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@ARTICLE{Carr:144087,
author = {P. Carr$^*$ and B. L. Banbury and S. I. Berndt and P. T.
Campbell and J. Chang-Claude$^*$ and R. B. Hayes and B. V.
Howard and L. Jansen$^*$ and E. J. Jacobs and D. S. Lane and
R. Nishihara and S. Ogino and A. I. Phipps and M. L.
Slattery and M. L. Stefanick and R. Wallace and V.
Walter$^*$ and E. White and K. Wu and U. Peters and A. T.
Chan and P. A. Newcomb and H. Brenner$^*$ and M.
Hoffmeister$^*$},
title = {{A}ssociation {B}etween {I}ntake of {R}ed and {P}rocessed
{M}eat and {S}urvival in {P}atients {W}ith {C}olorectal
{C}ancer in a {P}ooled {A}nalysis.},
journal = {Clinical gastroenterology and hepatology},
volume = {17},
number = {8},
issn = {1542-3565},
address = {New York, NY},
publisher = {Elsevier Science},
reportid = {DKFZ-2019-01637},
pages = {1561 - 1570.e3},
year = {2019},
abstract = {Red and processed meat intake is associated with colorectal
cancer (CRC) incidence, but it is not clear if intake is
associated with patient survival after diagnosis.We pooled
data from 7627 patients with stage I-IV CRC from 10 studies
in the International Survival Analysis in Colorectal Cancer
Consortium. Cox proportional hazards regression models were
used to evaluate the associations of intake of red and
processed meat before diagnosis with overall and
CRC-specific survival.Among 7627 patients with CRC, 2338
died, including 1576 from CRC, over a median follow-up time
of 5.1 years. In multivariable-adjusted analyses, higher
intake of red or processed meat was not associated with
overall survival of patients with stage I-III CRC: Q4 vs Q1
red meat hazard ratio [HR], 1.08 $(95\%$ CI, 0.93-1.26) and
Q4 vs Q1 processed meat HR, 1.10 $(95\%$ CI, 0.93-1.32) or
with CRC-specific survival: Q4 vs Q1 red meat HR, 1.09
$(95\%$ CI, 0.89-1.33) and Q4 vs Q1 processed meat HR, 1.11
$(95\%$ CI, 0.87-1.42). Results were similar for patients
with stage IV CRC. However, patients with stage I-III CRC
who reported an intake of processed meat above the
study-specific medians had a higher risk of death from any
cause (HR, 1.12; $95\%$ CI, 1.01-1.25) than patients who
reported eating at or less than the median.In this large
consortium of CRC patient cohorts, intake of red and
processed meat before a diagnosis of CRC was not associated
with shorter survival time after diagnosis, although a
possible weak adverse association cannot be excluded.
Studies that evaluate dietary data from several time points
before and after cancer diagnosis are required to confirm
these findings.},
cin = {C070 / C120 / L101 / C020},
ddc = {610},
cid = {I:(DE-He78)C070-20160331 / I:(DE-He78)C120-20160331 /
I:(DE-He78)L101-20160331 / I:(DE-He78)C020-20160331},
pnm = {313 - Cancer risk factors and prevention (POF3-313)},
pid = {G:(DE-HGF)POF3-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:30476588},
pmc = {pmc:PMC6533164},
doi = {10.1016/j.cgh.2018.11.036},
url = {https://inrepo02.dkfz.de/record/144087},
}