Evidence map›Paper›PMID 37505117›Full record

ArticleUnited European gastroenterology journal2023

Smoking and colorectal neoplasia in patients with inflammatory bowel disease: Dose-effect relationship.

Anouk M Wijnands, Sjoerd G Elias, Evelien Dekker, Herma H Fidder, Frank Hoentjen, Joren R Ten Hove, P W Jeroen Maljaars, Andrea E van der Meulen-de Jong, Erik Mooiweer, Renske J Ouwehand and 5 more

Registry-linked trialOpen access · hybridAbstract readMulticenter Study
In one paragraph

Article in United European gastroenterology journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01464151 (Risk Factors for Colorectal Cancer in Patients With Inflammatory Bowel Disease Undergoing Surveillance), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.1field-weighted citation impact, top 12% 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.

NCT01464151 completednot on this map

Risk Factors for Colorectal Cancer in Patients With Inflammatory Bowel Disease Undergoing Surveillance: a Prospective Cohort Study

TypeobservationalSponsorUMC UtrechtRan2011 to 2021Enrolled613ConditionsInflammatory Bowel Disease, Colorectal Cancer
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. UEG Journal and Impact on Clinical Practice.United European gastroenterology journal · 2024
    Article
  5. Article
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 6 institutions in 2 countries.

Anouk M WijnandsDepartment of Gastroenterology and Hepatology, University Medical Centre Utrecht, Utrecht, The Netherlands.ORCID 0000-0003-1277-1796
Sjoerd G EliasDepartment of Epidemiology, Julius Center for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht University, Utrecht, The Netherlands.
Evelien DekkerDepartment of Gastroenterology and Hepatology, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Herma H FidderDepartment of Gastroenterology and Hepatology, University Medical Centre Utrecht, Utrecht, The Netherlands.
Frank HoentjenDepartment of Gastroenterology and Hepatology, Radboud University Medical Centre, Nijmegen, The Netherlands.
Joren R Ten HoveDepartment of Gastroenterology and Hepatology, University Medical Centre Utrecht, Utrecht, The Netherlands.
P W Jeroen MaljaarsDepartment of Gastroenterology and Hepatology, Leiden University Medical Centre, Leiden, The Netherlands.
Andrea E van der Meulen-de JongDepartment of Gastroenterology and Hepatology, Leiden University Medical Centre, Leiden, The Netherlands.
Erik MooiweerDepartment of Gastroenterology and Hepatology, Hospital St Jansdal, Harderwijk, The Netherlands.
Renske J OuwehandDepartment of Gastroenterology and Hepatology, University Medical Centre Utrecht, Utrecht, The Netherlands.
Bas B L Penning de VriesDepartment of Epidemiology, Julius Center for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht University, Utrecht, The Netherlands.
Cyriel Y PonsioenDepartment of Gastroenterology and Hepatology, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Fiona D M van SchaikDepartment of Gastroenterology and Hepatology, University Medical Centre Utrecht, Utrecht, The Netherlands.
Bas OldenburgDepartment of Gastroenterology and Hepatology, University Medical Centre Utrecht, Utrecht, The Netherlands.
Dutch Initiative on Crohn's and Colitis (ICC)
University Medical Center Utrecht · NLAmsterdam University Medical Centers · NLLeiden University · NLUtrecht University · NLRadboud University Nijmegen · NLRijnstate Hospital · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsPrior studies on the effect of smoking on the risk of colitis-associated colorectal neoplasia (CRN) have reported conflicting results. We aimed to further elucidate the association between smoking, including possible dose-effects, and the development of colorectal neoplasia in patients with inflammatory bowel disease (IBD).

methodsWe performed a prospective multicenter cohort study including patients with colonic IBD enrolled in a surveillance program in four academic hospitals between 2011 and 2021. The effects of smoking status and pack-years at study entry on subsequent recurrent events of CRN (including indefinite, low- and high-grade dysplasia, and colorectal cancer [CRC]) were evaluated using uni- and multivariable Prentice, Williams, and Peterson total-time Cox proportional hazard models. Adjustment was performed for extensive disease, prior/index dysplasia, sex, age, first-degree relative with CRC, primary sclerosing cholangitis, and endoscopic inflammation.

resultsIn 501 of the enrolled 576 patients, at least one follow-up surveillance was performed after the study index (median follow-up 5 years). CRN occurred at least once in 105 patients. Ever smoking was not associated with recurrent CRN risk (adjusted hazard ratio [aHR] 1.04, 95% confidence interval [CI] 0.75-1.44), but an increasing number of pack-years was associated with an increased risk of recurrent CRN (aHR per 10 pack-years 1.17, 95% CI 1.03-1.32; p < 0.05). Separate analyses per IBD type did not reveal differences.

conclusionsThis study found that an increase in pack-years is associated with a higher risk of recurrent CRN in patients with IBD, independent of established CRN risk factors (NCT01464151).

Indexed as

Colitis, UlcerativeColorectal NeoplasmsInflammatory Bowel DiseasesCohort StudiesHumansNeoplasm Recurrence, LocalProspective StudiesSmokingcolorectal cancerCRCdysplasiaIBDinflammationpack-yearsPSCsmoking habitsurveillanceulcerative colitis

Identifiers

PMID37505117
PMCPMC10493358
OpenAlexW4385331118

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.