualitative study.Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists · 2026
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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

10 authors at 4 institutions in 2 countries.

Melinda M ProtaniUniversity of Queensland, School of Public Health, Brisbane, Australia.
Meshary Khaled N AlotibyUniversity of Queensland, School of Public Health, Brisbane, Australia.
Rebecca SethGraduate School of Education, University of Western Australia, Perth, Australia.
David LawrenceGraduate School of Education, University of Western Australia, Perth, Australia.
Susan J JordanUniversity of Queensland, School of Public Health, Brisbane, Australia.
Hayley LoganUniversity of Queensland, School of Clinical Medicine, Brisbane, Australia.
Bradley J KendallUniversity of Queensland, School of Clinical Medicine, Brisbane, Australia.
Dan SiskindUniversity of Queensland, School of Clinical Medicine, Brisbane, Australia.
Grant SaraInforMH, System Information and Analytics Branch, NSW Ministry of Health, Sydney, Australia.ORCID https://orcid.org/0000-0002-3762-1711
Steve KiselyUniversity of Queensland, School of Clinical Medicine, Brisbane, Australia.ORCID https://orcid.org/0000-0003-4021-2924
The University of Queensland · AUThe University of Western Australia · AUDalhousie University · CAThe University of Sydney · AU

Funding

Cancer Australia APP1157870National Health and Medical Research Council Early Career Fellowship: GNT11111136
6 · The paper itself

Abstract

aimsPeople with severe mental illness (SMI) have a greater risk of dying from colorectal cancer (CRC), even though the incidence is lower or similar to that of the general population This pattern is unlikely to be solely explained by lifestyle factors, while the role of differences in cancer healthcare access or treatment is uncertain.

methodsWe undertook a systematic review and meta-analysis on access to guideline-appropriate care following CRC diagnosis in people with SMI including the receipt of surgery, chemo- or radiotherapy. We searched for full-text articles indexed by PubMed, EMBASE, PsychInfo and CINAHL that compared CRC treatment in those with and without pre-existing SMI (schizophrenia, schizoaffective, bipolar and major affective disorders). Designs included cohort or population-based case-control designs.

resultsThere were ten studies (sample size = 3501-591 561). People with SMI had a reduced likelihood of surgery (RR = 0.90, 95% CI 0.92-0.97;

conclusionsPeople with SMI, including both psychotic and affective disorders, receive less CRC care than the general population. This might contribute to higher case-fatality rates for an illness where the incidence is no higher than that of the general population. The reasons for this require further investigation, as does the extent to which differences in treatment access or quality contribute to excess CRC mortality in people with SMI.

Indexed as

Colorectal NeoplasmsMental DisordersSchizophreniaAnal CanalHumansOrgan Sparing TreatmentsCancer treatmentcolorectal cancersevere mental illnesstreatment disparities

Identifiers

PMID36384819
PMCPMC9706308
OpenAlexW4309519301

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.