Evidence map›Paper›PMID 29323232›Full record

ArticleScientific reports2018

Comparison of Bladder Carcinogens in the Urine of E-cigarette Users Versus Non E-cigarette Using Controls.

Thomas W Fuller, Abhinav P Acharya, Thiagarajan Meyyappan, Michelle Yu, Godugu Bhaskar, Steven R Little, Tatum V Tarin

Abstract readComparative Study
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

26 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. E-cigarette: a safe tool or a risk factor for oral cancer? A systematic review.Journal of clinical and experimental dentistry · 2025
    Review
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  15. Canadian Urological Association guideline on the management of non-muscle-invasive bladder cancer - Full-text.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2021
    Article
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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

7 authors.

Thomas W FullerThe University of Pittsburgh Medical Center, Department of Urology, Pittsburgh, PA, USA.
Abhinav P AcharyaThe University of Pittsburgh, Department of Chemical and Petroleum Engineering, Pittsburgh, PA, USA.
Thiagarajan MeyyappanThe University of Pittsburgh, Department of Chemical and Petroleum Engineering, Pittsburgh, PA, USA.
Michelle YuThe University of Pittsburgh Medical Center, Department of Urology, Pittsburgh, PA, USA.
Godugu BhaskarThe University of Pittsburgh, Department of Chemistry, Pittsburgh, PA, USA.
Steven R LittleThe University of Pittsburgh, Department of Chemical and Petroleum Engineering, Pittsburgh, PA, USA.
Tatum V TarinThe University of Pittsburgh Medical Center, Department of Urology, Pittsburgh, PA, USA. tarintv@upmc.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Electronic cigarette (EC) use is gaining popularity as a substitute for conventional smoking due to the perception and evidence it represents a safer alternative. In contrast to the common perception amongst users that ECs represent no risk initial studies have revealed a complex composition of e-cigarette liquids. Conventional cigarette smoking is a known risk factor for developing bladder cancer and prior reports raise concern some of those causative compounds may exist in EC liquids or vapor. Urine samples were collected from 13 e-cigarette using subjects and 10 non e-cigarette using controls. Five known bladder carcinogens that are either present in conventional cigarettes, products of combustion, or solvents believed to be used in some e-cigarette formulations were quantified by liquid chromatography - mass spectrometry (LC-MS). Analysis of e-cigarette user urine revealed the presence of two carcinogenic compounds, o-toluidine and 2-naphthylamine, at a mean 2.3 and 1.3 fold higher concentration (p-value of 0.0013 and 0.014 respectively). Many of these subjects (9/13) were long term nonsmokers (>12 months). Further study is needed to clarify the safety profile of e-cigarettes and their contribution to the development of bladder cancer given the greater concentration of carcinogenic aromatic amines in the urine of e-cigarette users.

Indexed as

Electronic Nicotine Delivery Systems2-NaphthylamineAdultCarcinogensCase-Control StudiesChromatography, High Pressure LiquidFemaleHumansMaleMass SpectrometryMiddle AgedToluidinesYoung Adult2-Naphthylamine2-toluidineCarcinogensToluidines

Identifiers

PMID29323232
PMCPMC5765148

What OpenQuestion holds

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Registered trials

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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.