{"doi":"10.1093/jnci/djae203","title":"Inflammation, physical activity, and disease-free survival in stage III colon cancer: Cancer and Leukemia Group B–Southwest Oncology Group 80702 (Alliance)","abstract":"BACKGROUND: Inflammation and insufficient physical inactivity contribute to individual-level risk of disease recurrence and death in stage III colon cancer. The extent to which increased inflammatory risk can be offset by sufficient physical activity remains unknown. METHODS: This cohort study was nested within the Cancer and Leukemia Group B (now part of the Alliance for Clinical Trials in Oncology) and Southwest Oncology Group randomized trial. Inflammatory burden was quantified by high-sensitivity C-reactive protein, interleukin-6, and soluble tumor necrosis factor-α receptor 2 after recovery from tumor resection. Physical activity was measured during and after postoperative chemotherapy. The primary endpoint was disease-free survival. RESULTS: The 3-year disease-free survival rate was 88.4% among patients with low inflammation and sufficient physical activity (referent group for all comparisons), 84.9% with low inflammation and insufficient physical activity (absolute risk difference = -3.5 percentage points, 95% confidence interval [CI] = -11.3 to 4.3; P = .38), 78.0% with intermediate inflammation and insufficient physical activity (absolute risk difference = -10.4 percentage points, 95% CI = -17.4 to -3.3; P = .007), and 79.7% with high inflammation and insufficient physical activity (absolute risk difference = -8.7 percentage points, 95% CI = -15.7 to -1.6; P = .022). In contrast, the 3-year disease-free survival rate was 87.3% among patients with intermediate inflammation and sufficient physical activity (absolute risk difference = -1.1 percentage points, 95% CI = -7.5 to 5.3; P = .74) and 84.4% with high inflammation and sufficient physical activity (absolute risk difference = -4.0 percentage points, 95% CI = -12.3 to 4.3; P = .34). CONCLUSION: In this observational study of stage III colon cancer patients, physical activity was associated with improved disease-free survival despite high inflammation. Patients with intermediate or high inflammation who were physically active had disease-free survival rates that were not statistically significantly different from those with low inflammation.","journal":"JNCI Journal of the National Cancer Institute","year":2024,"id":450544,"datarank":0.24141568686511508,"base_score":1.6094379124341003,"endowment":1.6094379124341003,"self_citation_contribution":0.24141568686511508,"citation_network_contribution":0.0,"self_endowment_contribution":0.24141568686511508,"citer_contribution":0.0,"corpus_percentile":38.748356153786645,"corpus_rank":7799,"citation_count":4,"citer_count":3,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":true,"is_dataset_confidence":0.6887,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":4.1667,"fair_percentile":4.891470498318557,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":668048,"name":"Chao Ma","orcid":"0000-0001-7741-818X","position":1,"is_corresponding":false},{"id":310795,"name":"Qian Shi","orcid":"0000-0002-4640-8832","position":2,"is_corresponding":false},{"id":567925,"name":"Félix Couture","orcid":null,"position":3,"is_corresponding":false},{"id":1054937,"name":"Philip Kuebler","orcid":"0009-0004-0964-2971","position":4,"is_corresponding":false},{"id":552666,"name":"Pankaj Kumar","orcid":"0000-0003-4284-6787","position":5,"is_corresponding":false},{"id":567087,"name":"Benjamin Tan","orcid":"0000-0003-1838-1182","position":6,"is_corresponding":false},{"id":262241,"name":"Smitha Krishnamurthi","orcid":"0000-0003-2411-3504","position":7,"is_corresponding":false},{"id":817100,"name":"Victor T. Chang","orcid":"0000-0003-3640-7235","position":8,"is_corresponding":false},{"id":1271053,"name":"Richard M. Goldberg","orcid":"0000-0003-3713-6895","position":9,"is_corresponding":false},{"id":242198,"name":"Eileen M. O’Reilly","orcid":"0000-0002-8076-9199","position":10,"is_corresponding":false},{"id":254340,"name":"Anthony F. Shields","orcid":"0000-0002-9122-1014","position":11,"is_corresponding":false},{"id":6441,"name":"Jeffrey A. Meyerhardt","orcid":"0000-0002-1120-0898","position":12,"is_corresponding":false},{"id":273715,"name":"Justin C. 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