Cigarette Smoking and Adenocarcinomas of the Esophagus and Esophagogastric Junction: A Pooled Analysis From the International BEACON Consortium
| العنوان: | Cigarette Smoking and Adenocarcinomas of the Esophagus and Esophagogastric Junction: A Pooled Analysis From the International BEACON Consortium |
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| المؤلفون: | Christian C. Abnet, Michael B. Cook, Douglas A. Corley, Farin Kamangar, Thomas L. Vaughan, Harvey A. Risch, Mary H. Ward, David C. Whiteman, Anna H. Wu, Leslie Bernstein, Penelope M. Webb, Liam J. Murray, Olof Nyrén, Carol Giffen, Alan G. Casson, Linda Sharp, Nirmala Pandeya, Wong Ho Chow, Weimin Ye, Linda Morris Brown, Neal D. Freedman, Marilie D. Gammon |
| المصدر: | Cook, M B, Kamangar, F, Whiteman, D C, Freedman, N D, Gammon, M D, Bernstein, L, Brown, L M, Risch, H A, Ye, W, Linda, S, Pandeya, N, Webb, P M, Wu, P M, Ward, M H, Giffen, C, Casson, A G, Abnet, C C, Murray, L, Corley, D A, Nyren, O, Vaughan, T L & Chow, W H 2010, ' Cigarette smoking and adenocarcinomas of the esophagus and esophagogastric junction a pooled analysis from the International BEACON consortium ' Journal of the National Cancer Institute, vol. 102, no. 17, pp. 1344-1353 . DOI: 10.1093/jncl/djq289 |
| بيانات النشر: | Oxford University Press (OUP), 2010. |
| سنة النشر: | 2010 |
| مصطلحات موضوعية: | Male, Cancer Research, medicine.medical_specialty, Time Factors, Esophageal Neoplasms, medicine.medical_treatment, Adenocarcinoma, Gastroenterology, Risk Factors, Stomach Neoplasms, Internal medicine, Epidemiology, medicine, Humans, Barretts esophagus, Esophagus, Lung cancer, Dose-Response Relationship, Drug, business.industry, Esophageal disease, Incidence, Incidence (epidemiology), Smoking, Articles, Odds ratio, medicine.disease, digestive system diseases, medicine.anatomical_structure, Oncology, Research Design, Smoking cessation, Female, Smoking Cessation, Esophagogastric Junction, business |
| الوصف: | Previous studies that showed an association between smoking and adenocarcinomas of the esophagus and esophagogastric junction were limited in their ability to assess differences by tumor site, sex, dose-response, and duration of cigarette smoking cessation.We used primary data from 10 population-based case-control studies and two cohort studies from the Barrett's Esophagus and Esophageal Adenocarcinoma Consortium. Analyses were restricted to white non-Hispanic men and women. Patients were classified as having esophageal adenocarcinoma (n = 1540), esophagogastric junctional adenocarcinoma (n = 1450), or a combination of both (all adenocarcinoma; n = 2990). Control subjects (n = 9453) were population based. Associations between pack-years of cigarette smoking and risks of adenocarcinomas were assessed, as well as their potential modification by sex and duration of smoking cessation. Study-specific odds ratios (ORs) estimated using multivariable logistic regression models, adjusted for age, sex, body mass index, education, and gastroesophageal reflux, were pooled using a meta-analytic methodology to generate summary odds ratios. All statistical tests were two-sided.The summary odds ratios demonstrated strong associations between cigarette smoking and esophageal adenocarcinoma (OR = 1.96, 95% confidence interval [CI] = 1.64 to 2.34), esophagogastric junctional adenocarcinoma (OR = 2.18, 95% CI = 1.84 to 2.58), and all adenocarcinoma (OR = 2.08, 95% CI = 1.83 to 2.37). In addition, there was a strong dose-response association between pack-years of cigarette smoking and each outcome (P.001). Compared with current smokers, longer smoking cessation was associated with a decreased risk of all adenocarcinoma after adjusting for pack-years (10 years of smoking cessation: OR = 0.82, 95% CI = 0.60 to 1.13; andor =10 years of smoking cessation: OR = 0.71, 95% CI = 0.56 to 0.89). Sex-specific summary odds ratios were similar.Cigarette smoking is associated with increased risks of adenocarcinomas of the esophagus and esophagogastric junction in white men and women; compared with current smoking, smoking cessation was associated with reduced risks. |
| وصف الملف: | application/pdf |
| تدمد: | 1460-2105 0027-8874 |
| DOI: | 10.1093/jnci/djq289 |
| DOI: | 10.1093/jncl/djq289 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d83daf69c0d2cf16c6784b02f48705b3 https://doi.org/10.1093/jnci/djq289 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....d83daf69c0d2cf16c6784b02f48705b3 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14602105 00278874 |
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| DOI: | 10.1093/jnci/djq289 |