Evidence map›Paper›PMID 42898671›Full record

ReviewAddiction & health2026

Marijuana (Cannabis) Smoking Increases the Risk of Lung Cancer: Evidence from a Systematic Review and Meta-Analysis.

Mehdi Karimi, Kimia Kazemi, Mohammad Hossein Pourhanifeh, Parsa Irajian, Omid Asbaghi

Abstract readReview
In one paragraph

Review in Addiction & health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Mehdi KarimiFaculty of Medicine, Bogomolets National Medical University (NMU), Kyiv, Ukraine.ORCID https://orcid.org/0009-0006-4388-0214
Kimia KazemiDepartment of Food Science and Technology, Ayatollah Amoli Branch, Islamic Azad University, Amol, Iran.ORCID https://orcid.org/0009-0000-0777-7646
Mohammad Hossein PourhanifehResearch Center for Biochemistry and Nutrition in Metabolic Diseases, Institute for Basic Sciences, Kashan University of Medical Sciences, Kashan, Iran.ORCID https://orcid.org/0000-0002-6752-2765
Parsa IrajianPhysiology Research Center, Iran University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0002-8572-9727
Omid AsbaghiCancer Research Center, Shahid Beheshti University of Medical Sciences (SBUMS), Tehran, Iran.ORCID https://orcid.org/0000-0002-7740-4711

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Marijuana (cannabis) use has become increasingly prevalent worldwide, raising concerns about its potential long-term health effects, particularly on the respiratory system. While tobacco smoking is a well-established risk factor for lung cancer,the association between cannabis use and lung cancer risk remains unclear and controversial. This systematic review and meta-analysis of existing observational studies aimed to evaluate the potential relationship between marijuana use and the risk ofdeveloping lung cancer. Methods: A systematic search was conducted across PubMed, Web of Science, and Scopus to identify cohort and case-controlstudies up to September 2025. Studies were selected, relevant data were extracted, and statistically analyzed using effect sizes (ES)and 95% confidence intervals (CI). All analyses were conducted using STATA software. Findings: This meta-analysis included six observational studies, comprising 16 effect sizes, consisting of two cohort studies andfour case-control studies. The pooled analysis of the cohort studies (7 effect sizes) indicated a statistically significant associationbetween marijuana (cannabis) smoking and increased lung cancer risk (ES: 2.06; 95% CI: [1.04-4.07]; Conclusion: This meta-analysis indicates that marijuana smoking may increase lung cancer risk, with cohort studies showing asignificant twofold association. Although case-control studies were not statistically significant, the upward trend highlights theimportance of considering cannabis use in lung cancer risk assessments and patient counseling.

Indexed as

CannabisLung cancerMarijuanaMeta-analysisSmoking

Identifiers

PMID42898671
PMCPMC13678052

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Registered trials

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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.