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000289937 041__ $$aEnglish
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000289937 1001_ $$00000-0002-0198-1897$$aChan, Doris S M$$b0
000289937 245__ $$aPost-diagnosis dietary factors, supplement use and colorectal cancer prognosis: A Global Cancer Update Programme (CUP Global) systematic literature review and meta-analysis.
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000289937 500__ $$a2024 Aug 1;155(3):445-470
000289937 520__ $$aThe role of diet in colorectal cancer prognosis is not well understood and specific lifestyle recommendations are lacking. We searched for randomised controlled trials (RCTs) and longitudinal observational studies on post-diagnosis dietary factors, supplement use and colorectal cancer survival outcomes in PubMed and Embase from inception until 28th February 2022. Random-effects dose-response meta-analyses were conducted when at least three studies had sufficient information. The evidence was interpreted and graded by the CUP Global independent Expert Committee on Cancer Survivorship and Expert Panel. Five RCTs and 35 observational studies were included (30,242 cases, over 8700 all-cause and 2100 colorectal cancer deaths, 3700 progression, recurrence, or disease-free events). Meta-analyses, including 3-10 observational studies each, were conducted for: whole grains, nuts/peanuts, red and processed meat, dairy products, sugary drinks, artificially sweetened beverages, coffee, alcohol, dietary glycaemic load/index, insulin load/index, marine omega-3 polyunsaturated fatty acids, supplemental calcium, circulating 25-hydroxyvitamin D (25[OH]D) and all-cause mortality; for alcohol, supplemental calcium, circulating 25(OH)D and colorectal cancer-specific mortality; and for circulating 25(OH)D and recurrence/disease-free survival. The overall evidence was graded as 'limited'. The inverse associations between healthy dietary and/or lifestyle patterns (including diets that comprised plant-based foods), whole grains, total, caffeinated, or decaffeinated coffee and all-cause mortality and the positive associations between unhealthy dietary patterns, sugary drinks and all-cause mortality provided 'limited-suggestive' evidence. All other exposure-outcome associations provided 'limited-no conclusion' evidence. Additional, well-conducted cohort studies and carefully designed RCTs are needed to develop specific lifestyle recommendations for colorectal cancer survivors.
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000289937 650_7 $$2Other$$acolorectal cancer survival
000289937 650_7 $$2Other$$adiet
000289937 650_7 $$2Other$$aevidence grading
000289937 650_7 $$2Other$$afood
000289937 650_7 $$2Other$$asystematic review
000289937 7001_ $$aCariolou, Margarita$$b1
000289937 7001_ $$00000-0001-8481-579X$$aMarkozannes, Georgios$$b2
000289937 7001_ $$aBalducci, Katia$$b3
000289937 7001_ $$aVieira, Rita$$b4
000289937 7001_ $$aKiss, Sonia$$b5
000289937 7001_ $$aBecerra-Tomás, Nerea$$b6
000289937 7001_ $$00000-0002-4533-1722$$aAune, Dagfinn$$b7
000289937 7001_ $$aGreenwood, Darren C$$b8
000289937 7001_ $$aGonzález-Gil, Esther M$$b9
000289937 7001_ $$aCopson, Ellen$$b10
000289937 7001_ $$aRenehan, Andrew G$$b11
000289937 7001_ $$aBours, Martijn$$b12
000289937 7001_ $$00000-0001-5241-932X$$aDemark-Wahnefried, Wendy$$b13
000289937 7001_ $$aHudson, Melissa M$$b14
000289937 7001_ $$aMay, Anne M$$b15
000289937 7001_ $$aOdedina, Folakemi T$$b16
000289937 7001_ $$aSkinner, Roderick$$b17
000289937 7001_ $$0P:(DE-He78)a0c2037d9054be26907a05ae520d5756$$aSteindorf, Karen$$b18$$udkfz
000289937 7001_ $$aTjønneland, Anne$$b19
000289937 7001_ $$aVelikova, Galina$$b20
000289937 7001_ $$aBaskin, Monica L$$b21
000289937 7001_ $$aChowdhury, Rajiv$$b22
000289937 7001_ $$aHill, Lynette$$b23
000289937 7001_ $$aLewis, Sarah J$$b24
000289937 7001_ $$aSeidell, Jaap$$b25
000289937 7001_ $$aWeijenberg, Matty P$$b26
000289937 7001_ $$aKrebs, John$$b27
000289937 7001_ $$aCross, Amanda J$$b28
000289937 7001_ $$00000-0002-8452-8472$$aTsilidis, Konstantinos K$$b29
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