Evidence map›Paper›PMID 27511987›Full record

SynthesisJapanese journal of clinical oncology2016

Secondhand smoke exposure and risk of lung cancer in Japan: a systematic review and meta-analysis of epidemiologic studies.

Megumi Hori, Hirokazu Tanaka, Kenji Wakai, Shizuka Sasazuki, Kota Katanoda

Open access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Japanese journal of clinical oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 5 pooled it
7.2field-weighted citation impact, top 2% 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

48 citing papers in PubMed, 5 syntheses or guidelines pooled it, 103 citations in OpenAlex.

  1. Assessing the causal effects of environmental tobacco smoke exposure: a meta-analytic Mendelian randomization study.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
    Pooled it
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  3. Association between second-hand smoke exposure and lung cancer risk in never-smokers: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2024
    Pooled it
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  17. Secular-Trend Analysis of the Incidence Rate of Lung Squamous Cell Carcinoma in Taiwan.International journal of environmental research and public health · 2023
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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 3 institutions in 2 countries.

Megumi HoriCenter for Cancer Registries, Center for Cancer Control and Information Services, National Cancer Center, Tsukiji, Chuo-ku, Tokyo Division of Prevention, Center for Public Health Sciences, National Cancer Center, Tsukiji, Chuo-ku, Tokyo.
Hirokazu TanakaDepartment of Public Health, Graduate School of Medicine, The University of Tokyo, Hongo, Bunkyo-ku, Tokyo.
Kenji WakaiDepartment of Preventive Medicine, Nagoya University Graduate School of Medicine, Tsurumai-cho, Showa-ku, Nagoya, Japan.
Shizuka SasazukiDivision of Prevention, Center for Public Health Sciences, National Cancer Center, Tsukiji, Chuo-ku, Tokyo.
Kota KatanodaCenter for Cancer Registries, Center for Cancer Control and Information Services, National Cancer Center, Tsukiji, Chuo-ku, Tokyo Division of Prevention, Center for Public Health Sciences, National Cancer Center, Tsukiji, Chuo-ku, Tokyo kkatanod@ncc.go.jp.
National Cancer Center · USNagoya University · JPThe University of Tokyo · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSystematic evaluation of the association between secondhand smoke exposure and lung cancer in Japan has yet to be conducted. Here, we performed a systematic review and meta-analysis of the relationship between secondhand smoke and lung cancer in Japanese non-smokers.

methodsRelevant studies were collected from the MEDLINE and Ichushi Web databases using a combination of search terms and Medical Subject Headings. Eligible studies were identified, and relative risks or odds ratios were extracted to calculate pooled risk estimates. This procedure was performed independently by at least two authors. Stratified analyses were carried out according to study design, publication year, and whether or not potential confounding variables were accounted for. The presence of publication bias was assessed via funnel plots.

resultsWe identified four cohort studies and five case-control studies. Quantitative synthesis was conducted only for secondhand smoke exposure in the home during adulthood. Of the 12 populations included in meta-analysis, positive secondhand smoke exposure-lung cancer associations were observed in 11, whereas an inverse association was found in the remaining 1. The pooled relative risk of lung cancer associated with secondhand smoke exposure was 1.28 (95% confidence interval: 1.10-1.48). We found no evidence of publication bias, and a significant association remained even when potentially missing studies were included (pooled relative risk: 1.26; 95% confidence interval: 1.09-1.46). The results were stable across different subgroup analyses, including by study design, publication year, and when adjusting for confounding variables.

conclusionsSecondhand smoke exposure in the home during adulthood results in a statistically significant increase in the risk of lung cancer.

Indexed as

Case-Control StudiesDatabases, FactualHumansJapanLung NeoplasmsOdds RatioRiskTobacco Smoke PollutionTobacco Smoke Pollutionepidemiology/public healthepidemiol preventionlung medicine

Identifiers

PMID27511987
PMCPMC5063005
OpenAlexW2504951672

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.