Evidence map›Paper›PMID 26870794›Full record

ArticleEBioMedicine2015

Associated Links Among Smoking, Chronic Obstructive Pulmonary Disease, and Small Cell Lung Cancer: A Pooled Analysis in the International Lung Cancer Consortium.

Ruyi Huang, Yongyue Wei, Rayjean J Hung, Geoffrey Liu, Li Su, Ruyang Zhang, Xuchen Zong, Zuo-Feng Zhang, Hal Morgenstern, Irene Brüske and 46 more

Open access · goldAbstract read
In one paragraph

Article in EBioMedicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 8% 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

52 citing papers in PubMed, 1 synthesis or guideline pooled it, 87 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Real-world survival outcomes with first-line chemoimmunotherapy and biomarker analysis in extensive-stage small-cell lung cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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  12. Neuroendocrine neoplasms of the lung: The latest updates.World journal of clinical oncology · 2025
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

56 authors at 20 institutions in 13 countries.

Ruyi Huang
Yongyue Wei
Rayjean J Hung
Geoffrey Liu
Li Su
Ruyang Zhang
Xuchen Zong
Zuo-Feng Zhang
Hal Morgenstern
Irene Brüske
Joachim Heinrich
Yun-Chul Hong
Jin Hee Kim
Michele Cote
Angela Wenzlaff
Ann G Schwartz
Isabelle Stucker
John Mclaughlin
Michael W Marcus
Michael P A Davies
Triantafillos Liloglou
John K Field
Keitaro Matsuo
Matt Barnett
Mark Thornquist
Gary Goodman
Yi Wang
Size Chen
Ping Yang
Eric J Duell
Angeline S Andrew
Philip Lazarus
Joshua Muscat
Penella Woll
Janet Horsman
M Dawn Teare
Anath Flugelman
Gad Rennert
Yan Zhang
Hermann Brenner
Christa Stegmaier
Erik H F M van der Heijden
Katja Aben
Lambertus Kiemeney
Juan Barros-Dios
Monica Pérez-Ríos
Alberto Ruano-Ravina
Neil E Caporaso
Pier Alberto Bertazzi
Maria Teresa Landi
Juncheng Dai
Hongbing Hongbing Shen
Guillermo Fernandez-Tardon
Marta Rodriguez-Suarez
Adonina Tardon
David C Christiani
Harvard University · USRadboud University Nijmegen · NLUniversidade de Santiago de Compostela · ESUniversity of Liverpool · GBFred Hutch Cancer Center · USUniversity of Sheffield · GBGerman Cancer Research Center · DEHelmholtz Zentrum München · DEMount Sinai Hospital · CANanjing Medical University · CNPenn State Milton S. Hershey Medical Center · USSeoul National University · KRUniversidad de Oviedo · ESUniversity of Milan · ITWayne State University · USAichi Cancer Center · JPCarmel Medical Center · ILDartmouth College · USEstación Biológica de Doñana · ESFirst Affiliated Hospital of Guangdong Pharmaceutical University · CN

Funding

Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Steven D Leach · 1985 to 2026
$91.3M
Tumor Biology and Microenvironment (Program 1)P30CA022453 · NCI · WAYNE STATE UNIVERSITY · PI PAUL M STEMMER · 1985 to 2026
$68.4M
Translational Research Support CoreP30ES000002 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI SUSAN A KORRICK · 1985 to 2026
$44.6M
THE CAROTENE AND RETINOL EFFICACY TRIAL (CARET)U01CA063673 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI GOODMAN, GARY E · 1994 to 2006
$13.0M
Translational studies of Hsp90 inhibitors in NSCLCP50CA090578 · NCI · DANA-FARBER CANCER INST · PI JOHNSON, BRUCE D · 2008 to 2012
$11.4M
Statistical Methods for Analysis of Massive Genetic and Genomic Data in Cancer ResearchR35CA197449 · NCI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI XIHONG LIN · 2015 to 2026
$10.9M
UDP GLUCURONOSYLTRANSFERASES, DETOXIFICATION OF NNKP01CA068384 · NCI · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI LAZARUS, PHILIP · 1995 to 2005
$8.5M
UCLA CANCER EPIDEMIOLOGY TRAINING PROGRAMT32CA009142 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ZHANG, ZUO-FENG · 1986 to 2024
$6.3M
GENETIC EPIDEMIOLOGY OF LUNG CANCERR01CA060691 · NCI · WAYNE STATE UNIVERSITY · PI SCHWARTZ, ANN G. · 1995 to 2009
$6.2M
Molecular and Genetic Analysis of Lung Cancer SurvivalR01CA092824 · NCI · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI CHRISTIANI, DAVID C · 2002 to 2013
$5.9M
LUNG CANCER CHEMOPREVENTION WITH CELECOXIB IN EX-SMOKERSU01CA096134 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MAO, JENNY T · 2002 to 2007
$5.1M
SPORE in Lung CancerP20CA090578 · NCI · DANA-FARBER CANCER INSTITUTE · PI JOHNSON, BRUCE E. · 2003 to 2007
$5.1M
Intramural NIH HHSNCI NIH HHS CA060691NCI NIH HHS CA074386NCI NIH HHS CA090578NCI NIH HHS CA09142NCI NIH HHS CA092824NCI NIH HHS CA167462NCI NIH HHS CA68384NCI NIH HHS CA77954NCI NIH HHS CA80127NCI NIH HHS CA84354NCI NIH HHS CA90833NCI NIH HHS CA96134NCI NIH HHS HHSN261201000028CNCI NIH HHS P30 CA022453NCI NIH HHS P30CA022453NCI NIH HHS P30 CA023108NCI NIH HHS R01 CA074386NCI NIH HHS R01 CA092824NCI NIH HHS R35 CA197449NCI NIH HHS U01 CA063673NCI NIH HHS UM1 CA167462NIDA NIH HHS DA11386NIEHS NIH HHS ES00002NIEHS NIH HHS ES011667
6 · The paper itself

Abstract

backgroundThe high relapse and mortality rate of small-cell lung cancer (SCLC) fuels the need for epidemiologic study to aid in its prevention.

methodsWe included 24 studies from the ILCCO collaboration. Random-effects panel logistic regression and cubic spline regression were used to estimate the effects of smoking behaviors on SCLC risk and explore their non-linearity. Further, we explored whether the risk of smoking on SCLC was mediated through COPD.

findingsSignificant dose-response relationships of SCLC risk were observed for all quantitative smoking variables. Smoking pack-years were associated with a sharper increase of SCLC risk for pack-years ranged 0 to approximately 50. The former smokers with longer cessation showed a 43%quit_for_5-9 years to 89%quit_for_≥ 20 years declined SCLC risk vs. subjects who had quit smoking < 5 years. Compared with non-COPD subjects, smoking behaviors showed a significantly higher effect on SCLC risk among COPD subjects, and further, COPD patients showed a 1.86-fold higher risk of SCLC. Furthermore, smoking behaviors on SCLC risk were significantly mediated through COPD which accounted for 0.70% to 7.55% of total effects.

interpretationThis is the largest pooling study that provides improved understanding of smoking on SCLC, and further demonstrates a causal pathway through COPD that warrants further experimental study.

Indexed as

AgedCase-Control StudiesFemaleHumansLung NeoplasmsMaleMiddle AgedModels, BiologicalOdds RatioPopulation SurveillancePulmonary Disease, Chronic ObstructiveRiskSmall Cell Lung CarcinomaSmokingTime Factors

Identifiers

PMID26870794
PMCPMC4740296
OpenAlexW1733892693

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.