Evidence map›Paper›PMID 40737035›Full record

ArticleClinical and translational gastroenterology2025

Actual and Perceived Risk of Colorectal Neoplasia in First-Degree Relatives of Patients with Colorectal Cancer.

Julia Hibbert, Korbinian Weigl, Kaja Tikk, Stefanie J Klug, Matthias Schwab, Svitlana Igel, Oliver Müller, Marcus Pichler, Enrico N DeToni, Alexander Philipp and 6 more

Abstract readMulticenter Study
In one paragraph

Article in Clinical and translational gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

16 authors.

Julia HibbertDivision of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID 0000-0003-2658-5812
Korbinian WeiglGKM Gesellschaft für Therapieforschung GmbH, Munich, Germany.
Kaja TikkHummingbird Diagnostics GmbH, Heidelberg, Germany.
Stefanie J KlugChair of Epidemiology, TUM School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany.ORCID 0000-0003-3523-1362
Matthias SchwabDr. Margarete Fischer-Bosch Institute of Clinical Pharmacology, Stuttgart, Germany.
Svitlana IgelDr. Margarete Fischer-Bosch Institute of Clinical Pharmacology, Stuttgart, Germany.
Oliver MüllerOutpatient Gastroenterology Clinic 'Am Pragsattel', Stuttgart, Germany.
Marcus PichlerOutpatient Gastroenterology Clinic 'Am Pragsattel', Stuttgart, Germany.
Enrico N DeToniDepartment of Internal Medicine II, University of Munich, Munich, Germany.
Alexander PhilippDepartment of Internal Medicine II, University of Munich, Munich, Germany.
Jutta NagelDepartment of Internal Medicine II, University of Munich, Munich, Germany.
Renate SchmelzDepartment of Medicine I, University Hospital Carl Gustav Carus Dresden, Dresden, Germany.
Anna-Magdalena BroschDepartment of Internal Medicine I, Helios Klinikum Pirna, Pirna, Germany.
Frank KolligsDepartment of Internal Medicine II, University of Munich, Munich, Germany.
Michael HoffmeisterDivision of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID 0000-0002-8307-3197
Hermann BrennerDivision of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID 0000-0002-6129-1572

Funding

Bundesministerium für Bildung und Forschung, German Cancer Consortium, Robert Bosch Stiftung 01KD2104A
6 · The paper itself

Abstract

introductionIndividuals with a family history (FH) of colorectal cancer (CRC) are at increased risk of CRC. We aimed to assess the objective role and subjective perception of risk factors of colorectal neoplasia within this high-risk group.

methodsQuestionnaire and screening colonoscopy results were obtained from individuals aged 40-54 years with a reported FH of CRC in a first-degree relative in a multicenter cross-sectional study in Germany. Descriptive statistics characterized the cohort and distribution of risk factors. Multivariable logistic regression was used to derive adjusted odds ratios (aORs) and corresponding 95% confidence intervals (CIs) to evaluate factors associated with colorectal neoplasia and with subjectively perceived increased CRC-risk.

resultsAmong 922 participants, 220 (23.9%) were diagnosed with colorectal neoplasia, 63 (6.8%) of these being advanced lesions. Strong associations with advanced neoplasia were observed for obesity (aOR 2.44, 95% CI 1.12-5.22), smoking (aOR 1.47, 95% CI 1.14-1.88 per 10-pack-years) and physical activity <45 minutes per day (aOR 2.51, 95% CI 1.11-5.25). For smoking and physical activity, but not for obesity, similar associations were also seen with any colorectal neoplasia. No associations were seen with number and age at diagnosis of affected family members. By contrast, the latter factors, but none of the behavioral factors were strongly associated with subjectively perceived CRC-risk. DISCUSSION: Within a cohort of individuals aged 40-54 years with a FH of CRC, obesity, smoking, and lack of physical activity represented the most prominent modifiable risk factors for the development of advanced colorectal neoplasia but did not significantly impact risk perception in these high-risk participants.

Indexed as

Colorectal NeoplasmsFamilyAdultColonoscopyCross-Sectional StudiesEarly Detection of CancerExerciseFemaleGenetic Predisposition to DiseaseGermanyHumansMaleMiddle AgedObesityRisk AssessmentRisk Factorscolorectal cancercolorectal neoplasiaEOCRCfamily historyrisk perception

Identifiers

PMID40737035
PMCPMC12456554

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.