Association between Parkinson's disease and risk of colorectal cancer: A systematic review and meta‐analysis

Abstract This study aims to investigate the relationship between Parkinson's disease (PD) and colorectal cancer (CRC) risk by a systematic review and meta‐analysis. Using Embase, Pubmed, and Cochrane Library databases, 21 articles reporting clinical data of 1,635,873 PD patients and 10,388,842...

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Main Authors: Meng‐Dan Su, Tian‐Hong Wang, Hao‐Wen Zhang, Ke‐Yu Cao, Fei Liu
Format: Article
Language:English
Published: Wiley-VCH 2025-06-01
Series:Ibrain
Subjects:
Online Access:https://doi.org/10.1002/ibra.12193
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author Meng‐Dan Su
Tian‐Hong Wang
Hao‐Wen Zhang
Ke‐Yu Cao
Fei Liu
author_facet Meng‐Dan Su
Tian‐Hong Wang
Hao‐Wen Zhang
Ke‐Yu Cao
Fei Liu
author_sort Meng‐Dan Su
collection DOAJ
description Abstract This study aims to investigate the relationship between Parkinson's disease (PD) and colorectal cancer (CRC) risk by a systematic review and meta‐analysis. Using Embase, Pubmed, and Cochrane Library databases, 21 articles reporting clinical data of 1,635,873 PD patients and 10,388,842 healthy individuals were finally included. Based on the results of pooled analysis, we found that PD patients exhibited a decreased risk of CRC (relative risk (RR) = 0.74; 95% confidence interval (CI), 0.68–0.80). In contrast to case‐control (RR = 0.80; 95% CI, 0.64–1) and cohort studies (RR = 0.72; 95% CI, 0.66–0.79), the combined risk of PD patients with CRC in Asian nations (RR = 0.67; 95% CI, 0.58–0.78) was lower than that in Western countries (RR = 0.76; 95% CI, 0.70–0.82). In comparison to rectal cancer (RR = 0.82; 95% CI, 0.69–0.97), PD patients exhibited a lower combined risk of colon cancer (RR = 0.76; 95% CI, 0.67–0.86). Furthermore, the combined CRC risks for patients in studies published before 2010 and after 2010 were 0.76 (RR = 0.76; 95% CI, 0.66–0.88) and 0.74 (RR = 0.74; 95% CI, 0.68–0.80), respectively. These findings indicate that patients with PD had a reduced risk of CRC. Future studies are merited in exploring pathological molecular linkages or underlying mechanisms of inverse association between CRC and PD.
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spelling doaj-art-01be7c93bc284e4b95859d751e1d74072025-08-20T02:37:02ZengWiley-VCHIbrain2313-19342769-27952025-06-0111220521410.1002/ibra.12193Association between Parkinson's disease and risk of colorectal cancer: A systematic review and meta‐analysisMeng‐Dan Su0Tian‐Hong Wang1Hao‐Wen Zhang2Ke‐Yu Cao3Fei Liu4Department of Anesthesiology West China Hospital, Sichuan University Chengdu ChinaDepartment of Anesthesiology West China Hospital, Sichuan University Chengdu ChinaDepartment of Thoracic Surgery West China Hospital, Sichuan University Chengdu ChinaDepartment of Nursing West China Hospital, Sichuan University/West China School of Nursing, Sichuan University Chengdu ChinaDepartment of Anesthesiology West China Hospital, Sichuan University Chengdu ChinaAbstract This study aims to investigate the relationship between Parkinson's disease (PD) and colorectal cancer (CRC) risk by a systematic review and meta‐analysis. Using Embase, Pubmed, and Cochrane Library databases, 21 articles reporting clinical data of 1,635,873 PD patients and 10,388,842 healthy individuals were finally included. Based on the results of pooled analysis, we found that PD patients exhibited a decreased risk of CRC (relative risk (RR) = 0.74; 95% confidence interval (CI), 0.68–0.80). In contrast to case‐control (RR = 0.80; 95% CI, 0.64–1) and cohort studies (RR = 0.72; 95% CI, 0.66–0.79), the combined risk of PD patients with CRC in Asian nations (RR = 0.67; 95% CI, 0.58–0.78) was lower than that in Western countries (RR = 0.76; 95% CI, 0.70–0.82). In comparison to rectal cancer (RR = 0.82; 95% CI, 0.69–0.97), PD patients exhibited a lower combined risk of colon cancer (RR = 0.76; 95% CI, 0.67–0.86). Furthermore, the combined CRC risks for patients in studies published before 2010 and after 2010 were 0.76 (RR = 0.76; 95% CI, 0.66–0.88) and 0.74 (RR = 0.74; 95% CI, 0.68–0.80), respectively. These findings indicate that patients with PD had a reduced risk of CRC. Future studies are merited in exploring pathological molecular linkages or underlying mechanisms of inverse association between CRC and PD.https://doi.org/10.1002/ibra.12193colorectal cancermeta‐analysisParkinson's diseasepooled analysissystematic review
spellingShingle Meng‐Dan Su
Tian‐Hong Wang
Hao‐Wen Zhang
Ke‐Yu Cao
Fei Liu
Association between Parkinson's disease and risk of colorectal cancer: A systematic review and meta‐analysis
Ibrain
colorectal cancer
meta‐analysis
Parkinson's disease
pooled analysis
systematic review
title Association between Parkinson's disease and risk of colorectal cancer: A systematic review and meta‐analysis
title_full Association between Parkinson's disease and risk of colorectal cancer: A systematic review and meta‐analysis
title_fullStr Association between Parkinson's disease and risk of colorectal cancer: A systematic review and meta‐analysis
title_full_unstemmed Association between Parkinson's disease and risk of colorectal cancer: A systematic review and meta‐analysis
title_short Association between Parkinson's disease and risk of colorectal cancer: A systematic review and meta‐analysis
title_sort association between parkinson s disease and risk of colorectal cancer a systematic review and meta analysis
topic colorectal cancer
meta‐analysis
Parkinson's disease
pooled analysis
systematic review
url https://doi.org/10.1002/ibra.12193
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