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The relationship between diabetes and colorectal cancer prognosis: A meta-analysis based on the cohort studies.

Abstract Though a meta-analysis reported the effect of diabetes on colorectal prognosis in 2013, a series of large-scale long-term cohort studies has comprehensively reported the outcome effect estimates on the relationship between diabetes and colorectal prognosis, and their results were still consistent.
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Publication Year Start




PMID- 28423026
OWN - NLM
STAT- In-Process
DA  - 20170419
LR  - 20170419
IS  - 1932-6203 (Electronic)
IS  - 1932-6203 (Linking)
VI  - 12
IP  - 4
DP  - 2017
TI  - The relationship between diabetes and colorectal cancer prognosis: A
      meta-analysis based on the cohort studies.
PG  - e0176068
LID - 10.1371/journal.pone.0176068 [doi]
AB  - INTRODUCTION: Though a meta-analysis reported the effect of diabetes on
      colorectal prognosis in 2013, a series of large-scale long-term cohort studies
      has comprehensively reported the outcome effect estimates on the relationship
      between diabetes and colorectal prognosis, and their results were still
      consistent. METHODS: We carried out an extensive search strategy in multiple
      databases and conducted a meta-analysis on the effect of diabetes on colorectal
      prognosis, based on the included 36 cohort studies, which contained 2,299,012
      subjects. In order to collect more data, besides conventional methods, we used
      the professional software to extract survival data from the Kaplan-Meier curves, 
      and analyzed both the 5-year survival rate and survival risk in overall survival,
      cancer-specific survival, cardiovascular disease-specific survival, disease-free 
      survival, and recurrence-free survival, to comprehensively reflect the effect of 
      diabetes on colorectal prognosis. RESULTS: The results found that compared to
      patients without diabetes, patients with diabetes will have a 5-year shorter
      survival in colorectal, colon and rectal cancer, with a 18%, 19% and 16%
      decreased in overall survival respectively. We also found similar results in
      cancer-specific survival, cardiovascular disease-specific survival, disease-free 
      survival, and recurrence-free survival, but not all these results were
      significant. We performed the subgroup analysis and sensitivity analysis to find 
      the source of heterogeneity. Their results were similar to the overall results.
      CONCLUSIONS: Our meta-analysis suggested that diabetes had a negative effect on
      colorectal cancer in overall survival. More studies are still needed to confirm
      the relationship between diabetes and colorectal prognosis in cancer-specific
      survival, cardiovascular disease-specific survival, disease-free survival, and
      recurrence-free survival.
FAU - Zhu, Bo
AU  - Zhu B
AUID- ORCID: http://orcid.org/0000-0002-1062-1295
AD  - Department of Cancer Prevention and Treatment, Cancer Hospital of China Medical
      University/ Liaoning Cancer Hospital & Institute, Dadong District, Shenyang,
      People's Republic of China.
FAU - Wu, Xiaomei
AU  - Wu X
AD  - Department of Clinical Epidemiology and Evidence Medicine, The First Hospital of 
      China Medical University, Heping District, Shenyang, People's Republic of China.
FAU - Wu, Bo
AU  - Wu B
AD  - Department of Anus and Intestine Surgery, The First Hospital of China Medical
      University, Heping District, Shenyang, People's Republic of China.
FAU - Pei, Dan
AU  - Pei D
AD  - Department of Occupational health, Liaohe Petrochemical Company of China National
      Petroleum Corporation, Xinglongtai District, Panjin, People's Republic of China.
FAU - Zhang, Lu
AU  - Zhang L
AD  - Department of Cancer Prevention and Treatment, Cancer Hospital of China Medical
      University/ Liaoning Cancer Hospital & Institute, Dadong District, Shenyang,
      People's Republic of China.
FAU - Wei, Lixuan
AU  - Wei L
AD  - Department of Cancer Prevention and Treatment, Cancer Hospital of China Medical
      University/ Liaoning Cancer Hospital & Institute, Dadong District, Shenyang,
      People's Republic of China.
LA  - eng
PT  - Journal Article
DEP - 20170419
PL  - United States
TA  - PLoS One
JT  - PloS one
JID - 101285081
EDAT- 2017/04/20 06:00
MHDA- 2017/04/20 06:00
CRDT- 2017/04/20 06:00
PHST- 2016/12/03 [received]
PHST- 2017/04/05 [accepted]
AID - 10.1371/journal.pone.0176068 [doi]
AID - PONE-D-16-47835 [pii]
PST - epublish
SO  - PLoS One. 2017 Apr 19;12(4):e0176068. doi: 10.1371/journal.pone.0176068.
      eCollection 2017.

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