Evidence map›Paper›PMID 34345919›Full record

ArticleJournal of the National Cancer Institute2022

Incidence of Lung Cancer Among Never-Smoking Asian American, Native Hawaiian, and Pacific Islander Females.

Mindy C DeRouen, Alison J Canchola, Caroline A Thompson, Anqi Jin, Sixiang Nie, Carmen Wong, Daphne Lichtensztajn, Laura Allen, Manali I Patel, Yihe G Daida and 8 more

Open access · greenAbstract read
In one paragraph

Article in Journal of the National Cancer Institute, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
2.9field-weighted citation impact, top 7% 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

36 citing papers in PubMed, 49 citations in OpenAlex.

  1. Article
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  4. [Expert Consensus on Precision Management of Pulmonary Nodules (2026 Version)].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2026
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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

18 authors at 5 institutions in 1 country.

Mindy C DeRouenDepartment of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA.
Alison J CancholaDepartment of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA.
Caroline A ThompsonSan Diego State University School of Public Health, San Diego, CA, USA.ORCID 0000-0001-9990-9756
Anqi JinSutter Health Palo Alto Medical Foundation Research Institute, Palo Alto, CA, USA.
Sixiang NieKaiser Permanente Hawai'i Center for Integrated Health Care Research, Honolulu, HI, USA.
Carmen WongKaiser Permanente Hawai'i Center for Integrated Health Care Research, Honolulu, HI, USA.
Daphne LichtensztajnDepartment of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA.ORCID 0000-0003-2906-3868
Laura AllenDepartment of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA.
Manali I PatelVA Palo Alto Health Care System, Palo Alto, CA, USA.
Yihe G DaidaKaiser Permanente Hawai'i Center for Integrated Health Care Research, Honolulu, HI, USA.ORCID 0000-0003-1628-0476
Harold S LuftSutter Health Palo Alto Medical Foundation Research Institute, Palo Alto, CA, USA.ORCID 0000-0002-4696-2745
Salma Shariff-MarcoDepartment of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA.
Peggy ReynoldsDepartment of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA.
Heather A WakeleeDivision of Oncology, Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA.ORCID 0000-0003-1136-980X
Su-Ying LiangSutter Health Palo Alto Medical Foundation Research Institute, Palo Alto, CA, USA.
Beth E WaitzfelderKaiser Permanente Hawai'i Center for Integrated Health Care Research, Honolulu, HI, USA.
Iona ChengDepartment of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA.
Scarlett L GomezDepartment of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA.
University of California, San Francisco · USKaiser Permanente · USSutter Health · USStanford University · USVA Palo Alto Health Care System · US

Funding

UC San Diego Clinical and Translational Research InstituteKL2TR001444 · NCATS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DEPP, COLIN A. · 2015 to 2024
$15.4M
Lung cancer in never smokers: incidence, risk factors, and molecular characteristics in Asian American, Native Hawaiian and Pacific IslanderfemalesR01CA204070 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHENG, IONA C, GOMEZ, SCARLETT L · 2016 to 2018
$1.9M
NCATS NIH HHS KL2 TR001444NCI NIH HHS R01 CA204070
6 · The paper itself

Abstract

backgroundAlthough lung cancer incidence rates according to smoking status, sex, and detailed race/ethnicity have not been available, it is estimated that more than half of Asian American, Native Hawaiian, and Pacific Islander (AANHPI) females with lung cancer have never smoked.

methodsWe calculated age-adjusted incidence rates for lung cancer according to smoking status and detailed race/ethnicity among females, focusing on AANHPI ethnic groups, and assessed relative incidence across racial/ethnic groups. We used a large-scale dataset that integrates data from electronic health records from 2 large health-care systems-Sutter Health in Northern California and Kaiser Permanente Hawai'i-linked to state cancer registries for incident lung cancer diagnoses between 2000 and 2013. The study population included 1 222 694 females (n = 244 147 AANHPI), 3297 of which were diagnosed with lung cancer (n = 535 AANHPI).

resultsIncidence of lung cancer among never-smoking AANHPI as an aggregate group was 17.1 per 100 000 (95% confidence interval [CI] = 14.9 to 19.4) but varied widely across ethnic groups. Never-smoking Chinese American females had the highest rate (22.8 per 100 000, 95% CI = 17.3 to 29.1). Except for Japanese American females, incidence among every never-smoking AANHPI female ethnic group was higher than that of never-smoking non-Hispanic White females, from 66% greater among Native Hawaiian females (incidence rate ratio = 1.66, 95% CI = 1.03 to 2.56) to more than 100% greater among Chinese American females (incidence rate ratio = 2.26, 95% CI = 1.67 to 3.02).

conclusionsOur study revealed high rates of lung cancer among most never-smoking AANHPI female ethnic groups. Our approach illustrates the use of innovative data integration to dispel the myth that AANHPI females are at overall reduced risk of lung cancer and demonstrates the need to disaggregate this highly diverse population.

Indexed as

Asian American Native Hawaiian and Pacific IslanderLung NeoplasmsCaliforniaFemaleHumansIncidenceSmoking

Identifiers

PMID34345919
PMCPMC8755498
OpenAlexW3189403912

What OpenQuestion holds

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Registered trials

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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.