Evidence map›Paper›PMID 25534211›Full record

SynthesisBMJ open2014

Tobacco smoking and risk of endometriosis: a systematic review and meta-analysis.

Francesca Bravi, Fabio Parazzini, Sonia Cipriani, Francesca Chiaffarino, Elena Ricci, Vito Chiantera, Paola Viganò, Carlo La Vecchia

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMJ open, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 79 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Smoking and endometriosis: A narrative review.Tobacco induced diseases · 2025
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Pathogenesis of Endometriosis and Endometriosis-Associated Cancers.International journal of molecular sciences · 2024
    Review
  17. Article
  18. Article
  19. Review
  20. 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 4 institutions in 2 countries.

Francesca BraviDepartment of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
Fabio ParazziniDepartment of Clinical Sciences and Community Health, University of Milan, Milan, Italy Department of Obstetrics, Gynecology and Neonatology, IRCSS Fondazione Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy.
Sonia CiprianiDepartment of Clinical Sciences and Community Health, University of Milan, Milan, Italy Department of Obstetrics, Gynecology and Neonatology, IRCSS Fondazione Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy.
Francesca ChiaffarinoDepartment of Obstetrics, Gynecology and Neonatology, IRCSS Fondazione Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy.
Elena RicciDepartment of Obstetrics, Gynecology and Neonatology, IRCSS Fondazione Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy.
Vito ChianteraDepartment of Gynecology, Charitè Universitätsmedizin, Berlin, Germany.
Paola ViganòObstetrics and Gynecology Unit, San Raffaele Scientific Institute, Milan, Lombardia, Italy.
Carlo La VecchiaDepartment of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITUniversity of Milan · ITCharité - Universitätsmedizin Berlin · DESan Raffaele University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSince conflicting results have been published on the role of tobacco smoking on the risk of endometriosis, we provide an up-to-date summary quantification of this potential association.

designWe performed a PubMed/MEDLINE search of the relevant publications up to September 2014, considering studies on humans published in English. We searched the reference list of the identified papers to find other relevant publications. Case-control as well as cohort studies have been included reporting risk estimates on the association between tobacco smoking and endometriosis. 38 of the 1758 screened papers met the inclusion criteria. The selected studies included a total of 13,129 women diagnosed with endometriosis.

settingAcademic hospitals.

main outcome measureRisk of endometriosis in tobacco smokers.

resultsWe obtained the summary estimates of the relative risk (RR) using the random effect model, and assessed the heterogeneity among studies using the χ(2) test and quantified it using the I(2) statistic. As compared to never-smokers, the summary RR were 0.96 (95% CI 0.86 to 1.08) for ever smokers, 0.95 (95% CI 0.81 to 1.11) for former smokers, 0.92 (95% CI 0.82 to 1.04) for current smokers, 0.87 (95% CI 0.70 to 1.07) for moderate smokers and 0.93 (95% CI 0.69 to 1.26) for heavy smokers.

conclusionsThe present meta-analysis provided no evidence for an association between tobacco smoking and the risk of endometriosis. The results were consistent considering ever, former, current, moderate and heavy smokers, and across type of endometriosis and study design.

Indexed as

EndometriosisFemaleGlobal HealthHumansMorbidityRisk FactorsSmokingSmoking CessationEPIDEMIOLOGYGYNAECOLOGY

Identifiers

PMID25534211
PMCPMC4275697
OpenAlexW2017734786

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.