Evidence map›Paper›PMID 23053567›Full record

SynthesisLung2013

Increased risk of second lung cancer in Hodgkin's lymphoma survivors: a meta-analysis.

Ezzeldin M Ibrahim, Ghieth A Kazkaz, Khaled M Abouelkhair, Mubarak M Al-Mansour, Turki M Al-Fayea, Meteb Al-Foheidi, Ali M Bayer, Osama A Elmasri

Abstract readMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in Lung, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.4field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 45 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
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  8. Article
  9. Cancer pain and alcohol self-medication.Journal of cancer survivorship : research and practice · 2023
    Article
  10. Article
  11. Article
  12. The perspectives of survivors of Hodgkin lymphoma on lung cancer screening: A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2022
    Article
  13. Lung Cancer as a Subsequent Malignant Neoplasm in Survivors of Childhood Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2021
    Article
  14. Article
  15. Article
  16. Review
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  18. Article
  19. Article
  20. Lung cancer and other second neoplasms after treatment of Hodgkin lymphoma.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2016
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Ezzeldin M IbrahimOncology Center of Excellence, International Medical Center, P.O. Box 2172, Jeddah, 21451, Kingdom of Saudi Arabia. ezzibrahim@imc.med.sa
Ghieth A Kazkaz
Khaled M Abouelkhair
Mubarak M Al-Mansour
Turki M Al-Fayea
Meteb Al-Foheidi
Ali M Bayer
Osama A Elmasri
King Abdullah International Medical Research Center · SAKing Abdulaziz Medical City · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients treated for Hodgkin's lymphoma (HL) have a higher risk of developing second lung cancer (SLC) compared with the general population. The aim of this meta-analysis was to quantify such risk and to analyze contributing risk factors in HL survivors.

methodsAccording to predefined selection criteria, a literature search identified 21 studies that were included in the analysis.

resultsAfter eliminating overlapping or duplicate data, 793 (76 % males) incidences of SLC were encountered in 74,831 patients (58 % males) with HL over a median follow-up of 11.5 years. The median age at HL diagnosis and the median age at SLC diagnosis were 33.0 and 45.9, respectively. The mean latency between treatment of HL and development of SLC was 11.5 years. The pooled relative risk (RR) of SLC was 4.62 (95 % confidence interval [CI], 3.18-6.70], I (2) = 98 %), with a median absolute excess rate of 10.4 per 10,000 person-years. RR was positively related to study size, male-to-female ratio, institutional versus population-based data sets, and the use of any radiotherapy (RT) or combined modality therapy (CMT), while age at diagnosis of HL was not significant. The highest risk was shown among patients aged 15-24 years (RR = 8.76 [95 % CI, 4.55-16.89]), while the lowest risk occurred in patients ≥55 years at primary treatment (RR = 2.88 [95 % CI, 2.33-3.56]). RR increased by increasing duration of follow-up, reaching the highest value at 10-14 years (RR = 4.17 [95 % CI, 3.62-8.81]), but did not increase after ≥15 years (RR = 4.01 [95 % CI, 2.68-5.98]). RT only, CMT, or chemotherapy only was associated with RR (95 % CI) of 4.88 (3.14-7.60), 5.15 (4.08-6.50), and 2.39 (1.60-3.55), respectively. Patients with SLC demonstrated poor prognosis.

conclusionsThe current meta-analysis provided a detailed estimate of the risk of SLC among HL survivors. The obtained results may provide guidelines concerning lung cancer screening for this population.

Indexed as

SurvivorsAdolescentAdultCombined Modality TherapyFemaleHodgkin DiseaseHumansIncidenceLung NeoplasmsMaleMiddle AgedNeoplasms, Second PrimaryOutcome Assessment, Health CareRisk FactorsYoung Adult

Identifiers

PMID23053567
OpenAlexW2008469650

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.