Evidence map›Paper›PMID 27448321›Full record

ArticlePloS one2016

Post-Inhaled Corticosteroid Pulmonary Tuberculosis Increases Lung Cancer in Patients with Asthma.

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, Min-Chen Wu and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
0.5field-weighted citation impact, top 28% 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 7 citations in OpenAlex.

  1. Lung cancer occurrence after an episode of tuberculosis: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2022
    Pooled it
  2. Pooled it
  3. Frontiers in immunology · 2025
    Article
  4. Review
  5. 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

12 authors at 5 institutions in 1 country.

Zhi-Hong JianDepartment of Public Health and Institute of Public Health, Chung Shan Medical University, Taichung City, Taiwan.
Jing-Yang HuangDepartment of Public Health and Institute of Public Health, Chung Shan Medical University, Taichung City, Taiwan.
Frank Cheau-Feng LinSchool of Medicine, Chung Shan Medical University, Taichung City, Taiwan.
Oswald Ndi NforDepartment of Public Health and Institute of Public Health, Chung Shan Medical University, Taichung City, Taiwan.
Kai-Ming JhangDepartment of Public Health and Institute of Public Health, Chung Shan Medical University, Taichung City, Taiwan.
Wen-Yuan KuDepartment of Public Health and Institute of Public Health, Chung Shan Medical University, Taichung City, Taiwan.
Chien-Chang HoDepartment of Physical Education, Fu Jen Catholic University, New Taipei City, Taiwan.
Chia-Chi LungDepartment of Public Health and Institute of Public Health, Chung Shan Medical University, Taichung City, Taiwan.
Hui-Hsien PanSchool of Medicine, Chung Shan Medical University, Taichung City, Taiwan.
Min-Chen WuOffice of Physical Education, Chung Yuan Christian University, Taoyuan City, Taiwan.
Ming-Fang WuSchool of Medicine, Chung Shan Medical University, Taichung City, Taiwan.
Yung-Po LiawDepartment of Public Health and Institute of Public Health, Chung Shan Medical University, Taichung City, Taiwan.
Chung Shan Medical University · TWChung Shan Medical University Hospital · TWChung Yuan Christian University · TWChanghua Christian Hospital · TWFu Jen Catholic University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the association between post-inhaled corticosteroid (ICS) pulmonary tuberculosis (TB), pneumonia and lung cancer in patients with asthma.

methodsThe study samples were collected from the National Health Insurance Database. Asthmatic patients who were first-time users of ICS between 2003 and 2005 were identified as cases. For each case, 4 control individuals were randomly matched for sex, age and date of ICS use. Cases and matched controls were followed up until the end of 2010. Cox proportional hazard regression was used to determine the hazard ratio for pulmonary infections and lung cancer risk in the ICS users and non-users.

resultsA total of 10,904 first-time users of ICS were matched with 43,616 controls. The hazard ratios for lung cancer were: 2.52 (95% confidence interval [CI], 1.22-5.22; p = 0.012) for individuals with post-ICS TB, 1.28 (95%CI, 0.73-2.26; p = 0.389) for post-ICS pneumonia, 2.31(95%CI, 0.84-6.38; p = 0.105) for post-ICS pneumonia+TB, 1.08 (95%CI, 0.57-2.03; p = 0.815) for TB, 0.99 (95%CI, 0.63-1.55; p = 0.970) for pneumonia, and 0.32 (95%CI, 0.05-2.32; p = 0.261) for pneumonia+ TB, respectively.

conclusionsPost-ICS TB increased lung cancer risk in patients with asthma. Because of the high mortality associated with lung cancer, screening tests are recommended for patients with post-ICS TB.

Indexed as

Adrenal Cortex HormonesAdultAgedAged, 80 and overAsthmaComorbidityDatabases, FactualFemaleHumansIncidenceKaplan-Meier EstimateLung NeoplasmsMaleMiddle AgedPneumoniaProportional Hazards ModelsAdrenal Cortex Hormones

Identifiers

PMID27448321
PMCPMC4957793
OpenAlexW2503224212

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.