Evidence map›Paper›PMID 41052817›Full record

ArticleBMJ open gastroenterology2025

Association between autoimmune disease and colorectal cancer: a retrospective case-control study of 120 876 patients.

Sven Heiko Loosen, Frederik Hansen, Tom Luedde, Christoph Roderburg, Karel Kostev

Abstract read
In one paragraph

Article in BMJ open gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  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

5 authors.

Sven Heiko LoosenUniversity Hospital, Department of Gastroenterology, Hepatology and Infectious Diseases, Heinrich-Heine-Universitat Dusseldorf, Düsseldorf, Germany sven.loosen@med.uni-duesseldorf.de.
Frederik HansenGastroenterology, Hepatology and Infectious Disease, Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Germany.ORCID http://orcid.org/0000-0002-7452-1189
Tom LueddeUniversity Hospital, Department of Gastroenterology, Hepatology and Infectious Diseases, Heinrich-Heine-Universitat Dusseldorf, Düsseldorf, Germany.
Christoph RoderburgUniversity Hospital, Department of Gastroenterology, Hepatology and Infectious Diseases, Heinrich-Heine-Universitat Dusseldorf, Düsseldorf, Germany.
Karel KostevIQVIA Germany, Frankfurt, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveColorectal cancer (CRC) is one of the most frequently diagnosed cancers and a leading cause of cancer-related deaths worldwide. While inflammatory bowel disease (IBD) is a well-established risk factor for CRC, the potential link between other autoimmune diseases and CRC is unclear. In light of the growing prevalence of autoimmune diseases and their recognised link to various malignancies, this study seeks to investigate whether different autoimmune diseases are associated with CRC.

methodsA total of 20 146 patients with an initial diagnosis of CRC and 100 730 propensity score-matched cancer-free individuals were identified from the Disease Analyzer database (IQVIA). Univariable conditional logistic regression models were used to examine whether each autoimmune disorder was associated with subsequent CRC diagnosis.

resultsOnly IBD was significantly associated with CRC (OR 1.53; 95% CI 1.33 to 1.75). Type 1 diabetes, rheumatic diseases, autoimmune thyroiditis, and multiple sclerosis did not show a significant association with CRC. Psoriasis showed a non-significant trend towards an association with CRC (OR 1.11; 95% CI 0.97 to 1.27). Coeliac disease was not associated with the development of CRC (OR 1.06; 95% CI 0.69 to 1.64). A sex-stratified analysis revealed that the association between IBD and CRC was similar in both women (OR 1.48; 95% CI 1.22 to 1.81) and men (OR 1.57; 95% CI 1.29 to 1.89). No significant sex differences for any other autoimmune disease were observed.

conclusionThe presence of IBD, but not any other autoimmune diseases, was significantly associated with a subsequent CRC. This finding serves to emphasise the significance of routine screening for patients suffering from IBD.

Indexed as

Autoimmune DiseasesColorectal NeoplasmsInflammatory Bowel DiseasesAdultAgedCase-Control StudiesFemaleHumansMaleMiddle AgedPropensity ScoreRetrospective StudiesRisk FactorsSex Factorsautoimmune diseasecolorectal cancerINFLAMMATORY BOWEL DISEASE

Identifiers

PMID41052817
PMCPMC12506172

What Socratic holds

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LicenceCC BY
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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 Socratic graph.