Association between atopic dermatitis and colorectal cancer risk

RESEARCH ARTICLE: OBSERVATIONAL STUDY

A nationwide cohort study

Chou, Wan-Yun MS^a; Lai, Pin-Yu MS^b; Hu, Je-Ming MD^c,d,e; Hsu, Chih-Hsiung MS^c,f; Chen, Yong-Chen PhD^g,h; Tian, Yu-Feng MD^i,j; You, San-Lin PhD^g,h; Hsiao, Cheng-Wen MD^d; Chou, Yu-Ching PhD^a,b,∗; Sun, Chien-An ScD^h,k,∗

Section Editor(s): Kok., Victor C.

 Author Information

Medicine: January 2020 - Volume 99 - Issue 1 - p e18530

doi: 10.1097/MD.0000000000018530

Abstract

The role of atopic dermatitis (AD) in the development of colorectal cancer (CRC) has been a matter of scientific debate with mixed results. We conducted a nationwide cohort study to assess the association between AD and risk of CRC. Drawing on Taiwan's National Health Insurance Research Database, 46,703 patients with AD (the AD cohort) and 186,812 sex, age, and index year-matched patients without AD (the non-AD cohort) were identified in the period between 2000 and 2008.

Follow-up time was calculated from the date of entry in the cohort until the occurrence of a first CRC diagnosis, death, or the end of the observation period (December 31, 2013), whichever occurred first. Hazards ratios (HRs) and accompanying 95% confidence intervals (CIs) derived from the Fine-Gray competing risk model were used to estimate the association between AD and CRC risk. After multivariable adjustment, AD was associated with an increased risk of CRC (adjusted HR, 1.26; 95% CI, 1.14–1.40). Of note, a significant positive association between AD and CRC risk was evident in both men and women and in all age groups. In summary, this population-based cohort study revealed that AD was associated with an increased risk of CRC in an Asian population. It will be of interest for cohort studies with prediagnostic specimens to evaluate the potential relationship between AD and CRC using biomarkers for allergy status.

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