Evidence map›Paper›PMID 41032739›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2025

Colorectal-Specific Radiation Dose and Chemotherapy Risk for Subsequent Colorectal Malignancies in Childhood Cancer Survivors: A Childhood Cancer Survivor Study (CCSS) Report.

Constance A Owens, Ethan B Ludmir, Qi Liu, Weiyu Qiu, Aashish C Gupta, Susan A Smith, Bastien Rigaud, Kristy K Brock, James E Bates, Taylor G Meyers and 18 more

Abstract read
In one paragraph

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

28 authors.

Constance A OwensDepartment of Radiation Physics, The University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0001-7208-394X
Ethan B LudmirDepartment of Gastrointestinal Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0002-5472-5344
Qi LiuDepartment of Public Health Sciences, University of Alberta, Edmonton, AB, Canada.ORCID 0000-0002-7208-515X
Weiyu QiuDepartment of Public Health Sciences, University of Alberta, Edmonton, AB, Canada.
Aashish C GuptaDepartment of Imaging Physics, The University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0002-0178-0921
Susan A SmithDepartment of Radiation Physics, The University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0002-6367-3080
Bastien RigaudDepartment of Radiation Physics, The University of Texas MD Anderson Cancer Center, Houston, TX.
Kristy K BrockDepartment of Radiation Physics, The University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0001-9364-5040
James E BatesDepartment of Radiation Oncology, Winship Cancer Institute, Emory University, Atlanta, GA.ORCID 0000-0001-7060-7156
Taylor G MeyersDepartment of Radiation Physics, The University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0009-0000-3332-7155
Arnold C PaulinoDepartment of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX.
Christine B PetersonDepartment of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0003-3316-0468
Stephen F KryDepartment of Radiation Physics, The University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0001-6899-197X
Jop C TeepenPrincess Maxima Center for Pediatric Oncology, Utrecht, the Netherlands.ORCID 0000-0002-2647-2677
Cécile M RonckersDivision of Childhood Cancer Epidemiology (EpiKiK), Institute of Medical Biostatistics, Epidemiology and Informatics (IMBEI), University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.ORCID 0000-0003-3524-4657
Joseph P NegliaDepartment of Pediatrics, University of Minnesota, Minneapolis, MN.ORCID 0000-0002-5525-0598
Wendy M LeisenringClinical and Public Health Sciences Divisions, Fred Hutchinson Cancer Center, Seattle, WA.ORCID 0000-0001-7405-0906
Kevin C OeffingerDepartment of Medicine, Duke University, Durham, NC.ORCID 0000-0003-0806-7894
Paul C NathanDivision of Hematology/Oncology, The Hospital for Sick Children, Toronto, ON, Canada.
Lucie M TurcotteDepartment of Pediatrics, University of Minnesota, Minneapolis, MN.ORCID 0000-0003-4106-6172
David C HodgsonDepartment of Radiation Oncology, University of Toronto, Toronto, ON, Canada.ORCID 0000-0003-4687-4582
Melissa M HudsonDepartment of Oncology, St Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0001-6984-2407
Leslie L RobisonDepartment of Epidemiology and Cancer Control, St Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0001-7460-8578
Chaya S MoskowitzDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-2850-8450
Gregory T ArmstrongDepartment of Epidemiology and Cancer Control, St Jude Children's Research Hospital, Memphis, TN.
Tara O HendersonDepartment of Pediatrics, The University of Chicago, Chicago, IL.ORCID 0000-0001-9394-6206
Yutaka YasuiDepartment of Epidemiology and Cancer Control, St Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0002-7717-8638
Rebecca M HowellDepartment of Radiation Physics, The University of Texas MD Anderson Cancer Center, Houston, TX.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI CHARLES ROBERTS · 1985 to 2026
$166.9M
Mach-LETSGO: Machine-LEarning of Treatment, Survey, and Genetics towards Obtaining Correct Classification of Chronic Conditions in Adult Survivors in the Childhood Cancer Survivor Study - CCSS SupplU24CA055727 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI Gregory Armstrong · 1999 to 2026
$96.7M
NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA021765NCI NIH HHS U24 CA055727
6 · The paper itself

Abstract

purposeAmong childhood cancer survivors, we evaluated not previously explored relationships between colorectal subsequent malignant neoplasm (SMN) incidence and colorectum-specific radiation dose metrics currently used in radiation therapy (RT) planning and expanded upon previously reported chemotherapy associations.

methodsThe Childhood Cancer Survivor Study (CCSS) includes 5-year survivors of childhood cancer diagnosed between 1970 and 1999. RT was assessed as mean colorectal dose (MCD) and the percent volume (V

resultsAmong 25,723 survivors (median follow-up = 28.5 years; range = 5.0-48.9), 104 colorectal SMNs were identified. A dose-response relationship was observed between MCD and colorectal SMN rates; incidence rate ratios (IRRs) for 10 to <20 Gy and ≥20 Gy were 3.6 (95% CI, 1.9 to 6.9) and 8.3 (95% CI, 3.9 to 17.8), respectively. When ≥20% of the colorectum volume was irradiated, IRRs increased with increasing volume. The V

conclusionThese RT and chemotherapy dose-response relationships can better inform contemporary RT planning for pediatric patients and surveillance guidelines for high-risk survivors.

Indexed as

Cancer SurvivorsColorectal NeoplasmsNeoplasms, Radiation-InducedNeoplasms, Second PrimaryAdolescentAdultChildChild, PreschoolDose-Response Relationship, RadiationFemaleHumansIncidenceInfantMaleRadiotherapy DosageYoung Adult

Identifiers

PMID41032739
PMCPMC12573684

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.