Evidence map›Paper›PMID 30777897›Full record

ArticleThorax2019

Incidence of second and higher order smoking-related primary cancers following lung cancer: a population-based cohort study.

Matthew E Barclay, Georgios Lyratzopoulos, Fiona M Walter, Sarah Jefferies, Michael D Peake, Robert C Rintoul

Registry-linked trialOpen access · hybridAbstract readMulticenter Study
In one paragraph

Article in Thorax, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04178889 (Second Primary Lung Cancer Cohort Study), which is not on this map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 5% 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.

NCT04178889 unknown statusnot on this mapstarted 2020, after this paper: background citation

Second Primary Lung Cancer Cohort Study (SPORT)

TypeobservationalSponsorPapworth Hospital NHS Foundation TrustRan2020 to 2024Enrolled850ConditionsLung Cancer
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Article
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  5. Prediagnostic primary care consultations and imaging in emergency-diagnosed versus referred patients with lung cancer: a population-based linked data study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
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  14. Has the National Fall in Smoking Rates in Ireland Been Replicated in Cancer Patients? A 5-Year Report.International journal of environmental research and public health · 2022
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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

6 authors at 3 institutions in 1 country.

Matthew E BarclayThe Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, Cambridgeshire, UK.
Georgios LyratzopoulosThe Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, Cambridgeshire, UK.ORCID 0000-0002-2873-7421
Fiona M WalterThe Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, Cambridgeshire, UK.
Sarah JefferiesDepartment of Oncology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Michael D PeakePublic Health England (PHE), National Cancer Registration and Analysis Service (NCRAS), London, UK.
Robert C RintoulDepartment of Oncology, University of Cambridge, Cambridge, UK.ORCID 0000-0003-3875-3780
University of Cambridge · GBCambridge University Hospitals NHS Foundation Trust · GBUniversity Hospitals of Leicester NHS Trust · GB

Funding

Cancer Research UK 18180Cancer Research UK C18081/A18180
6 · The paper itself

Abstract

backgroundLung cancer 5-year survival has doubled over 15 years. Although the risk of second primary cancer is recognised, quantification over time is lacking. We describe the incidence of second and higher order smoking-related primary cancers in lung cancer survivors, identifying high-incidence groups and how incidence changes over time from first diagnosis.

methodsData on smoking-related primary cancers (lung, laryngeal, head and neck, oesophageal squamous cell carcinoma and bladder) diagnosed in England between 2000 and 2014 were obtained from Public Health England National Cancer Registration and Analysis Service. We calculated absolute incidence rates and standardised incidence rate ratios, both overall and for various subgroups of second primary cancer for up to 10 years from the initial diagnosis of lung cancer, using Poisson regression.

resultsElevated incidence of smoking-related second primary cancer persists for at least 10 years from first lung cancer diagnosis with those aged 50 and 79 at first diagnosis at particularly high risk. The most frequent type of second malignancy was lung cancer although the highest standardised incidence rate ratios were for oesophageal squamous cell carcinoma (2.4) and laryngeal cancers (2.8) and consistently higher in women than in men. Over the last decade, the incidence of second primary lung cancer has doubled.

conclusionLung cancer survivors have increased the incidence of subsequent lung, laryngeal, head and neck and oesophageal squamous cell carcinoma for at least a decade from the first diagnosis. Consideration should be given to increasing routine follow-up from 5 years to 10 years for those at highest risk, alongside surveillance for other smoking-related cancers.

Indexed as

AdultAgedAged, 80 and overEnglandFemaleFollow-Up StudiesHead and Neck NeoplasmsHumansIncidenceLung NeoplasmsMaleMiddle AgedNeoplasms, Second PrimaryPrognosisRetrospective StudiesRisk Factorsclinical epidemiologylung cancernon-small cell lung cancer

Identifiers

PMID30777897
PMCPMC6475108
OpenAlexW2912680256

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.