Evidence map›Paper›PMID 41229796›Full record

ArticleJournal of thoracic disease2025

A comprehensive analysis of antihypertensive medications and their impact on lung cancer incidence and all-cause mortality: a population-based study in South Korea.

Juwhan Choi, Seunghun Lee, Dongwoo Kang, Jungkuk Lee, Kyungdo Han, Sue In Choi, Eun Joo Lee, Sung Yong Lee

Abstract read
In one paragraph

Article in Journal of thoracic disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

8 authors.

Juwhan ChoiDivision of Pulmonary, Allergy, and Critical Care Medicine, Department of Internal Medicine, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0001-6536-9763
Seunghun LeeDivision of Pulmonary, Allergy, and Critical Care Medicine, Department of Internal Medicine, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Republic of Korea.
Dongwoo KangData Science Team, Hanmi Pharm. Co., Ltd., Seoul, Republic of Korea.
Jungkuk LeeData Science Team, Hanmi Pharm. Co., Ltd., Seoul, Republic of Korea.
Kyungdo HanDepartment of Statistics and Actuarial Science, Soongsil University, Seoul, Republic of Korea.
Sue In ChoiDivision of Respiratory and Critical Care Medicine, Department of Internal Medicine, Korea University College of Medicine, Seoul, Republic of Korea.
Eun Joo LeeDivision of Respiratory and Critical Care Medicine, Department of Internal Medicine, Korea University College of Medicine, Seoul, Republic of Korea.
Sung Yong LeeDivision of Pulmonary, Allergy, and Critical Care Medicine, Department of Internal Medicine, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-8693-5792

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Lung cancer is a significant global health concern. Numerous studies have explored its etiology. There are conflicting findings on the relationship between antihypertensive medication use and development of lung cancer. This study aimed to examine associations of two widely used antihypertensive drug classes-angiotensin receptor blockers (ARBs) and calcium channel blockers (CCBs)-with risk of lung cancer and all-cause mortality. Methods: Employing data from the Korea National Health Insurance Sharing Service (January 1, 2002 to December 31, 2019, with an 8-year washout), this study concentrated on hypertensive patients prescribed ARB or CCB for ≥90 days between January 1, 2010 and December 31, 2019. Analyses included propensity score matching (PSM) and subgroup assessments. Results: This study encompassed 3,451,701 patients. Following PSM, each group had 173,531 patients. Prior to PSM, the CCB group exhibited a higher hazard ratio (HR) for lung cancer incidence than the ARB group (HR: 1.425; P<0.001). After PSM, the CCB group maintained a higher HR for lung cancer than the ARB group (HR: 1.134, P=0.02). These findings were paralleled in all-cause mortality rates, with adjusted HR analyses consistently showing higher risks in the CCB group. CCBs showed associations with higher risks across various conditions and durations of drug use in subgroup analyses. Conclusions: CCB use may increase the risk of lung cancer incidence and all-cause mortality compared with ARB use.

Indexed as

angiotensin receptor blockers (ARBs)calcium channel blockers (CCBs)epidemiological studiesLung cancer incidencemortality

Identifiers

PMID41229796
PMCPMC12603551

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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.