Circulating fibroblast growth factor-23 is associated with increased risk for metachronous colorectal adenoma
2011

FGF-23 and Colorectal Adenoma Risk

Sample size: 100 publication Evidence: moderate

Author Information

Author(s): Elizabeth T Jacobs, Maria Elena Martinez, Julie Buckmeier, Peter Lance, Melissa May, Peter Jurutka

Primary Institution: University of Arizona

Hypothesis

The effect of FGF-23 on vitamin D metabolite concentrations could have implications for the risk of colorectal neoplasia.

Conclusion

The study provides preliminary evidence of a relationship between FGF-23 and the risk for colorectal neoplasia.

Supporting Evidence

  • Higher concentrations of FGF-23 were associated with increased odds of metachronous colorectal adenomas.
  • There was a statistically significant inverse relationship between FGF-23 and 1,25(OH)2D levels.
  • The study suggests that FGF-23 may influence colorectal cancer risk through its effects on vitamin D metabolism.

Takeaway

This study found that higher levels of a hormone called FGF-23 might increase the chances of developing certain types of colon growths.

Methodology

The study evaluated the association between circulating concentrations of FGF-23 and the risk of metachronous colorectal adenomas in participants from the Ursodeoxycholic Acid Trial.

Potential Biases

There was an imbalance in some baseline characteristics between those with and without adenoma recurrence.

Limitations

The sample size of 100 participants is small and may introduce bias due to non-random selection.

Participant Demographics

Participants included 50 individuals with metachronous colorectal adenomas and 50 without, with a mean age of 68.1 years for those with adenomas.

Statistical Information

P-Value

0.03

Confidence Interval

0.94 to 10.67

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.4103/1477-3163.76723

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