Association between colorectal cancer susceptibility loci and survival time after diagnosis with colorectal cancer.

Phipps, Amanda I; Newcomb, Polly A; Garcia-Albeniz, Xabier; Hutter, Carolyn M; White, Emily; Fuchs, Charles S; Hazra, Aditi; Ogino, Shuji et al. · Gastroenterology · 2012

retrospective_cohort · Level III

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Abstract

Genome-wide association studies have identified 16 germline single-nucleotide polymorphisms (SNPs) that are associated with colorectal cancer (CRC) incidence. We examined the relationship between these SNPs and survival of 2611 individuals with CRC, enrolled in 5 cohort studies. We used Cox regression analysis to associate SNPs with overall and CRC-specific survival times. The minor allele in rs4939827 (SMAD7) was associated with reduced overall survival (hazard ratio, 1.16; 95% confidence interval, 1.06-1.27; P = .002) and disease-specific survival (hazard ratio, 1.17; 95% confidence interval, 1.05-1.30; P = .005). Other SNPs were not associated significantly with survival. Common germline variations might be prognostic factors for patients with CRC. A variant in SMAD7 could affect progression of CRC.

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