Evidence map›Paper›PMID 38942988›Full record

SynthesisBritish journal of cancer2024

Exposure to second-hand smoke and breast cancer risk in non-smoking women: a comprehensive systematic review and meta-analysis.

Irene Possenti, Marco Scala, Giulia Carreras, Vincenzo Bagnardi, Cristina Bosetti, Giuseppe Gorini, Caterina Maci, Maria Chiara Malevolti, Anna Odone, Luc Smits and 3 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in British journal of cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 5 pooled it
–field-weighted citation impact
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, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Association between second-hand smoke exposure and lung cancer risk in never-smokers: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2024
    Pooled it
  6. Article
  7. Review
  8. Article
  9. Epidemiology, early detection, and management of breast cancer in China: A comprehensive review.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2025
    Article
  10. Article
  11. Article
  12. Review
  13. 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

13 authors.

Irene PossentiDepartment of Medical Epidemiology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.ORCID http://orcid.org/0009-0006-9043-2625
Marco ScalaDepartment of Medical Epidemiology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.ORCID http://orcid.org/0000-0002-9737-2497
Giulia CarrerasInstitute for Cancer Research, Prevention and Clinical Network (ISPRO), Florence, Italy.ORCID http://orcid.org/0000-0002-1427-637X
Vincenzo BagnardiDepartment of Statistics and Quantitative Methods, Università degli Studi di Milano-Bicocca, Milan, Italy.
Cristina BosettiDepartment of Medical Epidemiology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.ORCID http://orcid.org/0000-0003-2090-4608
Giuseppe GoriniInstitute for Cancer Research, Prevention and Clinical Network (ISPRO), Florence, Italy.ORCID http://orcid.org/0000-0002-1413-5948
Caterina MaciInstitute for Cancer Research, Prevention and Clinical Network (ISPRO), Florence, Italy.
Maria Chiara MalevoltiInstitute for Cancer Research, Prevention and Clinical Network (ISPRO), Florence, Italy.
Anna OdoneDepartment of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy.
Luc SmitsFaculty Health, Medicine and Life Sciences, Department of Epidemiology, Maastricht University, Maastricht, The Netherlands.ORCID http://orcid.org/0000-0003-0785-1345
Claudia SpecchiaDepartment of Molecular and Translational Medicine, Università degli Studi di Brescia, Brescia, Italy.
Silvano GallusDepartment of Medical Epidemiology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.ORCID http://orcid.org/0000-0002-8967-0400
Alessandra LugoDepartment of Medical Epidemiology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy. alessandra.lugo@marionegri.it.ORCID http://orcid.org/0000-0002-4297-6496

Funding

Associazione Italiana per la Ricerca sul Cancro (Italian Association for Cancer Research) 25840Regione Toscana (Tuscany Region) 16906
6 · The paper itself

Abstract

Through the use of an innovative method to identify original publications, we conducted a meta-analysis of all epidemiological studies evaluating the association between second-hand smoke (SHS) exposure and breast cancer risk among female non-smokers published in English up to October 2022. Pooled relative risks (RR) were obtained through the use of random-effects models. Dose-response relationships were derived using log-linear functions. Out of 73 identified eligible studies, 63 original articles were included in the meta-analysis. The pooled RR for breast cancer for overall exposure to SHS was 1.24 (95% confidence interval, CI, 1.15-1.34, number of articles, n = 52). Regarding the setting of exposure, RRs were 1.17 (95% CI 1.08-1.27, n = 37) for SHS exposure at home, 1.03 (95% CI 0.98-1.08, n = 15) at the workplace, 1.24 (95% CI 1.11-1.37, n = 16) at home or workplace, and 1.45 (95% CI 1.16-1.80, n = 13) for non-specified settings. The risk of breast cancer increased linearly with higher duration (RR 1.29; 95% CI 1.04-1.59 for 40 years of SHS exposure, n = 12), intensity (RR 1.38; 95% CI 1.14-1.67 for 20 cigarettes of SHS exposure per day, n = 6), and pack-years (RR 1.50; 95% CI 0.92-2.45 for 40 SHS pack-years, n = 6) of SHS exposure. This meta-analysis shows a statistically significant excess risk of breast cancer in women exposed to SHS.

Indexed as

Breast NeoplasmsTobacco Smoke PollutionEnvironmental ExposureFemaleHumansNon-SmokersRisk FactorsTobacco Smoke Pollution

Identifiers

PMID38942988
PMCPMC11443041

What OpenQuestion holds

Textmetadata
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.