Inhaled corticosteroids have a protective effect against lung cancer in female patients with chronic obstructive pulmonary disease: a nationwide population-based cohort study Article Swipe
Shih‐Feng Liu
,
Ho‐Chang Kuo
,
Meng‐Chih Lin
,
Shu‐Chen Ho
,
Mei‐Lien Tu
,
Yu‐Mu Chen
,
Yung‐Che Chen
,
Wen‐Feng Fang
,
Chin‐Chou Wang
,
Guan-Heng Liu
·
YOU?
·
· 2017
· Open Access
·
· DOI: https://doi.org/10.18632/oncotarget.15386
YOU?
·
· 2017
· Open Access
·
· DOI: https://doi.org/10.18632/oncotarget.15386
Whether the use of inhaled corticosteroids (ICS) protects patients with chronic obstructive pulmonary disease (COPD) from lung cancer remains undetermined. In this retrospective nationwide population-based cohort study, we extracted data of 13,686 female COPD patients (ICS users, n = 1,290, ICS non-users, n = 12,396) diagnosed between 1997 and 2009 from the Taiwan's National Health Insurance database. These patients were followed-up until 2011, and lung cancer incidence was determined. Cox regression analysis was used to estimate hazard ratios (HRs) for lung cancer incidence. The time to lung cancer diagnosis was significantly different between ICS users and non-users (10.75 vs. 9.68 years, P < 0.001). Per 100,000 person-years, the lung cancer incidence rate was 235.92 for non-users and 158.67 for users [HR = 0.70 (95% confidence interval {CI}: 0.46-1.09)]. After adjusting for patients' age, income, and comorbidities, a cumulative ICS dose > 39.48 mg was significantly associated with a lower risk of lung cancer [ICS users > 39.48 mg, HR = 0.45 (95% CI: 0.21-0.96)]. Age ≥ 60 years, pneumonia, diabetes mellitus, and hypertension decreased lung cancer risk, whereas pulmonary tuberculosis increased the risk. Our results suggest that ICS have a potential role in lung cancer prevention among female COPD patients.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.18632/oncotarget.15386
- http://www.oncotarget.com/index.php?journal=oncotarget&page=article&op=download&path%5B%5D=15386&path%5B%5D=49160
- OA Status
- diamond
- Cited By
- 36
- References
- 69
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2587911398
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Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W2587911398Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.18632/oncotarget.15386Digital Object Identifier
- Title
-
Inhaled corticosteroids have a protective effect against lung cancer in female patients with chronic obstructive pulmonary disease: a nationwide population-based cohort studyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2017Year of publication
- Publication date
-
2017-02-16Full publication date if available
- Authors
-
Shih‐Feng Liu, Ho‐Chang Kuo, Meng‐Chih Lin, Shu‐Chen Ho, Mei‐Lien Tu, Yu‐Mu Chen, Yung‐Che Chen, Wen‐Feng Fang, Chin‐Chou Wang, Guan-Heng LiuList of authors in order
- Landing page
-
https://doi.org/10.18632/oncotarget.15386Publisher landing page
- PDF URL
-
https://www.oncotarget.com/index.php?journal=oncotarget&page=article&op=download&path%5B%5D=15386&path%5B%5D=49160Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
diamondOpen access status per OpenAlex
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https://www.oncotarget.com/index.php?journal=oncotarget&page=article&op=download&path%5B%5D=15386&path%5B%5D=49160Direct OA link when available
- Concepts
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Medicine, COPD, Lung cancer, Hazard ratio, Incidence (geometry), Internal medicine, Population, Cohort, Cancer, Proportional hazards model, Environmental health, Physics, Optics, Confidence intervalTop concepts (fields/topics) attached by OpenAlex
- Cited by
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36Total citation count in OpenAlex
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2025: 2, 2024: 3, 2023: 3, 2022: 5, 2021: 5Per-year citation counts (last 5 years)
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69Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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