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Cigarette smoking and the risk of pancreatic cancer: a case–control study

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Abstract

We proposed to investigate the relationship between smoking and pancreatic cancer. From February 2000 to February 2010, we conducted a hospital-based case–control study on pancreatic cancer. Information was collected by questionnaire. Cases were 307 patients with pancreatic cancer, 1,228 were healthy matched controls. Multiple logistic regression was used to estimate the odds ratios (OR) and the corresponding 95 % confidence intervals (CI). Compared to never smokers, current smokers had a significantly increased risk of pancreatic cancer, OR 1.71 (95 % CI 1.25–2.35). Among smokers, a significant association with higher smoking intensity was shown (≥20 cigarettes/day: OR = 2.18; 95 % CI 1.66–3.69). A significantly decreasing trend in risk with increasing years after smoking cessation was observed (p < 0.01). The ORs were 0.73 (95 % CI 0.38–1.33) and 0.46 (95 % CI 0.21–0.94) for those who had quit smoking for <10 and ≥10 years, respectively. Our case–control study confirmed that cigarette smoking was associated with an increased risk of death from pancreatic cancer.

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References

  1. World Cancer Report 2014.

  2. Lozano R, Naghavi M, Foreman K, et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study. Lancet. 2010;380(9859):2095–128.

    Article  Google Scholar 

  3. American Cancer Society: Cancer Facts & Figures 2010.

  4. Pancreatic Cancer, National Cancer Institute, U.S. National Institutes of Health. Cancer.gov. Retrieved 2009-09-15.

  5. Jemal A, Siegel R, Ward E, Murray T, Xu J, Thun MJ. Cancer statistics, 2007. CA. 2007;57(1):43–66.

    Article  PubMed  Google Scholar 

  6. IARC Monographs on the Evaluation of Carcinogenic Risks to Humans. A review of human carcinogens personal habits and indoor combustions, vol. 100E. Lyon: IARC; 2012.

  7. Polesel J, Dal Maso L, Bagnardi V, et al. Estimating dose-response relationship between ethanol and risk of cancer using regression spline models. Int J Cancer. 2005;114:836–41.

    Article  PubMed  CAS  Google Scholar 

  8. Fuchs C, Colditz G, Stampfer M, et al. A prospective study of cigarette smoking and the risk of pancreatic cancer. Arch Intern Med. 1996;156:2255–60.

    Article  PubMed  CAS  Google Scholar 

  9. Shapiro JA, Jacobs EJ, Thun MJ. Cigar smoking in men and risk of death from tobacco-related cancers. J Natl Cancer Inst. 2000;92:333–7.

    Article  PubMed  CAS  Google Scholar 

  10. Nilsen TI, Vatten LJ. A prospective study of lifestyle factors and the risk of pancreatic cancer in Nord-Trøndelag, Norway. Cancer Causes Control. 2000;11:645–52.

    Article  PubMed  CAS  Google Scholar 

  11. Coughlin SS, Calle EE, Patel AV, et al. Predictors of pancreatic cancer mortality among a large cohort of United States adults. Cancer Causes Control. 2000;11:915–23.

    Article  PubMed  CAS  Google Scholar 

  12. de Martel C, Llosa AE, Friedman GD, et al. Helicobacter pylori infection and development of pancreatic cancer. Cancer Epidemiol Biomarkers Prev. 2008;17:1188–94.

    Article  PubMed  Google Scholar 

  13. Harnack LJ, Anderson KE, Zheng W, et al. Smoking, alcohol, coffee, and tea intake and incidence of cancer of the exocrine pancreas: the Iowa women’s health study. Cancer Epidemiol Biomarkers Prev. 1997;6:1081–6.

    PubMed  CAS  Google Scholar 

  14. Mack T, Yu MC, Hanisch R, Henderson BE. Pancreas Cancer, smoking, beverage consumption, and past medical history. J Natl Cancer Inst. 1986;76:49–60.

    PubMed  CAS  Google Scholar 

  15. Howe GR, Jain M, Burch JD, et al. Cigarette smoking and cancer of the pancreas: evidence from a population-based case–control studying Toronto, Canada. Int J Cancer. 1991;47:323–8.

    Article  PubMed  CAS  Google Scholar 

  16. Lynch SM, Vrieling A, Lubin JH, et al. Cigarette smoking and pancreatic cancer: a pooled analysis from the pancreatic cancer cohort consortium. Am J Epidemiol. 2009;170:403–13.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Vrieling A, Bueno-de-Mesquita HB, Boshuizen HC, et al. Cigarette smoking, environmental tobacco smoke exposure and pancreatic cancer risk in the European prospective investigation into cancer and nutrition. Int J Cancer. 2010;126:2394–403.

    PubMed  CAS  Google Scholar 

  18. Larsson SC, Permert J, Hakansson N, et al. Overall obesity, abdominal adiposity, diabetes and cigarette smoking in relation to the risk of pancreatic cancer in two Swedish population-based cohorts. Br J Cancer. 2005;93:1310–5.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  19. Lynch SM, Vrieling A, Lubin JH, et al. Cigarette smoking and pancreatic cancer: a pooled analysis from the pancreatic cancer cohort consortium. Am J Epidemiol. 2009;170:403–13.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Wynder EL, Mabuchi K, Maruchi N, et al. Epidemiology of cancer of the pancreas. J Natl Cancer Inst. 1973;50:645–67.

    PubMed  CAS  Google Scholar 

  21. Wang M, Abbruzzese JL, Friess H, et al. DNA adducts in human pancreatic tissues and their potential role in carcinogenesis. Cancer Res. 1998;58:38–41.

    PubMed  CAS  Google Scholar 

  22. Tricker AR, Ditrich C, Preussmann R. N-Nitroso compounds in cigarette tobacco and their occurrence in mainstream tobacco smoke. Carcinogenesis. 1991;12(2):257–61.

    Article  PubMed  CAS  Google Scholar 

  23. IARC Monographs on the evaluation of carcinogenic risks to Humans. Tobacco smoke and involuntary smoking, vol. 83. Lyon: IARC Press; 2004.

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Correspondence to Yue Wang.

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Wang, Y., Duan, H., Yang, X. et al. Cigarette smoking and the risk of pancreatic cancer: a case–control study. Med Oncol 31, 184 (2014). https://doi.org/10.1007/s12032-014-0184-4

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  • DOI: https://doi.org/10.1007/s12032-014-0184-4

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