Evidence map›Paper›PMID 41215713›Full record

ArticleAlimentary pharmacology & therapeutics2026

A Population-Based Matched Cohort Study of Extra-Digestive Cancer Incidence and Mortality in Individuals With and Without Inflammatory Bowel Disease.

Sanjay K Murthy, Faria Ahmed, Michael Pugliese, Monica Taljaard, Parul Tandon, Priscilla Matthews, Gilaad G Kaplan, Stephanie Coward, Charles N Bernstein, Eric I Benchimol and 4 more

Abstract read
In one paragraph

Article in Alimentary pharmacology & therapeutics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

14 authors.

Sanjay K MurthyDepartment of Medicine and School of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, Canada.
Faria AhmedOttawa Hospital Research Institute, Clinical Epidemiology Program, Ottawa, Ontario, Canada.
Michael PuglieseICES, Toronto, Ontario, Canada.
Monica TaljaardOttawa Hospital Research Institute, Clinical Epidemiology Program, Ottawa, Ontario, Canada.
Parul TandonICES, Toronto, Ontario, Canada.
Priscilla MatthewsDepartment of Medicine, Queens University, Kingston, Ontario, Canada.
Gilaad G KaplanDivision of Gastroenterology and Hepatology, Department of Medicine and Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.ORCID https://orcid.org/0000-0003-2719-0556
Stephanie CowardDivision of Gastroenterology and Hepatology, Department of Medicine and Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Charles N BernsteinUniversity of Manitoba IBD Clinical and Research Centre, Winnipeg, Manitoba, Canada.ORCID https://orcid.org/0000-0001-8041-3574
Eric I BenchimolICES, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0001-8855-3598
M Ellen KuenzigICES, Toronto, Ontario, Canada.
Laura E TargownikMount Sinai Hospital IBD Centre, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0002-4366-9076
Harminder SinghUniversity of Manitoba IBD Clinical and Research Centre, Winnipeg, Manitoba, Canada.ORCID https://orcid.org/0000-0002-9354-2356
Canadian Gastro‐Intestinal Epidemiology Consortium (CanGIEC)

Funding

CIHR # DA1-170245Crohn's and Colitis Canada Grant-in-Aid of ResearchHospital for Sick ChildrenMinistry of HealthMinistry of Long-Term CareUniversity of ManitobaUniversity of OttawaUniversity of Toronto
6 · The paper itself

Abstract

backgroundTrends in extra-digestive (ED) cancer incidence and mortality in inflammatory bowel diseases (IBD) may be changing with newer approaches to management.

aimsTo study temporal trends and contemporary risks of ED cancers in individuals with and without IBD.

methodsUsing population-level administrative data from Ontario, Canada, we studied ED cancer rates among individuals with IBD and age-sex-matched controls (1:10) without IBD between 1994 and 2020. We modelled age-sex-standardised annual cancer incidence (per 100,000 person-years) over time by first-order linear autoregression, and standardised cancer incidence and mortality rate ratios (SIR, SMR) by quasi-Poisson regression.

resultsThe average annual percentage change (AAPC) in ED cancer incidence was stable among 110,919 people with IBD (0.108%/year; 95% CI, -0.380, 0.599) but declined among 1,109,190 matched controls (-1.39%/year; 95% CI, -1.57, -1.21). Among those with IBD, AAPC was significant for non-Hodgkin's lymphoma (1.48%/year; 95% CI, 0.161, 2.82), melanoma (1.77%/year; 95% CI, 0.781, 2.77), cervical (2.31%/year; 95% CI, 0.602, 4.10), uterine (4.41%/year; 95% CI, 0.045, 8.96) and thyroid (8.10%/year; 95% CI, 4.31, 12.0) cancers, and statistically greater than controls for cervical, ovarian, lung, and bladder cancers. During 2010-2020, ED cancer incidence was higher in those with IBD (SIR 1.20; 95% CI 1.15, 1.26), while ED cancer-related mortality was specifically higher in those with Crohn's disease (CD; SMR 1.31; 95% CI 1.14, 1.51), as compared to matched controls.

conclusionsED cancer incidence has not changed among those with IBD but has declined among matched controls. Beyond 2010, ED cancer incidence is higher among those with IBD and cancer-related mortality is higher among those with CD, relative to matched controls.

Indexed as

Inflammatory Bowel DiseasesNeoplasmsAdolescentAdultAgedCase-Control StudiesCohort StudiesFemaleHumansIncidenceMaleMiddle AgedOntarioYoung Adult

Identifiers

PMID41215713
PMCPMC12934550

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.