Evidence map›Paper›PMID 36999938›Full record

ArticleCancer medicine2023

Cancer incidence after asthma diagnosis: Evidence from a large clinical research network in the United States.

Yi Guo, Jiang Bian, Zhaoyi Chen, Jennifer N Fishe, Dongyu Zhang, Dejana Braithwaite, Thomas J George, Elizabeth A Shenkman, Jonathan D Licht

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

13 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
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  6. A deadly taste: linking bitter taste receptors and apoptosis.Apoptosis : an international journal on programmed cell death · 2025
    Review
  7. Biomedicines · 2025
    Review
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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

9 authors at 2 institutions in 1 country.

Yi GuoDepartment of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, Florida, USA.ORCID 0000-0003-0587-4105
Jiang BianDepartment of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, Florida, USA.
Zhaoyi ChenDepartment of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, Florida, USA.
Jennifer N FisheDepartment of Emergency Medicine, College of Medicine - Jacksonville, University of Florida, Jacksonville, Florida, USA.
Dongyu ZhangUniversity of Florida Health Cancer Center, Gainesville, Florida, USA.ORCID 0000-0002-7845-4630
Dejana BraithwaiteUniversity of Florida Health Cancer Center, Gainesville, Florida, USA.
Thomas J GeorgeDepartment of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, Florida, USA.ORCID 0000-0002-6249-9180
Elizabeth A ShenkmanDepartment of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, Florida, USA.
Jonathan D LichtUniversity of Florida Health Cancer Center, Gainesville, Florida, USA.
University of Florida Health · USUniversity of Florida · US

Funding

Personalized screening for lung cancer: the importance of co-existing chronic conditions to clinical practice and policyR01CA249506 · NCI · UNIVERSITY OF FLORIDA · PI BRAITHWAITE, DEJANA K, GOULD, MICHAEL K · 2020 to 2025
$3.3M
Disparities of Alzheimer's disease progression in Sexual Minority IndividualsR01AG080624 · NIA · UNIVERSITY OF FLORIDA · PI Jiang Bian, Yi Guo · 2023 to 2026
$3.1M
COMORBIDITY AND SCREENING OUTCOMES AMONG OLDER WOMEN UNDERGOING MAMMOGRAPHYR01CA207361 · NCI · UNIVERSITY OF FLORIDA · PI BRAITHWAITE, DEJANA K · 2017 to 2020
$2.3M
The benefits and harms of lung cancer screening in FloridaR01CA246418 · NCI · UNIVERSITY OF FLORIDA · PI BIAN, JIANG, GUO, YI · 2020 to 2023
$1.7M
Using Real-world Data to Assess the Burden of Diabetes in Children and Adolescents in FloridaU18DP006512 · DP · UNIVERSITY OF FLORIDA · PI BIAN, JIANG, GUO, YI · 2020 to 2024
$1.4M
Using Electronic Health Records from a Large Clinical Data Research Network to Understand Cancer Burden and Cancer Risks Among Transgender and Gender Nonconforming (TGNC) IndividualsR21CA245858 · NCI · UNIVERSITY OF FLORIDA · PI BIAN, JIANG, GUO, YI · 2020 to 2021
$773k
Early Administration of Steroids in the Ambulance Setting: An Observational Design TrialK23HL149991 · NHLBI · UNIVERSITY OF FLORIDA · PI FISHE, JENNIFER NOEL · 2020 to 2024
$729k
Optimizing the Population Representativeness of Older Adults in Alzheimer's Disease and Related Dementia Clinical TrialsR21AG068717 · NIA · UNIVERSITY OF FLORIDA · PI BIAN, JIANG, GUO, YI · 2020 to 2021
$419k
Optimizing the Population Representativeness of Older Adults in Cancer TrialsR21CA253394 · NCI · UNIVERSITY OF FLORIDA · PI BIAN, JIANG, GUO, YI · 2021 to 2021
$392k
NCCDPHP CDC HHS U18 DP006512NCI NIH HHS R01 CA207361NCI NIH HHS R01 CA249506NCI NIH HHS R21 CA245858NCI NIH HHS R21 CA253394NHLBI NIH HHS K23 HL149991NIA NIH HHS R01 AG080624NIA NIH HHS R21 AG068717
6 · The paper itself

Abstract

backgroundPrior studies on the association between asthma and cancer show inconsistent results. This study aimed to generate additional evidence on the association between asthma and cancer, both overall, and by cancer type, in the United States.

methodWe conducted a retrospective cohort study using 2012-2020 electronic health records and claims data in the OneFlorida+ clinical research network. Our study population included a cohort of adult patients with asthma (n = 90,021) and a matching cohort of adult patients without asthma (n = 270,063). We built Cox proportional hazards models to examine the association between asthma diagnosis and subsequent cancer risk.

resultsOur results showed that asthma patients were more likely to develop cancer compared to patients without asthma in multivariable analysis (hazard ratio [HR] = 1.36, 99% confidence interval [CI] = 1.29-1.44). Elevated cancer risk was observed in asthma patients without (HR = 1.60; 99% CI: 1.50-1.71) or with (HR = 1.11; 99% CI: 1.03-1.21) inhaled steroid use. However, in analyses of specific cancer types, cancer risk was elevated for nine of 13 cancers in asthma patients without inhaled steroid use but only for two of 13 cancers in asthma patients with inhaled steroid use, suggesting a protective effect of inhaled steroid use on cancer.

conclusionThis is the first study to report a positive association between asthma and overall cancer risk in the US population. More in-depth studies using real-word data are needed to further explore the causal mechanisms of asthma on cancer risk.

Indexed as

AsthmaNeoplasmsAdministration, InhalationAdultHumansIncidenceRetrospective StudiesSteroidsUnited StatesSteroidselectronic health recordsinhaled steroidpredictionreal-word datasurvival analysis

Identifiers

PMID36999938
PMCPMC10242315
OpenAlexW4362458009

What OpenQuestion holds

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LicenceCC BY
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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.