Evidence map›Paper›PMID 29484611›Full record

SynthesisDrug safety2018

The Risk for Lung Cancer Incidence with Calcium Channel Blockers: A Systematic Review and Meta-Analysis of Observational Studies.

Victoria Rotshild, Laurent Azoulay, Majd Zarifeh, Reem Masarwa, Bruria Hirsh-Raccah, Amichai Perlman, Mordechai Muszkat, Ilan Matok

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Drug safety, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
1.9field-weighted citation impact, top 14% 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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Exploring Frailty in the Intersection of Cardiovascular Disease and Cancer in Older People.International journal of environmental research and public health · 2023
    Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Review
  15. Calcium Permeable Channels in Cancer Hallmarks.Frontiers in pharmacology · 2020
    Review
  16. Article
  17. Article
  18. 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

8 authors at 3 institutions in 2 countries.

Victoria RotshildPharmacoepidemiology Research Lab, Division of Clinical Pharmacy, Faculty of Medicine, School of Pharmacy, Institute for Drug Research, the Hebrew University of Jerusalem, P.O.B 12065, 9112001, Jerusalem, Israel.ORCID http://orcid.org/0000-0002-4365-4528
Laurent AzoulayDepartment of Epidemiology, Biostatistics, and Occupational Health, Centre for Clinical Epidemiology, Jewish General Hospital, Lady Davis Institute, Montreal, Canada.ORCID http://orcid.org/0000-0001-5162-3556
Majd ZarifehHadassah Braun School of Public and Community Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel.
Reem MasarwaPharmacoepidemiology Research Lab, Division of Clinical Pharmacy, Faculty of Medicine, School of Pharmacy, Institute for Drug Research, the Hebrew University of Jerusalem, P.O.B 12065, 9112001, Jerusalem, Israel.
Bruria Hirsh-RaccahPharmacoepidemiology Research Lab, Division of Clinical Pharmacy, Faculty of Medicine, School of Pharmacy, Institute for Drug Research, the Hebrew University of Jerusalem, P.O.B 12065, 9112001, Jerusalem, Israel.ORCID http://orcid.org/0000-0001-9670-9134
Amichai PerlmanPharmacoepidemiology Research Lab, Division of Clinical Pharmacy, Faculty of Medicine, School of Pharmacy, Institute for Drug Research, the Hebrew University of Jerusalem, P.O.B 12065, 9112001, Jerusalem, Israel.ORCID http://orcid.org/0000-0001-6034-7995
Mordechai MuszkatDepartment of Medicine, Hadassah University Hospital Mt. Scopus, Jerusalem, Israel.ORCID http://orcid.org/0000-0002-9520-1379
Ilan MatokPharmacoepidemiology Research Lab, Division of Clinical Pharmacy, Faculty of Medicine, School of Pharmacy, Institute for Drug Research, the Hebrew University of Jerusalem, P.O.B 12065, 9112001, Jerusalem, Israel. Ilan.Matok@ekmd.huji.ac.il.ORCID http://orcid.org/0000-0003-1559-9258
Hebrew University of Jerusalem · ILHadassah Academic College · ILJewish General Hospital · CA

Funding

Israel Cancer Association 20160110Israel Cancer Association 20171182
6 · The paper itself

Abstract

introductionThere are conflicting findings regarding the association between the use of calcium channel blockers (CCBs) and the risk of lung cancer. Considering the public health importance of lung cancer prevention, and emerging evidence of a significant biologic role of calcium channel regulation in the development of lung cancer, we conducted a meta-analysis to assess the risk of lung cancer in CCB users compared with non-CCB users. MATERIALS AND

methodsWe conducted a comprehensive systematic search of leading medical databases for observational studies published up to December 2017 that examined CCB use and the risk of lung cancer. We used random-effects models to pool results. The impact of duration of CCB use on the estimated effect size was explored using random effects meta-regression.

resultsTen studies (six cohort and four case-control studies) that evaluated the overall cancer risk among 38,758 CCB users were included in the analysis. Overall risk ratio (RR) for CCB use and lung cancer was 1.15 (95% confidence interval [CI] 1.01-1.32). Subgroup analysis by duration of CCB use suggested that the observed increase in lung cancer risk was driven by the results of five studies with prolonged (≥ 4 years) exposure (RR 1.18; 95% CI 1.08-1.30).

conclusionsOur analysis suggests exposure to CCBs is associated with an increased risk of lung cancer. Considering their widespread use, and the paucity of data on the long-term effects of chronic exposure to CCBs, these results are reason for concern and warrant further investigation. SYSTEMATIC REVIEW REGISTRATION: The protocol for this study was registered at the PROSPERO registry of systematic reviews (registry number: CRD42017056362).

Indexed as

Calcium Channel BlockersCase-Control StudiesCohort StudiesHumansIncidenceLung NeoplasmsObservational Studies as TopicRiskCalcium Channel Blockers

Identifiers

PMID29484611
OpenAlexW2793980226

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.