Evidence map›Paper›PMID 39907084›Full record

ArticleJournal of public health (Oxford, England)2025

Sex differences in the impact of multimorbidity on long-term mortality for patients with colorectal cancer: a population registry-based cohort study.

Shu Kay Ng, Peter Baade, Gary Wittert, Alfred K Lam, Ping Zhang, Saras Henderson, Belinda Goodwin, Joanne F Aitken

Abstract read
In one paragraph

Article in Journal of public health (Oxford, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Patterns of Multimorbidity among Older Adults with Colorectal Cancer Living in Puerto Rico.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article
  2. Article
  3. Article
  4. Are Colon Polyp Characteristics Really Different Between Men and Women?JGH open : an open access journal of gastroenterology and hepatology · 2025
    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

8 authors.

Shu Kay NgSchool of Medicine and Dentistry, Griffith University, Gold Coast, QLD 4222, Australia.ORCID 0000-0002-6865-9384
Peter BaadeCancer Council Queensland, Fortitude Valley, QLD 4006, Australia.
Gary WittertFreemasons Centre for Male Health and Wellbeing, South Australian Health and Medical Research Institute and University of Adelaide, Adelaide, SA 5000, Australia.
Alfred K LamSchool of Medicine and Dentistry, Griffith University, Gold Coast, QLD 4222, Australia.
Ping ZhangSchool of Medicine and Dentistry, Griffith University, Gold Coast, QLD 4222, Australia.
Saras HendersonSchool of Nursing and Midwifery, Griffith University, Gold Coast, QLD 4215, Australia.
Belinda GoodwinCancer Council Queensland, Fortitude Valley, QLD 4006, Australia.
Joanne F AitkenCancer Council Queensland, Fortitude Valley, QLD 4006, Australia.

Funding

Griffith University
6 · The paper itself

Abstract

backgroundWomen have better survival than men patients with colorectal cancer (CRC), but the extent to which this is due to multimorbidity is unclear.

methodsA population-based study of 1843 patients diagnosed with CRC in Australia. Data included patient's demographics, multimorbidity, tumour histology, cancer stage, and treatment. We estimated the risks of all-cause mortality and cause-specific mortality due to cancer or non-cancer causes.

resultsMen had lower survival than women (P ≤ 0.010) amongst those diagnosed at Stages I-III (15-year survival: 56.0% vs 68.0%, 48.5% vs 60.7%, 34.8% vs 47.5%, respectively), excepting Stage IV (14.4% vs 12.6%; P = 0.18). Married men exhibit better survival than those who were never married (P = 0.006). Heart attacks (9.9% vs 4.3%, P < 0.001) and emphysema (4.8% vs 2.1%, P = 0.004) were more prevalent in men than women. Comorbid stroke and high cholesterol (adjusted hazard ratio, AHR = 2.22, 95% confidence interval, CI = 1.17-4.21, P = 0.014) and leukaemia (AHR = 6.36, 95% CI = 3.08-13.1, P < 0.001) increased the risk of cancer death for men only. For women, diabetes increased the risk of all-cause death (AHR = 1.38, 95% CI = 1.02-1.86, P = 0.039) and high blood pressure increased the risk of death due to non-cancer causes (AHR = 2.00, 95% CI = 1.36-2.94, P < 0.001).

conclusionSeparate models of CRC care are needed for men and women with consideration of multimorbidity and social factors.

Indexed as

Colorectal NeoplasmsMultimorbidityAgedAged, 80 and overAustraliaCause of DeathCohort StudiesFemaleHumansMaleMiddle AgedRegistriesSex Factorscolorectal cancerlong-term mortalitymultimorbidityregistry-based cohort studysex difference

Identifiers

PMID39907084
PMCPMC12123309

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.