Evidence map›Paper›PMID 26634452›Full record

ArticleBMC pulmonary medicine2015

The use of corticosteroids in patients with COPD or asthma does not decrease lung squamous cell carcinoma.

Zhi-Hong Jian, Jing-Yang Huang, Frank Cheau-Feng Lin, Oswald Ndi Nfor, Kai-Ming Jhang, Wen-Yuan Ku, Chien-Chang Ho, Chia-Chi Lung, Hui-Hsien Pan, Yu-Chiu Liang and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC pulmonary medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.4field-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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Targeting Inflammation in Cancer Prevention and Therapy.Cancer prevention research (Philadelphia, Pa.) · 2016
    Review
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

12 authors at 4 institutions in 1 country.

Zhi-Hong JianDepartment of Public Health and Institute of Public Health, Chung Shan Medical University, Taichung, Taiwan. s841039@yahoo.com.tw.
Jing-Yang HuangDepartment of Public Health and Institute of Public Health, Chung Shan Medical University, Taichung, Taiwan. wchinyang@yahoo.com.tw.
Frank Cheau-Feng LinSchool of Medicine, Chung Shan Medical University, Taichung, Taiwan. frnklin@gmail.com.
Oswald Ndi NforDepartment of Public Health and Institute of Public Health, Chung Shan Medical University, Taichung, Taiwan. nforoswald2@yahoo.com.
Kai-Ming JhangDepartment of Public Health and Institute of Public Health, Chung Shan Medical University, Taichung, Taiwan. kmjhang@gmail.com.
Wen-Yuan KuDepartment of Public Health and Institute of Public Health, Chung Shan Medical University, Taichung, Taiwan. yuan3156@gmail.com.
Chien-Chang HoDepartment of Physical Education, Fu Jen Catholic University, New Taipei City, Taiwan. ccho1980@gmail.com.
Chia-Chi LungDepartment of Public Health and Institute of Public Health, Chung Shan Medical University, Taichung, Taiwan. dinoljc@csmu.edu.tw.
Hui-Hsien PanSchool of Medicine, Chung Shan Medical University, Taichung, Taiwan. jsee06@yahoo.com.tw.
Yu-Chiu LiangCollege of Humanities and Social Sciences, Taipei Medical University, Taipei City, Taiwan. nicole0868@yahoo.com.tw.
Ming-Fang WuSchool of Medicine, Chung Shan Medical University, Taichung, Taiwan. mfwu0111@gmail.com.
Yung-Po LiawDepartment of Public Health and Institute of Public Health, Chung Shan Medical University, Taichung, Taiwan. liawyp@csmu.edu.tw.
Chung Shan Medical University · TWChung Shan Medical University Hospital · TWFu Jen Catholic University · TWTaipei Medical University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAsthma and COPD (chronic obstructive pulmonary disease) lead to persistent airway inflammation and are associated with lung cancer. The objective of the study was to assess the relationship between inhaled (ICS) and oral corticosteroid (OCS) use, and risk of lung squamous cell carcinoma (SqCC).

methodsThis study was a nested case-control study. Patients with newly diagnosed asthma or COPD between 2003 and 2010 were identified from the National Health Insurance Database. Cases were defined as patients diagnosed with SqCC after enrollment. For each case, four control individuals who were randomly matched for sex and age and date diagnosis of asthma or COPD were selected.

resultsFrom the 1,672,455 eligible participants, 793 patients with SqCC were matched with 3,172 controls. The odds ratios (ORs) of SqCC in men who received high and low-dose ICS were 2.18 (95 %CI, 1.56-3.04) and 1.77 (1.22-2.57), respectively. Similarly, the ORs were 1.46 (95 %CI, 1.16-1.84) and 1.55 (95 %CI, 1.22-1.98) for men who were placed on low and high dose OCS. However, there was no significant association between cumulative ICS and/or OCS and risk of SqCC in women. Recent dose increase in corticosteroid was significantly associated with risk of SqCC. Specifically, among men, the ORs for SqCC were 8.08 (95 %CI, 3.22-20.30) for high-dose ICS + OCS, 4.49 (95 % CI, 2.05-9.85) for high-dose ICS, and 3.54 (95 % CI, 2.50-5.01) for high-dose OCS treatments, respectively. The OR for SqCC in women who received high-dose OCS was 6.72 (95 %CI, 2.69-16.81).

conclusionCorticosteroid use did not decrease SqCC in patients with asthma or COPD. Recent dose increase in corticosteroids was associated with SqCC.

Indexed as

RegistriesAdministration, InhalationAdministration, OralAdrenal Cortex HormonesAgedAged, 80 and overAsthmaCarcinoma, Squamous CellCase-Control StudiesFemaleHumansLung NeoplasmsMaleMiddle AgedOdds RatioProtective FactorsAdrenal Cortex Hormones

Identifiers

PMID26634452
PMCPMC4669634
OpenAlexW2187104677

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.