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Association between Chronic Obstructive Pulmonary Disease and Lung Cancer: A Case-Control Study in Southern Chinese and a Meta-Analysis

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  • Hui Wang
  • Lei Yang
  • Linnan Zou
  • Dongsheng Huang
  • Yuan Guo
  • Mingan Pan
  • Yigang Tan
  • Haibo Zhong
  • Weidong Ji
  • Pixin Ran
  • Nanshan Zhong
  • Jiachun Lu

Abstract

Background: Lung cancer and chronic obstructive pulmonary disease (COPD) share a common risk factor in cigarette smoking and a large portion of patients with lung cancer suffer from COPD synchronously. We therefore hypothesized that COPD is an independent risk factor for lung cancer. Our aim was to investigate the intrinsic linkage of COPD (or emphysema, chronic bronchitis and asthma) and lung cancer. Methods: The present hospital-based case-control study included 1,069 patients with newly diagnosed lung cancer and 1,132 age frequency matched cancer-free controls. The odds ratios (ORs) for the associations between each previous pulmonary disease and lung cancer were estimated with logistic regression models, adjusting for age, sex, family history of cancer, BMI and pack year smoking. In meta-analysis, the pooled effects of previous pulmonary diseases were analyzed with random effects models; and stratification analyses were conducted on smoking status and ethnicity. Results: In the case-control study, previous COPD was associated with the odds for increased risk of lung cancer (OR = 1.29, 95% confidence interval [CI] = 1.00∼1.68); so were emphysema (OR = 1.55, 95%CI = 1.03∼2.32) and chronic bronchitis (OR = 1.22, 95%CI = 0.99∼1.67); while asthma was associated with odds for decreased risk of lung cancer (OR = 0.29, 95%CI = 0.16∼0.53). These associations were more pronounced in smokers (P

Suggested Citation

  • Hui Wang & Lei Yang & Linnan Zou & Dongsheng Huang & Yuan Guo & Mingan Pan & Yigang Tan & Haibo Zhong & Weidong Ji & Pixin Ran & Nanshan Zhong & Jiachun Lu, 2012. "Association between Chronic Obstructive Pulmonary Disease and Lung Cancer: A Case-Control Study in Southern Chinese and a Meta-Analysis," PLOS ONE, Public Library of Science, vol. 7(9), pages 1-9, September.
  • Handle: RePEc:plo:pone00:0046144
    DOI: 10.1371/journal.pone.0046144
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    References listed on IDEAS

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    2. Colin D Mathers & Dejan Loncar, 2006. "Projections of Global Mortality and Burden of Disease from 2002 to 2030," PLOS Medicine, Public Library of Science, vol. 3(11), pages 1-20, November.
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