Evidence map›Paper›PMID 29452098›Full record

ArticleChest2018

Features of COPD as Predictors of Lung Cancer.

Laurie L Carr, Sean Jacobson, David A Lynch, Marilyn G Foreman, Eric L Flenaugh, Craig P Hersh, Frank C Sciurba, David O Wilson, Jessica C Sieren, Patrick Mulhall and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Chest, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 2 pooled it
7.0field-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

54 citing papers in PubMed, 2 syntheses or guidelines pooled it, 92 citations in OpenAlex.

  1. Lung Cancer Risk in US Adults with COPD: A Systematic Review and Meta-Analysis.International journal of chronic obstructive pulmonary disease · 2025
    Pooled it
  2. Pooled it
  3. Trial
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  6. Article
  7. Article
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  9. Article
  10. Article
  11. COPD-Lung Cancer Comorbidity: Mechanistic Insights and Precision Oncology Implications.International journal of chronic obstructive pulmonary disease · 2026
    Review
  12. Pretraining on Chronic Lung Inflammatory Disease Datasets to Enhance Indeterminant Lung Cancer Classification using Masked Autoencoders.Medical image computing and computer-assisted intervention : MICCAI ... International Conference on Medical Image Computing and Computer-Assisted Intervention · 2026
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Emphysema and lung cancer risk.Translational lung cancer research · 2024
    Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 8 institutions in 1 country.

Laurie L CarrDepartment of Medicine, National Jewish Health, Denver, CO. Electronic address: carrl@njhealth.org.
Sean JacobsonDepartment of Medicine, National Jewish Health, Denver, CO.
David A LynchDepartment of Radiology, National Jewish Health, Denver, CO.
Marilyn G ForemanDivision of Pulmonary and Critical Care, Morehouse School of Medicine, Atlanta, GA.
Eric L FlenaughDivision of Pulmonary and Critical Care, Morehouse School of Medicine, Atlanta, GA.
Craig P HershChanning Division of Network Medicine, Brigham and Women's Hospital, Boston, MA.
Frank C SciurbaDivision of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA.
David O WilsonDivision of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA.
Jessica C SierenDepartment of Radiology, University of Iowa, Iowa City, IA.
Patrick MulhallDivision of Pulmonary and Critical Care Medicine, Temple University Hospital, Philadelphia, PA.
Victor KimDivision of Pulmonary and Critical Care Medicine, Temple University Hospital, Philadelphia, PA.
C Matthew KinseyDivision of Pulmonary and Critical Care, University of Vermont College of Medicine, Burlington, VT.
Russell P BowlerDepartment of Medicine, National Jewish Health, Denver, CO.
National Jewish Health · USMorehouse School of Medicine · USTemple University Hospital · USUniversity of Pittsburgh · USBrigham and Women's Hospital · USUniversity of Colorado Denver · USUniversity of Iowa · USUniversity of Vermont · US

Funding

Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Jon C.D. Houtman · 2000 to 2026
$70.0M
Genetic Epidemiology of COPDU01HL089897 · NHLBI · NATIONAL JEWISH HEALTH · PI CRAPO, JAMES D · 2007 to 2021
$56.9M
Pulmonary Toxicology Facility CoreP30ES005605 · NIEHS · UNIVERSITY OF IOWA · PI Jong Sung Kim · 1990 to 2026
$40.5M
Metabolomic signatures of empysema and COPD progression in the COPDGene cohortR01HL089897 · NHLBI · NATIONAL JEWISH HEALTH · PI CRAPO, JAMES D · 2012 to 2016
$31.1M
STEERING COMMITTEEU54MD008149 · NIMHD · MOREHOUSE SCHOOL OF MEDICINE · PI OFILI, ELIZABETH O. · 2012 to 2018
$21.1M
Genetic Epidemiology of COPDU01HL089856 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI SILVERMAN, EDWIN K · 2007 to 2021
$20.7M
(2 of 2) Genetic Epidemiology of COPDR01HL089856 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI SILVERMAN, EDWIN K · 2012 to 2016
$18.9M
Multi-center Structural & Functional Quantitative CT Pulmonary PhenotypingR01HL112986 · NHLBI · UNIVERSITY OF IOWA · PI HOFFMAN, ERIC ALFRED · 2012 to 2016
$4.6M
CT Characteristics of Emphysema for Evaluation of Pulmonary NodulesK23HL133476 · NHLBI · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI KINSEY, CHARLES MATTHEW · 2016 to 2021
$933k
NHLBI NIH HHS K23 HL133476NHLBI NIH HHS R01 HL089856NHLBI NIH HHS R01 HL089897NHLBI NIH HHS R01 HL112986NHLBI NIH HHS U01 HL089856NHLBI NIH HHS U01 HL089897NIEHS NIH HHS P30 ES005605NIMHD NIH HHS U54 MD008149
6 · The paper itself

Abstract

backgroundLung cancer is a leading cause of death and hospitalization for patients with COPD. A detailed understanding of which clinical features of COPD increase risk is needed.

methodsWe performed a nested case-control study of Genetic Epidemiology of COPD (COPDGene) Study subjects with and without lung cancer, age 45 to 80 years, who smoked at least 10-pack years to identify clinical and imaging features of smokers, with and without COPD, that are associated with an increased risk of lung cancer. The baseline evaluation included spirometry, high-resolution chest CT scanning, and respiratory questionnaires. New lung cancer diagnoses were identified over 8 years of longitudinal follow-up. Cases of lung cancer were matched 1:4 with control subjects for age, race, sex, and smoking history. Multiple logistic regression analyses were used to determine features predictive of lung cancer.

resultsFeatures associated with a future risk of lung cancer included decreased FEV

conclusionsThe degree of COPD severity, including airflow obstruction, visual emphysema, and respiratory exacerbations, was independently predictive of lung cancer. These risk factors should be further studied as inclusion and exclusion criteria for the survival benefit of lung cancer screening. Studies are needed to determine if reduction in respiratory exacerbations among smokers can reduce the risk of lung cancer.

Indexed as

AgedAged, 80 and overCase-Control StudiesDisease ProgressionEarly Detection of CancerFemaleFollow-Up StudiesForced Expiratory VolumeHumansIncidenceLungLung NeoplasmsMaleMiddle AgedPulmonary Disease, Chronic ObstructiveRisk Factorschest imagingCOPDlung cancer

Identifiers

PMID29452098
PMCPMC6026288
OpenAlexW2787349298

What OpenQuestion holds

Textmetadata
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.