Evidence map›Paper›PMID 36900989›Full record

SynthesisInternational journal of environmental research and public health2023

The Protective Effect of Bariatric Surgery on the Development of Colorectal Cancer: A Systematic Review and Meta-Analysis.

Nikolaos Pararas, Anastasia Pikouli, Dionysios Dellaportas, Constantinos Nastos, Anestis Charalampopoulos, Mohamad Ayham Muqresh, George Bagias, Emmanouil Pikoulis, Dimitrios Papaconstantinou

Full text readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in International journal of environmental research and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Review
  6. Article
  7. 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

9 authors.

Nikolaos PararasThird Department of Surgery, Attikon University Hospital, National and Kapodistrian University of Athens, 15772 Athens, Greece.
Anastasia PikouliThird Department of Surgery, Attikon University Hospital, National and Kapodistrian University of Athens, 15772 Athens, Greece.
Dionysios DellaportasThird Department of Surgery, Attikon University Hospital, National and Kapodistrian University of Athens, 15772 Athens, Greece.
Constantinos NastosThird Department of Surgery, Attikon University Hospital, National and Kapodistrian University of Athens, 15772 Athens, Greece.
Anestis CharalampopoulosThird Department of Surgery, Attikon University Hospital, National and Kapodistrian University of Athens, 15772 Athens, Greece.
Mohamad Ayham MuqreshCollege of Medicine, Sulaiman Al Rajhi University, Al-Qassim 52726, Saudi Arabia.ORCID 0000-0002-5971-9664
George BagiasThird Department of Surgery, Attikon University Hospital, National and Kapodistrian University of Athens, 15772 Athens, Greece.
Emmanouil PikoulisThird Department of Surgery, Attikon University Hospital, National and Kapodistrian University of Athens, 15772 Athens, Greece.
Dimitrios PapaconstantinouThird Department of Surgery, Attikon University Hospital, National and Kapodistrian University of Athens, 15772 Athens, Greece.ORCID 0000-0002-2319-4923

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity is a known risk factor for developing colorectal cancer (CRC) and is associated with the formation of precancerous colonic adenomas. Bariatric surgery (BRS) is considered to reduce the cancer risk in morbidly obese patients. However, the currently available literature yields contradicting results regarding the impact of bariatric surgery on the incidence of CRC.

methodsA systematic literature search of the Medline, Embase, CENTRAL, CINAHL, Web of Science, and clinicaltrials.gov databases was undertaken following the PRISMA guidelines. A random effects model was selected.

resultsTwelve retrospective cohort studies, incorporating a total of 6,279,722 patients, were eligible for inclusion in the final quantitative analysis. Eight studies originated from North America, while four reported on European patients. Patients in the Bariatric Surgery group exhibited a significantly reduced risk for developing colorectal cancer (RR 0.56, 95% CI 0.4-0.8,

conclusionsA significant protective effect of BRS against the development of CRC is implied. In the present analysis, the incidence rate of colorectal cancer was approximately halved amongst the obese individuals that were operated on.

Indexed as

Bariatric SurgeryColorectal NeoplasmsObesity, MorbidHumansRetrospective StudiesRisk Factorsbariatric surgerycolorectal cancermeta-analysisobesity

Identifiers

PMID36900989
PMCPMC10001715

What Socratic holds

Textfull text, public
LicenceCC BY
measurements read20
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.