Evidence map›Paper›PMID 26160690›Full record

SynthesisEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2016

Is smoking a risk factor for lumbar disc herniation?

Weimin Huang, Ying Qian, Kai Zheng, Lili Yu, Xiuchun Yu

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 17% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Intervertebral disc degeneration.Nature reviews. Disease primers · 2026
    Review
  4. Article
  5. Inflammatory Biomarkers in Smokers: Implications for Ligamentum Flavum Hypertrophy.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
  6. Article
  7. Review
  8. Review
  9. Genetic predisposition ofCell cycle (Georgetown, Tex.) · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  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

5 authors at 1 institution in 1 country.

Weimin HuangDepartment of Orthopaedics, General Hospital of Jinan Military Commanding Region, Jinan, People's Republic of China.
Ying QianDepartment of Endocrinology, General Hospital of Jinan Military Commanding Region, Jinan, People's Republic of China.
Kai ZhengDepartment of Orthopaedics, General Hospital of Jinan Military Commanding Region, Jinan, People's Republic of China.
Lili YuDepartment of Statistics, General Hospital of Jinan Military Commanding Region, Jinan, People's Republic of China.
Xiuchun YuDepartment of Orthopaedics, General Hospital of Jinan Military Commanding Region, Jinan, People's Republic of China. ever_23@sohu.com.
General Hospital of Jinan Military Command · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the association between cigarette smoking and lumbar disc herniation (LDH).

methodsCohort or case-control studies were identified by searches of several data bases, including Pubmed, Embase, Web of Science, and BIOSIS, for entries made up to December 2014. Data extraction was performed by two independent investigators. The data synthesis was performed using the random effects model. Subgroup analysis, sensitivity analyses, and assessment for publication bias were also performed.

resultsThis systematic review included 12 studies-six each of cohort and case-control studies. The combined reported values showed that the relative risk of the association between smoking and LDH was 1.27 [95 % confidence interval (CI), 1.15-1.40] overall, 1.48 (95 % CI, 1.27-1.73) for case-control studies, and 1.17 (95 % CI, 1.05-1.30) for cohort studies.

conclusionThis systematic review demonstrates that smoking promotes the development of LDH.

Indexed as

Lumbar VertebraeHumansIntervertebral Disc DisplacementModels, StatisticalRisk FactorsSmokingLumbar disc herniationMeta-analysisReviewRisk factorsSmokingSystematic

Identifiers

PMID26160690
OpenAlexW845792132

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.