Evidence map›Paper›PMID 39283236›Full record

ArticleCancer2025

Smoking prevalence and association with sociodemographic variables in cancer clinical trial participants.

Cary A Presant, Cathee Till, Riha Vaidya, Kimlin Tan Ashing, Graham W Warren, Virginia Sun, Ravi Salgia, Erminia Massarelli, Joanne E Mortimer, Sumanta Pal and 6 more

Abstract read
In one paragraph

Article in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Observational
  2. 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

16 authors.

Cary A PresantCity of Hope National Medical Center, Duarte, California, USA.
Cathee TillSWOG Statistics and Data Management Center, Fred Hutchinson Cancer Center, Seattle, Washington, USA.
Riha VaidyaSWOG Statistics and Data Management Center, Fred Hutchinson Cancer Center, Seattle, Washington, USA.ORCID https://orcid.org/0000-0001-5316-6352
Kimlin Tan AshingCity of Hope National Medical Center, Duarte, California, USA.ORCID https://orcid.org/0000-0002-6209-508X
Graham W WarrenDepartment of Radiation Oncology, Medical University of South Carolina, Charleston, South Carolina, USA.
Virginia SunCity of Hope National Medical Center, Duarte, California, USA.ORCID https://orcid.org/0000-0003-3129-4235
Ravi SalgiaCity of Hope National Medical Center, Duarte, California, USA.
Erminia MassarelliCity of Hope National Medical Center, Duarte, California, USA.
Joanne E MortimerCity of Hope National Medical Center, Duarte, California, USA.ORCID https://orcid.org/0000-0002-2935-1934
Sumanta PalCity of Hope National Medical Center, Duarte, California, USA.ORCID https://orcid.org/0000-0002-1712-0848
Tanya DorffCity of Hope National Medical Center, Duarte, California, USA.ORCID https://orcid.org/0000-0001-5990-298X
Arya AminiCity of Hope National Medical Center, Duarte, California, USA.ORCID https://orcid.org/0000-0002-8311-9159
Loretta ErhunmwunseeCity of Hope National Medical Center, Duarte, California, USA.
Tanyanika PhillipsCity of Hope National Medical Center, Duarte, California, USA.
Dawn L HershmanColumbia University, New York, New York, USA.ORCID https://orcid.org/0000-0001-8807-153X
Joseph M UngerSWOG Statistics and Data Management Center, Fred Hutchinson Cancer Center, Seattle, Washington, USA.ORCID https://orcid.org/0000-0002-5191-0317

Funding

Transgenic Mouse FacilityP30CA033572 · NCI · CITY OF HOPE/BECKMAN RESEARCH INSTITUTE · PI John Charles Williams · 1985 to 2026
$86.3M
SWOG NCORP Research BaseUG1CA189974 · NCI · THE HOPE FOUNDATION · PI CHARLES D. BLANKE, DAWN HERSHMAN · 2014 to 2026
$80.6M
Hope FoundationNCI NIH HHS P30 CA033572NCI NIH HHS P30 CA033572NCI NIH HHS R01 CA27989NCI NIH HHS UG1 CA189974NIH/NCI/NCORP UG1CA189974
6 · The paper itself

Abstract

backgroundTobacco use (smoking) causes adverse clinical outcomes among patients with cancer, including increased cancer-related mortality. In participants in cancer clinical trials, the prevalence of tobacco use and the factors associated with tobacco use are not well described.

methodsData were examined from participants enrolled in SWOG cancer clinical treatment trials between 2016 and 2022 who reported their smoking status at trial enrollment. Baseline variables (smoking status, insurance type, zip code, and demographic factors) were obtained from patient registration forms. Bivariate and multivariable associations were examined via logistic regression.

resultsAmong 4326 patients enrolled in 29 trials, 48.1% reported currently/previously smoking, including 12.4% currently, 4.9% recently, and 30.7% formerly. Ever smoking was more commonly reported in males, patients aged ≥65 years, patients with Medicaid or no insurance, patients from areas of high socioeconomic deprivation, and rural patients. Patients of Hispanic ethnicity and Asian and Pacific Islander patients were less likely to have ever smoked. In multivariable regression, patients with lung cancer were most likely to report ever smoking compared to patients with breast cancer (odds ratio, 4.98; p < .001).

conclusionsIn the first comprehensive evaluation of smoking status among trial participants enrolled in National Cancer Institute network group treatment trials, nearly half reported ever smoking and one in six reported current or recent smoking. Smoking was more common among vulnerable population patients defined by demographic and socioeconomic factors. Tobacco use should be routinely assessed and reported in clinical trials to help reduce the negative cancer and overall health effects of persistent tobacco use and to address disparities among patients with cancer.

Indexed as

Clinical Trials as TopicNeoplasmsSmokingAdultAgedFemaleHumansMaleMiddle AgedPrevalenceSociodemographic FactorsSocioeconomic FactorsUnited Statescancerclinical trialsdisparitiessmoking

Identifiers

PMID39283236
PMCPMC11834169

What OpenQuestion holds

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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.