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The association of lung cancer with pulmonary fibrosis

Niranjan Jeganathan, Derrick Cleland, Matheni Sathananthan
ERJ Open Research 2022 8: 00505-2021; DOI: 10.1183/23120541.00505-2021
Niranjan Jeganathan
1Dept of Medicine, Division of Pulmonary, Critical Care, Hyperbaric, Allergy and Sleep Medicine, Loma Linda University Health, Loma Linda, CA, USA
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  • ORCID record for Niranjan Jeganathan
  • For correspondence: njeganathan@llu.edu
Derrick Cleland
2Dept of Medicine, Loma Linda University Health, Loma Linda, CA, USA
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Matheni Sathananthan
2Dept of Medicine, Loma Linda University Health, Loma Linda, CA, USA
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Tables

  • TABLE 1

    Prevalence of lung cancer (LC) in decedents with and without idiopathic pulmonary fibrosis (IPF)

    VariableDecedents without IPF#Decedents with IPF¶OR+ (95% CI)
    Total deathsLC presentDeaths with LC, % totalLC mortality rate, % change 2004–2018p-value for trendTotal deathsLC presentDeaths with LC, % totalLC mortality rate, % change 2004–2018p-value for trend
    Sex
     Female18 002 3461 087 0016.04−23.4<0.001160 38939852.480.300.40 (0.38–0.41)
     Male17 263 7231 346 7037.80−41.0<0.001188 98478164.130.320.51 (0.50–0.52)
    Age, years
     45–542 677 125164 2806.14−48.4<0.00110 4762942.810.260.44 (0.39–0.50)
     55–644 797 685482 28110.05−34.8<0.00132 04315334.780.120.45 (0.43–0.47)
     65–746 566 472767 18111.68−42.0<0.00176 49440705.32−19.10.040.42 (0.41–0.44)
     75–849 574 477729 9487.62−27.4<0.001126 99243273.40+22.30.0010.43 (0.41–0.44)
     ≥8511 650 310290 0142.49−9.2<0.001103 36815771.53+21.8<0.0010.61 (0.58–0.64)
    Race
     Native-American186 27511 4246.13−12.40.022775843.030.520.48 (0.38–0.59)
     Asian738 69549 6616.72−17.0<0.00187262142.450.850.35 (0.30–0.40)
     Black3 851 698250 9146.51−32.4<0.00118 7076423.430.340.51 (0.47–0.55)
     White28 498 5752 039 3217.16−23.1<0.001291 70610 3023.530.090.47 (0.47–0.48)
     Hispanic1 902 71477 3984.07−31.2<0.00126 9035382.00+35.00.030.48 (0.44–0.52)
    UCD
     IPFNANANANANANA1863NA0.92NA
     LCNA2 292 943NA−28.7<0.001NA8956NA0.400.19 (0.18–0.20)
     PneumoniaNA1023NA0.14NA19NA1.003.83 (2.43–6.04)
    Place of death
     InpatientNA700 652NA−45.8<0.001NA5625NA0.442.25 (2.17–2.33)
     HomeNA993 905NA−22.5<0.001NA3687NA0.110.66 (0.63–0.68)
     HospiceNA211 291NA+1130.2<0.001NA847NA+8880.0<0.0010.81 (0.76–0.87)
     Nursing homeNA331 624NA−43.0<0.001NA896NA0.550.52 (0.49–0.56)

    International Classification of Diseases (10th Revision) (ICD-10) codes used for underlying cause of death (UCD) were pulmonary fibrosis (J84.1 and J84.9), lung cancer (C34–C34.9) and pneumonia (J09–J18.9). Similar to prior studies, ICD-10 codes were used to identify and exclude patients with underlying connective tissue diseases (M32–M35, M35.1, M35.5, M35.8–M36 and M05–M08.9), radiation fibrosis (J70.1), sarcoidosis (D86–D86.9), pneumoconiosis (J60–J65) and hypersensitivity pneumonitis (J67–J67.9). If no data are shown for % change in rate, the regression analysis of the data did not indicate a significant departure from a linear trend during the analysis period. NA: not applicable. #: n=35 266 069; ¶: n=349 373; +: the overall odds of lung cancer with IPF compared to without IPF.

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    The association of lung cancer with pulmonary fibrosis
    Niranjan Jeganathan, Derrick Cleland, Matheni Sathananthan
    ERJ Open Research Jan 2022, 8 (1) 00505-2021; DOI: 10.1183/23120541.00505-2021

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    The association of lung cancer with pulmonary fibrosis
    Niranjan Jeganathan, Derrick Cleland, Matheni Sathananthan
    ERJ Open Research Jan 2022, 8 (1) 00505-2021; DOI: 10.1183/23120541.00505-2021
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