Evidence map›Paper›PMID 29899391›Full record

SynthesisBritish journal of cancer2018

Heterogeneous relationships of squamous and basal cell carcinomas of the skin with smoking: the UK Million Women Study and meta-analysis of prospective studies.

Kirstin Pirie, Valerie Beral, Alicia K Heath, Jane Green, Gillian K Reeves, Richard Peto, Penelope McBride, Catherine M Olsen, Adèle C Green

Open access · hybridAbstract readMeta-Analysis
In one paragraph

Synthesis in British journal of cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. ThePatterns (New York, N.Y.) · 2022
    Article
  12. Cigarette Smoking and Estrogen-Related Cancer-Reply.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2021
    Article
  13. Daily Lifestyle and Cutaneous Malignancies.International journal of molecular sciences · 2021
    Review
  14. Review
  15. Article
  16. Article
  17. Review
  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

9 authors at 3 institutions in 2 countries.

Kirstin PirieCancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK. kirstin.pirie@ceu.ox.ac.uk.
Valerie BeralCancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Alicia K HeathCancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Jane GreenCancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Gillian K ReevesCancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Richard PetoPopulation Health Research Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Penelope McBridePopulation Health Department, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.
Catherine M OlsenPopulation Health Department, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.
Adèle C GreenPopulation Health Department, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.
University of Oxford · GBQIMR Berghofer Medical Research Institute · AUCancer Research UK Manchester Institute · GB

Funding

Cancer Research UK 16491Cancer Research UK C570/A16491Medical Research Council MC_U137686859Medical Research Council MR/K02700X/1
6 · The paper itself

Abstract

introductionPublished findings on the associations between smoking and the incidence of cutaneous squamous cell carcinoma (SCC) and basal cell carcinoma (BCC) are inconsistent. We aimed to generate prospective evidence on these relationships overall and by anatomical site.

methodsWe followed 1,223,626 women without prior cancer by electronic linkage to national cancer registration data. Questionnaire information about smoking and other factors was recorded at recruitment (1996-2001) and every 3-5 years subsequently. Cox regression yielded adjusted relative risks (RRs) comparing smokers versus never-smokers.

resultsAfter 14 (SD4) years follow-up per woman, 6699 had a first registered cutaneous SCC and 48,666 a first BCC. In current versus never-smokers, SCC incidence was increased (RR = 1.22, 95% CI 1.15-1.31) but BCC incidence was decreased (RR = 0.80, 0.78-0.82). RRs varied substantially by anatomical site; for the limbs, current smoking was associated with an increased incidence of SCC (1.55, 1.41-1.71) and a decreased incidence of BCC (0.72, 0.66-0.79), but for facial lesions there was little association of current smoking with either SCC (0.93, 0.82-1.06) or BCC (0.92, 0.88-0.96). Findings in meta-analyses of results from this and seven other prospective studies were largely dominated by the findings in this study.

conclusionsSmoking-associated risks for cutaneous SCC and BCC are in the opposite direction to each other and appear to vary by anatomical site.

Indexed as

AdultAgedBasal Cell CarcinomaBody Mass IndexCarcinoma, Squamous CellElectronic Health RecordsFemaleHumansMiddle AgedNeoplasms, Second PrimaryRisk FactorsSkin NeoplasmsSmokingSocial ClassSurveys and QuestionnairesUnited Kingdom

Identifiers

PMID29899391
PMCPMC6035218
OpenAlexW2807753441

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.