The effect of vitamin D on the occurrence and development of colorectal cancer: a systematic review and meta-analysis

Purpose There has been a lot of controversies about the correlation between vitamin D and colorectal cancer (CRC). In this meta-analysis, we purposed to explore the relationship between vitamin D and the incidence of CRC/the prognosis of CRC. Methods A systematic search for articles in databases (Pu...

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Veröffentlicht in:International journal of colorectal disease 2021-07, Vol.36 (7), p.1329-1344
Hauptverfasser: Xu, Yunbao, Qian, Mingxia, Hong, Jiaze, Ng, Derry Minyao, Yang, Tong, Xu, Liuhong, Ye, Xia
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container_end_page 1344
container_issue 7
container_start_page 1329
container_title International journal of colorectal disease
container_volume 36
creator Xu, Yunbao
Qian, Mingxia
Hong, Jiaze
Ng, Derry Minyao
Yang, Tong
Xu, Liuhong
Ye, Xia
description Purpose There has been a lot of controversies about the correlation between vitamin D and colorectal cancer (CRC). In this meta-analysis, we purposed to explore the relationship between vitamin D and the incidence of CRC/the prognosis of CRC. Methods A systematic search for articles in databases (Pubmed, Web of Science, EBSCO and Cochrane Library) was terminated in April 2020. The primary outcomes were the incidence rate of CRC and the long-term survival of patients with CRC. Results According to the estimated pooled OR from 21 eligible studies, covering 904,152 people, the use of vitamin D was inversely associated with the incidence of CRC [OR = 0.87, (0.82–0.92)]. Among the four studies included in this meta-analysis, covering 7486 patients, compared the overall survival (OS) of CRC between the vitamin D users and the non-users. Based on the estimated pooled HR, vitamin D potentially improved the long-term survival of CRC patients [HR = 0.91, (0.83–0.98)]. Conclusion This meta-analysis demonstrates that vitamin D not only has a positive impact on the incidence of CRC from either the dietary or supplemental sources but also benefits clinical outcomes and improves the long-term survival of CRC patients. However, further studies are recommended to clarify the above phenomena.
doi_str_mv 10.1007/s00384-021-03879-w
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In this meta-analysis, we purposed to explore the relationship between vitamin D and the incidence of CRC/the prognosis of CRC. Methods A systematic search for articles in databases (Pubmed, Web of Science, EBSCO and Cochrane Library) was terminated in April 2020. The primary outcomes were the incidence rate of CRC and the long-term survival of patients with CRC. Results According to the estimated pooled OR from 21 eligible studies, covering 904,152 people, the use of vitamin D was inversely associated with the incidence of CRC [OR = 0.87, (0.82–0.92)]. Among the four studies included in this meta-analysis, covering 7486 patients, compared the overall survival (OS) of CRC between the vitamin D users and the non-users. Based on the estimated pooled HR, vitamin D potentially improved the long-term survival of CRC patients [HR = 0.91, (0.83–0.98)]. Conclusion This meta-analysis demonstrates that vitamin D not only has a positive impact on the incidence of CRC from either the dietary or supplemental sources but also benefits clinical outcomes and improves the long-term survival of CRC patients. However, further studies are recommended to clarify the above phenomena.</description><identifier>ISSN: 0179-1958</identifier><identifier>EISSN: 1432-1262</identifier><identifier>DOI: 10.1007/s00384-021-03879-w</identifier><identifier>PMID: 33598751</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Alfacalcidol ; Analysis ; Calcifediol ; Colorectal cancer ; Colorectal carcinoma ; Gastroenterology ; Hepatology ; Internal Medicine ; Medical prognosis ; Medical research ; Medicine ; Medicine &amp; Public Health ; Medicine, Experimental ; Meta-analysis ; Proctology ; Prognosis ; Review ; Surgery ; Survival ; Vitamin D</subject><ispartof>International journal of colorectal disease, 2021-07, Vol.36 (7), p.1329-1344</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature 2021</rights><rights>COPYRIGHT 2021 Springer</rights><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-74c15e56fb05dcc073659d39fc552ee04b294e66d46ffcc181d0b88453ca58d33</citedby><cites>FETCH-LOGICAL-c442t-74c15e56fb05dcc073659d39fc552ee04b294e66d46ffcc181d0b88453ca58d33</cites><orcidid>0000-0002-6720-5647</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00384-021-03879-w$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00384-021-03879-w$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33598751$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Xu, Yunbao</creatorcontrib><creatorcontrib>Qian, Mingxia</creatorcontrib><creatorcontrib>Hong, Jiaze</creatorcontrib><creatorcontrib>Ng, Derry Minyao</creatorcontrib><creatorcontrib>Yang, Tong</creatorcontrib><creatorcontrib>Xu, Liuhong</creatorcontrib><creatorcontrib>Ye, Xia</creatorcontrib><title>The effect of vitamin D on the occurrence and development of colorectal cancer: a systematic review and meta-analysis</title><title>International journal of colorectal disease</title><addtitle>Int J Colorectal Dis</addtitle><addtitle>Int J Colorectal Dis</addtitle><description>Purpose There has been a lot of controversies about the correlation between vitamin D and colorectal cancer (CRC). In this meta-analysis, we purposed to explore the relationship between vitamin D and the incidence of CRC/the prognosis of CRC. Methods A systematic search for articles in databases (Pubmed, Web of Science, EBSCO and Cochrane Library) was terminated in April 2020. The primary outcomes were the incidence rate of CRC and the long-term survival of patients with CRC. Results According to the estimated pooled OR from 21 eligible studies, covering 904,152 people, the use of vitamin D was inversely associated with the incidence of CRC [OR = 0.87, (0.82–0.92)]. Among the four studies included in this meta-analysis, covering 7486 patients, compared the overall survival (OS) of CRC between the vitamin D users and the non-users. Based on the estimated pooled HR, vitamin D potentially improved the long-term survival of CRC patients [HR = 0.91, (0.83–0.98)]. Conclusion This meta-analysis demonstrates that vitamin D not only has a positive impact on the incidence of CRC from either the dietary or supplemental sources but also benefits clinical outcomes and improves the long-term survival of CRC patients. 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subjects Alfacalcidol
Analysis
Calcifediol
Colorectal cancer
Colorectal carcinoma
Gastroenterology
Hepatology
Internal Medicine
Medical prognosis
Medical research
Medicine
Medicine & Public Health
Medicine, Experimental
Meta-analysis
Proctology
Prognosis
Review
Surgery
Survival
Vitamin D
title The effect of vitamin D on the occurrence and development of colorectal cancer: a systematic review and meta-analysis
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