Evidence map›Paper›PMID 29723931›Full record

ArticleThe British journal of dermatology2018

Photosensitizing antihypertensive drug use and risk of cutaneous squamous cell carcinoma.

K A Su, L A Habel, N S Achacoso, G D Friedman, M M Asgari

Open access · greenAbstract read
In one paragraph

Article in The British journal of dermatology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.1field-weighted citation impact, top 6% 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, 43 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. The Immunogenetics of Photodermatoses.Advances in experimental medicine and biology · 2022
    Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

K A SuDepartment of Dermatology, Massachusetts General Hospital, Boston, MA, U.S.A.ORCID 0000-0002-2743-2079
L A HabelDivision of Research, Kaiser Permanente Northern California, Oakland, CA, U.S.A.
N S AchacosoDivision of Research, Kaiser Permanente Northern California, Oakland, CA, U.S.A.
G D FriedmanDivision of Research, Kaiser Permanente Northern California, Oakland, CA, U.S.A.
M M AsgariDepartment of Dermatology, Massachusetts General Hospital, Boston, MA, U.S.A.
Kaiser Permanente · USMassachusetts General Hospital · US

Funding

Pharmaceuticals and CancerR01CA098838 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI HABEL, LAUREL A · 2004 to 2013
$3.2M
Patient-oriented research and mentoring program in dermatologic diseasesK24AR069760 · NIAMS · UNIVERSITY OF COLORADO DENVER · PI ASGARI, MARYAM MANDANA · 2017 to 2025
$1.9M
Genome-wide association study of cutaneous squamous cell carincomaR01CA166672 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI ASGARI, MARYAM MANDANA · 2013 to 2016
$1.3M
NCI NIH HHS R01 CA098838NCI NIH HHS R01 CA166672NIAMS NIH HHS K24 AR069760
6 · The paper itself

Abstract

backgroundMany antihypertensive drugs (ADs) are photosensitizing, heightening reactivity of the skin to sunlight. Photosensitizing ADs have been associated with lip cancer, but whether they impact the risk of cutaneous squamous cell carcinoma (cSCC) is unknown.

objectivesTo examine the association between AD use and cSCC risk among a cohort of non-Hispanic white individuals with hypertension enrolled in a comprehensive integrated healthcare delivery system in northern California (n = 28 357).

methodsElectronic pharmacy data were used to determine exposure to ADs, which were classified as photosensitizing, nonphotosensitizing or unknown, based on published literature. We identified patients who developed a cSCC during follow-up (n = 3010). We used Cox modelling to estimate adjusted hazard ratios (aHRs) and 95% confidence intervals (CIs). Covariates included age, sex, smoking, comorbidities, history of cSCC and actinic keratosis, survey year, healthcare utilization, length of health plan membership and history of photosensitizing AD use.

resultsCompared with nonuse of ADs, risk of cSCC was increased with ever having used photosensitizing ADs (aHR = 1·17, 95% CI 1·07-1·28) and ever having used ADs of unknown photosensitizing potential (aHR = 1·11, 95% CI 1·02-1·20), whereas no association was seen with ever having used nonphotosensitizing ADs (aHR = 0·99; 95% CI 0·91-1·07). Additionally, there was a modest increased risk with an increased number of prescriptions for photosensitizing ADs (aHR = 1·12, 95% CI 1·02-1·24; aHR = 1·19, 95% CI 1·06-1·34; aHR = 1·41, 95% CI 1·20-1·67 for one to seven, eight to 15 and ≥ 16 fills, respectively).

conclusionsThese findings provide moderate support for an increased cSCC risk among individuals treated with photosensitizing ADs.

Indexed as

AgedAntihypertensive AgentsCaliforniaCarcinoma, Squamous CellDrug PrescriptionsFemaleFollow-Up StudiesHumansHypertensionMaleMiddle AgedPhotosensitizing AgentsSkin NeoplasmsSunlightWhite PeopleAntihypertensive AgentsPhotosensitizing Agents

Identifiers

PMID29723931
PMCPMC6223125
OpenAlexW2800656037

What OpenQuestion holds

Textmetadata
LicenceTDM
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.