Evidence map›Paper›PMID 27806211›Full record

ArticleAmerican journal of respiratory and critical care medicine2017

Electronic Cigarette Use and Respiratory Symptoms in Adolescents.

Rob McConnell, Jessica L Barrington-Trimis, Kejia Wang, Robert Urman, Hanna Hong, Jennifer Unger, Jonathan Samet, Adam Leventhal, Kiros Berhane

Registry-linked trialAbstract read
In one paragraph

Article in American journal of respiratory and critical care medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04616313 (Novel Pulmonary Imaging of Lung Structure and Function in Symptomatic and Asymptomatic E-cigarette Smokers), which is not on this map. Cited by 196 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
196citing papers in PubMed, 7 pooled it
23.6field-weighted citation impact, top 1% 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.

NCT04616313 recruitingnot on this mapstarted 2023, after this paper: background citation

Novel Pulmonary Imaging of Lung Structure and Function in Symptomatic and Asymptomatic E-cigarette Smokers

TypeobservationalSponsorWestern University, CanadaRan2023 to 2027Enrolled150ConditionsE Cigarette UseArmsHyperpolarized Xenon-129 MRI of the lungs, Computed Tomography (CT), Pulmonary Function Tests (PFT), Cardiopulmonary exercise testing (CPET), Sputum analysis
3 · Its place in the literature

Who cites it

196 citing papers in PubMed, 7 syntheses or guidelines pooled it, 385 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  5. Pooled it
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  8. Trial
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  11. Identifying Promising Themes for Adolescent Vaping Warnings: A National Experiment.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2022
    Trial
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Biomarkers of Exposure to Tobacco-Related Toxicants and Oxidative Stress Among Cancer Survivors.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
    Article
  19. Article
  20. Review

136 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Rob McConnell1 Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California; and.
Jessica L Barrington-Trimis1 Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California; and.
Kejia Wang1 Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California; and.
Robert Urman1 Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California; and.
Hanna Hong2 Division of Pulmonary Medicine, Department of Pediatrics, Children's Hospital Los Angeles, Los Angeles, California.
Jennifer Unger1 Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California; and.
Jonathan Samet1 Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California; and.
Adam Leventhal1 Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California; and.
Kiros Berhane1 Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California; and.
University of Southern California · USChildren's Hospital of Los Angeles · US

Funding

Translational Research Support CoreP30ES007048 · NIEHS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Joseph Leo Wiemels · 1996 to 2026
$46.4M
Urban Air Pollution and Children's Respiratory HealthP01ES011627 · NIEHS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI AVOL, EDWARD · 2002 to 2011
$30.2M
USC Tobacco Center of Regulatory Science (TCORS) for Vulnerable PopulationsP50CA180905 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI PENTZ, MARY ANN, SAMET, JONATHAN M · 2013 to 2017
$20.1M
Childhood Asthma, Susceptibility and Biological Activity of Ambient ParticlesR01ES016535 · NIEHS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI MCCONNELL, ROB S · 2008 to 2011
$2.0M
Diacetyl in e-cigarette flavorings: Acute and subacute pulmonary effectsR21HD084812 · NICHD · UNIVERSITY OF SOUTHERN CALIFORNIA · PI MCCONNELL, ROB S · 2015 to 2016
$457k
NCI NIH HHS P50 CA180905NICHD NIH HHS R21 HD084812NIEHS NIH HHS P01 ES011627NIEHS NIH HHS P30 ES007048NIEHS NIH HHS R01 ES016535
6 · The paper itself

Abstract

rationaleRates of adolescent electronic (e-) cigarette use are increasing, but there has been little study of the chronic effects of use. Components of e-cigarette aerosol have known pulmonary toxicity.

objectivesTo investigate the associations of e-cigarette use with chronic bronchitis symptoms and wheeze in an adolescent population.

methodsAssociations of self-reported use of e-cigarettes with chronic bronchitic symptoms (chronic cough, phlegm, or bronchitis) and of wheeze in the previous 12 months were examined in 2,086 Southern California Children's Health Study participants completing questionnaires in 11th and 12th grade in 2014. MEASUREMENTS AND MAIN

resultsEver e-cigarette use was reported by 502 (24.0%), of whom 201 (9.6%) used e-cigarettes during the last 30 days (current users). Risk of bronchitic symptoms was increased by almost twofold among past users (odds ratio [OR], 1.85; 95% confidence interval [CI], 1.37-2.49), compared with never-users, and by 2.02-fold (95% CI, 1.42-2.88) among current users. Risk increased with frequency of current use (OR, 1.66; 95% CI, 1.02-2.68) for 1-2 days and 2.52 (95% CI, 1.56-4.08) for 3 or more days in past 30 days compared with never-users. Associations were attenuated by adjustment for lifetime number of cigarettes smoked and secondhand smoke exposure. However, risk of bronchitic symptoms among past e-cigarette users remained elevated after adjustment for relevant potential confounders and was also observed among never-cigarette users (OR, 1.70; 95% CI, 1.11-2.59). There were no statistically significant associations of e-cigarette use with wheeze after adjustment for cigarette use.

conclusionsAdolescent e-cigarette users had increased rates of chronic bronchitic symptoms. Further investigation is needed to determine the long-term effects of e-cigarettes on respiratory health.

Indexed as

Respiratory SoundsAdolescentBronchitis, ChronicCaliforniaElectronic Nicotine Delivery SystemsFemaleHealth SurveysHumansMaleOdds RatioProspective StudiesSelf ReportSurveys and Questionnairesbronchitise-cigarettessmoking in young adults

Identifiers

PMID27806211
PMCPMC5422647
OpenAlexW2548700507

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.