Evidence map›Paper›PMID 29707117›Full record

ArticleOncotarget2018

Impact of tobacco smoking on the risk of developing 25 different cancers in the UK: a retrospective study of 422,010 patients followed for up to 30 years.

Louis Jacob, Moritz Freyn, Matthias Kalder, Konstantinos Dinas, Karel Kostev

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in Oncotarget, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05678426 (TirolGESUND), which is not on this map. Cited by 54 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 5 pooled it
4.4field-weighted citation impact, top 4% 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.

NCT05678426 nacompletednot on this mapstarted 2021, after this paper: background citation

TirolGESUND: General Exercise, Smoking Undone, and Nutrition Diet

TypeinterventionalSponsorUniversitaet InnsbruckRan2021 to 2025Enrolled156ConditionsHealthy, Healthy Lifestyle, Smoking Cessation, Intermittent FastingArmsSmoking cessation, Intermittent fasting, Intermittent fasting with ketogenic supplement
3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 5 syntheses or guidelines pooled it, 130 citations in OpenAlex.

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  8. Drug Discovery Targeting Nicotinic Acetylcholine Receptors for Hearing Loss.International journal of molecular sciences · 2026
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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 3 countries.

Louis JacobFaculty of Medicine, University of Paris 5, Paris, France.
Moritz FreynUniversity Clinic, Philipps University of Marburg, Marburg, Germany.
Matthias KalderUniversity Clinic, Philipps University of Marburg, Marburg, Germany.
Konstantinos DinasFaculty of Medicine, Aristotle University of Thessaloniki, Thessaloníki, Greece.
Karel KostevEpidemiology Research, IQVIA, Frankfurt, Germany.
Philipps University of Marburg · DEAristotle University of Thessaloniki · GRUniversité Paris Cité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to analyze the impact of tobacco smoking on the risk of developing 25 different cancers in patients followed for up to 30 years in general practices in the UK.

methodsThis study included all individuals with at least one visit to one of 196 general practitioners' offices in the UK between January 1988 and December 2008 (index date). Only individuals with documented smoking status were included. Smokers and non-smokers were matched (1:1) by age, gender, index year, body mass index, and physician. The main outcome of the study was the risk of cancer as a function of smoking status. Data regarding a total of 25 cancers were available for the present analysis. The risk of cancer was analyzed using Cox's regression model.

resultsThe present retrospective study included 211,005 smokers and 211,005 non-smokers. The mean age was 36.5 years (SD = 12.5 years) in men and 34.3 years (SD = 13.1 years) in women. There was a slightly positive association between smoking and any cancer in both men (HR = 1.07) and women (HR = 1.03). Smoking was further found to be positively associated with several cancers, such as liver cancer, bladder and kidney cancers, pancreas cancer, and lymphoma. By contrast, the use of tobacco was negatively associated with the risk of developing skin cancer, prostate cancer, multiple myeloma, endometrial carcinoma, or breast cancer.

conclusionsSmoking increased the overall risk of cancer in primary care practices in the UK. In addition, smoking was predominantly positively and less frequently negatively associated with numerous specific cancers.

Indexed as

cancergeneral practicesrisk factorthe UKtobacco smoking

Identifiers

PMID29707117
PMCPMC5915125
OpenAlexW2795715708

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.