Evidence map›Paper›PMID 39251919›Full record

SynthesisBMC gastroenterology2024

Incidence and risk factors for colorectal cancer in Africa: a systematic review and meta-analysis.

Nkengeh N Tazinkeng, Ethan F Pearlstein, Martha Manda-Mapalo, Ayooluwatomiwa D Adekunle, Joao Filipe G Monteiro, Kelsey Sawyer, Stella-Maris C Egboh, Kanwal Bains, Evaristus S Chukwudike, Mouhand F Mohamed and 3 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC gastroenterology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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

14 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Emerging trends in the global burden of colorectal cancer.Nature reviews. Clinical oncology · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
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

13 authors.

Nkengeh N TazinkengDepartment of Internal Medicine, Newark Beth Israel Medical Center, Newark, New Jersey, USA. nntazinkeng@gmail.com.
Ethan F PearlsteinDivision of Gastroenterology, Albany Medical Center, New York, USA.
Martha Manda-MapaloDivision of Hematology/Oncology, University of New Mexico, Albuquerque, NM, USA.
Ayooluwatomiwa D AdekunleDivision of Gastroenterology, Washington University in St. Louis, Missouri, USA.
Joao Filipe G MonteiroDepartment of Medicine, Brown University, Rhode Island, USA.
Kelsey SawyerDepartment of Medicine, Brown University, Rhode Island, USA.
Stella-Maris C EgbohDivision of Gastroenterology, Federal Medical Centre, Yenagoa, Nigeria.
Kanwal BainsDepartment of Medicine, University of Arizona, Tucson, AZ, USA.
Evaristus S ChukwudikeDivision of Gastroenterology, University of Calabar Teaching Hospital, Calabar, Nigeria.
Mouhand F MohamedDivision of Gastroenterology, Mayo Clinic, Rochester, USA.
Comfort AsanteDepartment of Medicine, Ndola Teaching Hospital, Lusaka, Zambia.
Julius SsempiiraMakerere University School of Public Health, Kampala, Uganda.
Akwi W AsombangDivision of Gastroenterology, Department of Medicine, Massachusetts General Hospital, Boston, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionColorectal cancer (CRC) is the second leading cause of cancer-related death worldwide. There is a significant burden of mortality from colorectal cancer in Africa. Due to the heterogeneity of dietary and lifestyle practices throughout Africa, our work sought to define risk factors for the development of CRC in the African continent.

methodsWe systematically searched PubMed, Embase, Global Health, CINAHL, Cochrane CENTRAL, and African Index Medicus for studies written in English, examining the incidence and risk factors of CRC in Africa. A systematic analysis was done to compare different risk factors in constituent studies. A meta-analysis random effects model was fitted to estimate the pooled incidence of CRC.

resultsOf 2471 studies screened, 26 were included for the quantitative analysis; 20 in the incidence analysis, and six in the risk factor analysis. The overall ASIR per 100,000 person-years of CRC for males and females was 7.51 and 6.22, respectively. The highest incidence rates were observed between 2012 and 2021. Risk factors for CRC in Africa include tobacco smoking, and consumption of red meat, butter, and alcohol. Protective factors included, regular consumption of fruits and regular physical activity.

conclusionThe incidence of CRC in Africa is higher than that suggested by previous studies. Our study shows that nonmodifiable and modifiable factors contribute to CRC in Africa. High-quality studies conducted on generalizable populations that examine risk factors in a comprehensive fashion are required to inform primary and secondary prevention initiatives for CRC in Africa.

Indexed as

Alcohol DrinkingColorectal NeoplasmsAfricaDietExerciseFemaleHumansIncidenceLife StyleMaleProtective FactorsRed MeatRisk FactorsTobacco SmokingAfricaCancerColonIncidencePreventionRectumRisk factors

Identifiers

PMID39251919
PMCPMC11382465

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.