Evidence map›Paper›PMID 31344121›Full record

ArticlePloS one2019

Emphysema phenotypes and lung cancer risk.

Jessica González, Claudia I Henschke, David F Yankelevitz, Luis M Seijo, Anthony P Reeves, Rowena Yip, Yiting Xie, Michael Chung, Pablo Sánchez-Salcedo, Ana B Alcaide and 7 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

23 citing papers in PubMed, 38 citations in OpenAlex.

  1. Article
  2. Current oncology (Toronto, Ont.) · 2026
    Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Emphysema and lung cancer risk.Translational lung cancer research · 2024
    Article
  8. Article
  9. Lung Hyperinflation as Treatable Trait in Chronic Obstructive Pulmonary Disease: A Narrative Review.International journal of chronic obstructive pulmonary disease · 2024
    Review
  10. Review
  11. ERS/ESTS/ESTRO/ESR/ESTI/EFOMP statement on management of incidental findings from low dose CT screening for lung cancer.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2023
    Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. From COPD to Lung Cancer: Mechanisms Linking, Diagnosis, Treatment, and Prognosis.International journal of chronic obstructive pulmonary disease · 2022
    Review
  18. Article
  19. Advances in imaging for lung emphysema.Annals of translational medicine · 2020
    Review
  20. Lung emphysema and lung cancer: what do we know about it?Annals of translational medicine · 2020
    Review
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

17 authors at 6 institutions in 2 countries.

Jessica GonzálezPulmonary Service, Clínica Universidad de Navarra, Pamplona, Spain.ORCID 0000-0001-5591-5062
Claudia I HenschkeDepartment of Radiology Mount Sinai School of Medicine, NY, United States of America.
David F YankelevitzDepartment of Radiology Mount Sinai School of Medicine, NY, United States of America.
Luis M SeijoPulmonary Service, Clínica Universidad de Navarra, Pamplona, Spain.
Anthony P ReevesSchool of Electrical and Computer Engineering, Cornell University, Ithaca, NY, United States of America.
Rowena YipDepartment of Radiology Mount Sinai School of Medicine, NY, United States of America.
Yiting XieSchool of Electrical and Computer Engineering, Cornell University, Ithaca, NY, United States of America.
Michael ChungDepartment of Radiology Mount Sinai School of Medicine, NY, United States of America.
Pablo Sánchez-SalcedoPulmonary Service, Complejo Hospitalario de Navarra, Pamplona, Spain.ORCID 0000-0001-5690-4947
Ana B AlcaidePulmonary Service, Clínica Universidad de Navarra, Pamplona, Spain.
Aranzazu CampoPulmonary Service, Clínica Universidad de Navarra, Pamplona, Spain.ORCID 0000-0001-9700-4355
Juan BertóPulmonary Service, Clínica Universidad de Navarra, Pamplona, Spain.
María Del Mar OcónPulmonary Service, Clínica Universidad de Navarra, Pamplona, Spain.
Jesus PueyoRadiology Department, Clínica Universidad de Navarra, Pamplona, Spain.
Gorka BastarrikaRadiology Department, Clínica Universidad de Navarra, Pamplona, Spain.
Juan P de-TorresPulmonary Service, Clínica Universidad de Navarra, Pamplona, Spain.
Javier J ZuluetaPulmonary Service, Clínica Universidad de Navarra, Pamplona, Spain.
Clinica Universidad de Navarra · ESIcahn School of Medicine at Mount Sinai · USCornell University · USComplejo Hospitalario de Navarra · ESInstituto de Salud Carlos III · ESNavarre Institute of Health Research · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo assess the relationship between lung cancer and emphysema subtypes.

objectiveAirflow obstruction and emphysema predispose to lung cancer. Little is known, however, about the lung cancer risk associated with different emphysema phenotypes. We assessed the risk of lung cancer based on the presence, type and severity of emphysema, using visual assessment.

methodsSeventy-two consecutive lung cancer cases were selected from a prospective cohort of 3,477 participants enrolled in the Clínica Universidad de Navarra's lung cancer screening program. Each case was matched to three control subjects using age, sex, smoking history and body mass index as key variables. Visual assessment of emphysema and spirometry were performed. Logistic regression and interaction model analysis were used in order to investigate associations between lung cancer and emphysema subtypes.

resultsAirflow obstruction and visual emphysema were significantly associated with lung cancer (OR = 2.8, 95%CI: 1.6 to 5.2; OR = 5.9, 95%CI: 2.9 to 12.2; respectively). Emphysema severity and centrilobular subtype were associated with greater risk when adjusted for confounders (OR = 12.6, 95%CI: 1.6 to 99.9; OR = 34.3, 95%CI: 25.5 to 99.3, respectively). The risk of lung cancer decreases with the added presence of paraseptal emphysema (OR = 4.0, 95%CI: 3.6 to 34.9), losing this increased risk of lung cancer when it occurs alone (OR = 0.7, 95%CI: 0.5 to 2.6).

conclusionsVisual scoring of emphysema predicts lung cancer risk. The centrilobular phenotype is associated with the greatest risk.

Indexed as

EmphysemaFemaleHumansLogistic ModelsLung NeoplasmsMaleMiddle AgedModels, BiologicalMultivariate AnalysisOdds RatioPhenotypeRisk Factors

Identifiers

PMID31344121
PMCPMC6657833
OpenAlexW2963203290

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.