Evidence map›Paper›PMID 36184594›Full record

SynthesisBMC medicine2022

Short-chain fatty acid concentrations in the incidence and risk-stratification of colorectal cancer: a systematic review and meta-analysis.

Ehsan Alvandi, Wilson K M Wong, Mugdha V Joglekar, Kevin J Spring, Anandwardhan A Hardikar

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 4 pooled it
7.8field-weighted citation impact, top 2% 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

68 citing papers in PubMed, 4 syntheses or guidelines pooled it, 82 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Review
  7. High dietary BGut microbes · 2026
    Article
  8. Review
  9. Propionate promotes CD8Journal for immunotherapy of cancer · 2026
    Article
  10. Review
  11. Gut microbiota in health and disease.Molecular biomedicine · 2026
    Review
  12. Article
  13. Sleep duration, selected circulating biomarkers, and colorectal cancer risk.European journal of cancer prevention : the official journal of the European Cancer Prevention Organisation (ECP) · 2026
    Article
  14. Review
  15. Review
  16. Article
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  18. Review
  19. Article
  20. Review

8 more citing papers are in PubMed but not listed here.

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

5 authors at 3 institutions in 1 country.

Ehsan AlvandiDiabetes and Islet Biology Group, School of Medicine, Western Sydney University, Campbelltown, NSW, Australia.
Wilson K M WongDiabetes and Islet Biology Group, School of Medicine, Western Sydney University, Campbelltown, NSW, Australia.
Mugdha V JoglekarDiabetes and Islet Biology Group, School of Medicine, Western Sydney University, Campbelltown, NSW, Australia.
Kevin J SpringDiabetes and Islet Biology Group, School of Medicine, Western Sydney University, Campbelltown, NSW, Australia. k.spring@westernsydney.edu.au.
Anandwardhan A HardikarDiabetes and Islet Biology Group, School of Medicine, Western Sydney University, Campbelltown, NSW, Australia. a.hardikar@westernsydney.edu.au.
Western Sydney University · AUCamden and Campbelltown Hospitals · AUTranslational Research Institute · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe beneficial role of gut microbiota and bacterial metabolites, including short-chain fatty acids (SCFAs), is well recognized, although the available literature around their role in colorectal cancer (CRC) has been inconsistent.

methodsWe performed a systematic review and meta-analysis to examine the associations of fecal SCFA concentrations to the incidence and risk of CRC. Data extraction through Medline, Embase, and Web of Science was carried out from database conception to June 29, 2022. Predefined inclusion/exclusion criteria led to the selection of 17 case-control and six cross-sectional studies for quality assessment and analyses. Studies were categorized for CRC risk or incidence, and RevMan 5.4 was used to perform the meta-analyses. Standardized mean differences (SMD) with 95% confidence intervals (CI) were calculated using a random-effects model. Studies lacking quantitation were included in qualitative analyses.

resultsCombined analysis of acetic, propionic, and butyric acid revealed significantly lower concentrations of these SCFAs in individuals with a high-risk of CRC (SMD = 2.02, 95% CI 0.31 to 3.74, P = 0.02). Additionally, CRC incidence was higher in individuals with lower levels of SCFAs (SMD = 0.45, 95% CI 0.19 to 0.72, P = 0.0009), compared to healthy individuals. Qualitative analyses identified 70.4% of studies reporting significantly lower concentrations of fecal acetic, propionic, butyric acid, or total SCFAs in those at higher risk of CRC, while 66.7% reported significantly lower concentrations of fecal acetic and butyric acid in CRC patients compared to healthy controls.

conclusionsOverall, lower fecal concentrations of the three major SCFAs are associated with higher risk of CRC and incidence of CRC.

Indexed as

Colorectal NeoplasmsFatty Acids, VolatileButyratesCross-Sectional StudiesFecesHumansIncidenceButyratesFatty Acids, VolatileAdenomaColorectal cancerIncidenceMeta-analysisRiskShort-chain fatty acid

Identifiers

PMID36184594
PMCPMC9528142
OpenAlexW4299878807

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.