Evidence map›Paper›PMID 32962687›Full record

ArticleBMC cancer2020

Combined and interaction effect of chlamydia pneumoniae infection and smoking on lung cancer: a case-control study in Southeast China.

Xin Xu, Zhiqiang Liu, Weimin Xiong, Minglian Qiu, Shuling Kang, Qiuping Xu, Lin Cai, Fei He

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

12 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. 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

8 authors at 3 institutions in 1 country.

Xin XuDepartment of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, 350108, China.
Zhiqiang LiuDepartment of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, 350108, China.
Weimin XiongDepartment of Health and Quarantine, The Xiamen Customs of the People's Republic of China, Xiamen, 361001, China.
Minglian QiuDepartment of Thoracic Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, China.
Shuling KangFuzhou Center for Disease Control and Prevention, Fuzhou, 350004, China.
Qiuping XuMedical Department, The Affiliated Hospital of Putian University, Putian, 351100, China.
Lin CaiDepartment of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, 350108, China.
Fei HeDepartment of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, 350108, China. ifeihe@163.com.ORCID http://orcid.org/0000-0002-1422-6153
Fujian Medical University · CNPutian University · CNXiamen University · CN

Funding

Fujian Program for Outstanding Young Researchers in University awarded by Education Department of Fujian 2017B019Fujian Provincial Health Research Talents Training Programme Medical Innovation Project 2019-CX-33National Natural Science Foundation of China 81402738Startup Fund of Fujian Medical University for scientific research 2019QH1297the National Key Research and Development Program of China 2017YFC0907100
6 · The paper itself

Abstract

backgroundThis case-control study investigated the role of Chlamydia pneumoniae (Cpn) infection in the pathogenesis of lung cancer and the combined and interaction effect of Cpn infection, smoking, and various environmental factors.

methodsThe study comprised 449 lung cancer patients and 512 age- and sex-matched healthy controls. All participants provided a 5 ml fasting peripheral venous blood sample for testing Cpn-specific IgG and IgA by using micro-immunofluorescence. Besides analyzing the associations between Cpn and lung cancer, combined effect analysis, logistic regression, and the Excel table made by Andersson were used to analyze the combined and interaction effects of Cpn and environmental factors on lung cancer.

resultsCompared to those with no evidence of serum Cpn IgA or Cpn IgG, those with both Cpn IgG+ and IgA+ had 2.00 times the risk (95% CI: 1.34-3.00) of developing lung cancer. Cpn IgG+ or IgA+ was associated with a significantly increased risk of lung cancer among smokers; the adjusted odds ratio (OR) was 1.79 (95% CI: 1.10-2.91) and 2.27 (95% CI: 1.38-3.72), respectively. Those exposed to passive smoking with Cpn IgG+ or IgA+ also showed an increased risk of lung cancer; the adjusted OR was 1.82 (95% CI: 1.20-2.77) or 1.87 (95% CI: 1.22-2.87), respectively. Similar results were also observed among alcohol drinkers. Multiplicative and additive interactions were not observed between Cpn infection and environmental factors. The combined effects of Cpn IgG+ or IgA+ with smoking, passive smoking, and family history of cancer on lung cancer were determined.

conclusionCpn infection is potentially associated with primary lung cancer in the Chinese Han population and has combined effects with smoking, passive smoking, and family history of cancer.

Indexed as

AgedCase-Control StudiesChinaChlamydophila InfectionsFemaleHumansLung NeoplasmsMaleMiddle AgedRisk FactorsSmokingCase-control studyChlamydia pneumoniae infectionEnvironmental factorsLung cancer

Identifiers

PMID32962687
PMCPMC7510273
OpenAlexW3088799091

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.