Evidence map›Paper›PMID 41300991›Full record

ReviewCancers2025

Impact of Quitting Smoking at Diagnosis on Overall Survival in Lung Cancer Patients: A Comprehensive Meta-Analysis.

Jong Min Lee, Hyo-Weon Suh, Hyeon-Jeong Lee, Miyoung Choi, Ji Soo Kim, Kiheon Lee, Sang-Heon Kim, Jang Won Sohn, Ho Joo Yoon, Yu-Jin Paek and 2 more

Abstract readReview
In one paragraph

Review in Cancers, 2025. 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. 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

12 authors.

Jong Min LeeDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul St. Mary's Hospital College of Medicine, Catholic University of Korea, Seoul 06591, Republic of Korea.ORCID 0000-0001-9025-225X
Hyo-Weon SuhClinical Evidence Research Team, Division of Healthcare Research, National Evidence-Based Healthcare Collaborating Agency, Seoul 04933, Republic of Korea.ORCID 0000-0003-1745-1628
Hyeon-Jeong LeeClinical Evidence Research Team, Division of Healthcare Research, National Evidence-Based Healthcare Collaborating Agency, Seoul 04933, Republic of Korea.ORCID 0000-0002-0822-2420
Miyoung ChoiClinical Evidence Research Team, Division of Healthcare Research, National Evidence-Based Healthcare Collaborating Agency, Seoul 04933, Republic of Korea.ORCID 0000-0002-2424-9965
Ji Soo KimDepartment of Family Medicine, Seoul National University College of Medicine, Seoul 03080, Republic of Korea.ORCID 0000-0002-1363-0840
Kiheon LeeDepartment of Family Medicine, Seoul National University College of Medicine, Seoul 03080, Republic of Korea.
Sang-Heon KimDivision of Pulmonary Medicine and Allergy, Department of Internal Medicine, Hanyang University College of Medicine, Seoul 04763, Republic of Korea.
Jang Won SohnDivision of Pulmonary Medicine and Allergy, Department of Internal Medicine, Hanyang University College of Medicine, Seoul 04763, Republic of Korea.ORCID 0000-0001-7132-2988
Ho Joo YoonDivision of Pulmonary Medicine and Allergy, Department of Internal Medicine, Hanyang University College of Medicine, Seoul 04763, Republic of Korea.
Yu-Jin PaekDepartment of Family Medicine and Health Promotion Center, Hallym University Sacred Heart Hospital, Anyang 14068, Republic of Korea.
Cheol Min LeeDepartment of Family Medicine, Seoul National University Hospital Healthcare System Gangnam Center, Seoul 06236, Republic of Korea.ORCID 0000-0001-8652-4355
Dong Won ParkDivision of Pulmonary Medicine and Allergy, Department of Internal Medicine, Hanyang University College of Medicine, Seoul 04763, Republic of Korea.ORCID 0000-0002-4538-6045

Funding

National Evidence-based Healthcare Collaborating Agency NA23-013National Evidence-based Healthcare Collaborating Agency NA24-002
6 · The paper itself

Abstract

backgroundSmoking cessation has been associated with reduced lung cancer mortality. This study aimed to synthesize current evidence on the impact of quitting smoking at or around the time of diagnosis of lung cancer on survival, considering factors such as histological subtype, cancer stage, and cessation intervention.

methodsA systematic search was conducted in the Ovid-MEDLINE, Ovid-EMBASE, Cochrane Central Register of Controlled Trials, and KoreaMed databases up to September 2024. Randomized controlled trials and cohort studies enrolling adult current smokers with pathologically confirmed lung cancer and comparing smoking cessation at or around diagnosis with continued smoking, were included. The primary outcome was overall survival (minimum follow-up of 3 months). The included studies were critically appraised using the revised Risk of Bias for Nonrandomized Studies (RoBANS 2) tool and meta-analyzed.

resultsA total of 25 cohort studies comprising 17,584 patients were reviewed. Quitting smoking at diagnosis was associated with a 26% reduction in mortality risk (adjusted HR [aHR] 0.74, 95% CI 0.68-0.81). In subgroup analyses, quitting smoking was associated with improved survival in both non-small cell lung cancer (aHR 0.73, 95% CI 0.64-0.83) and small cell lung cancer (aHR 0.61, 95% CI 0.51-0.72), with a more pronounced benefit among patients with early-stage disease (stage I-III or limited stage; aHR 0.64, 95% CI 0.56-0.74). Furthermore, active smoking cessation interventions were significantly associated with improved survival (aHR 0.55, 95% CI 0.35-0.88).

conclusionsThe findings underscore the importance of encouraging smoking cessation at the time of lung cancer diagnosis as an integral part of patient management to improve survival outcomes.

Indexed as

lung cancermeta-analysissmoking cessationsurvivalsystematic review

Identifiers

PMID41300991
PMCPMC12651382

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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.