Evidence map›Paper›PMID 35913956›Full record

ArticlePloS one2022

Characteristics of colorectal cancer and use of colonoscopy before colorectal cancer diagnosis among individuals with inflammatory bowel disease: A population-based study.

Tawnya M Hansen, Zoann Nugent, Charles N Bernstein, N Jewel Samadder, Sanjay K Murthy, Harminder Singh

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 25% of its field
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 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. The 2023 Impact of Inflammatory Bowel Disease in Canada: Cancer and IBD.Journal of the Canadian Association of Gastroenterology · 2023
    Review
  4. Diagnostic value of human fecal SDC2 gene in colorectal cancer.American journal of translational research · 2023
    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

6 authors at 3 institutions in 2 countries.

Tawnya M HansenRady Faculty of Health Sciences, IBD Clinical and Research Center and Department of Internal Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, Canada.
Zoann NugentRady Faculty of Health Sciences, IBD Clinical and Research Center and Department of Internal Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, Canada.
Charles N BernsteinRady Faculty of Health Sciences, IBD Clinical and Research Center and Department of Internal Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, Canada.
N Jewel SamadderDivision of Gastroenterology, Department of Medicine, Mayo Clinic, Scottsdale, Arizona, United States of America.
Sanjay K MurthyDepartment of Medicine, Division of Gastroenterology, The Ottawa Hospital IBD Centre, Ottawa, Ontario, Canada.
Harminder SinghRady Faculty of Health Sciences, IBD Clinical and Research Center and Department of Internal Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, Canada.ORCID 0000-0002-9354-2356
University of Manitoba · CAMayo Clinic in Arizona · USOttawa Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThere are limited recent data on the characteristics of inflammatory bowel disease (IBD)-associated colorectal cancer (CRC) and the use of colonoscopy prior to CRC diagnosis among persons with IBD. We analyzed IBD-CRC characteristics, survival after IBD-CRC diagnosis and the use of colonoscopy prior to IBD-CRC diagnosis over time.

methodsWe identified individuals with and without IBD from the University of Manitoba IBD Epidemiology Database and CRC from linkage to the Manitoba Cancer Registry. We compared characteristics of IBD-CRC and sporadic-CRC using logistic regression and survival after CRC diagnosis using Cox regression analysis. We assessed rate and predictors of colonoscopy use 5 years to 6 months prior to IBD-CRC.

results1,262 individuals with CRC were included (212 IBD-CRC). IBD was associated with an increased risk of death after CRC diagnosis in 2004-2011 (HR 1.89; 95% CI 1.25-2.88) but not in 2012-2017 (HR = 1.002; CI 0.50-2.03). In the 5 years to 6 months prior to IBD-CRC (1989-2018), 51% underwent colonoscopy, which was very similar to IBD without CRC and contrasted to 9% among sporadic CRCs. Exposure to colonoscopy pre IBD-CRC remained stable through the study period (1989-2002 OR = 1.25; CI 0.77-2.01; 2003-2011 OR = 1.21; CI 0.56-1.70; reference 2012-2018). Exposure to colonoscopy pre-IBD-CRC was not associated with improved post-CRC survival.

conclusionThe risk of death following CRC diagnosis is not impacted by a diagnosis of IBD in recent years. There is a very high proportion of post colonoscopy CRC among IBD-CRC, which has not changed over the years and needs detailed root-cause analysis and interventions.

Indexed as

Colorectal NeoplasmsInflammatory Bowel DiseasesColonoscopyEarly Detection of CancerHumansRegistriesRisk Factors

Identifiers

PMID35913956
PMCPMC9342763
OpenAlexW4289337912

What Socratic 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 Socratic graph.