Evidence map›Paper›PMID 39145902›Full record

SynthesisSleep & breathing = Schlaf & Atmung2024

The association between sleep quantity, insomnia and lung cancer risk - A systematic review and meta-analysis.

Brian Sheng Yep Yeo, Jin Hean Koh, Bryan Yichong Shi, Jun He Chan, Adele Chin Wei Ng, Shaun Loh, Leong Chai Leow, Thun How Ong, Joshua J Gooley, Song Tar Toh

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Sleep & breathing = Schlaf & Atmung, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Bibliometric and visual analysis of cancer-related insomnia research from 2015 to 2025.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    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

10 authors.

Brian Sheng Yep Yeo *Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Jin Hean Koh *Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Bryan Yichong ShiYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Jun He ChanYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Adele Chin Wei NgDepartment of Otorhinolaryngology-Head and Neck Surgery, Singapore General Hospital, Singapore, Singapore.
Shaun LohDepartment of Otorhinolaryngology-Head and Neck Surgery, Singapore General Hospital, Singapore, Singapore.
Leong Chai LeowSingHealth Duke-NUS Sleep Centre, Singapore, Singapore.
Thun How OngSingHealth Duke-NUS Sleep Centre, Singapore, Singapore.
Joshua J GooleySingHealth Duke-NUS Sleep Centre, Singapore, Singapore.
Song Tar TohDepartment of Otorhinolaryngology-Head and Neck Surgery, Singapore General Hospital, Singapore, Singapore. toh.song.tar@singhealth.com.sg.ORCID 0000-0003-2077-2457

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe effect of various sleep traits on the risk of lung cancer differs among pre-existing studies. This study aims to systematically review and synthesise the association between sleep duration and insomnia with the incidence of lung cancer.

methodsPubMed, Embase and The Cochrane Library were searched from inception to 23 April 2023 for observational studies examining the effect of sleep quantity or insomnia on lung cancer incidence. We pooled maximally-adjusted hazard ratios and odds ratios separately using random effects inverse variance weighted models. The risk of bias of observational studies was assessed using the Newcastle-Ottawa Scale.

resultsWe included 11 observational studies with a pooled cohort of 5,049,141 patients. The mean age of the patients was 49.5 ± 17.7 years, and 51.4% were males. The risk of bias ranged from low-moderate. Individuals who slept for a shorter or longer duration than the reference range of sleep per night showed an increased risk of lung cancer by 11% (HR:1.11; 95%CI:1.00-1.23) and 16% (HR:1.16; 95%CI:1.06-1.27) respectively. Furthermore, individuals with insomnia symptoms had a 9% greater risk of lung cancer than those without symptoms (HR:1.09; 95%CI:1.05-1.13).

conclusionThis study suggests that insufficient sleep, excessive sleep and insomnia may be associated with an increased risk of lung cancer. Physicians should be mindful of this association and encourage healthy sleep practises among patients. Given the observed heterogeneity among some pre-existing studies, future research with longer periods of follow-up, greater control for covariates and objective testing of sleep parameters may add value to this topic.

Indexed as

Lung NeoplasmsSleep Initiation and Maintenance DisordersFemaleHumansMaleRisk FactorsSleepSleep DurationInsomniaLung CancerMeta-AnalysisSleep DurationSleep QuantitySystematic Review

Identifiers

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.