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Cessation of alcohol drinking, tobacco smoking and the reversal of head and neck cancer risk
Open accessAbstract
BACKGROUND: Quitting tobacco or alcohol use has been reported to reduce the head and neck cancer risk in previous studies. However, it is unclear how many years must pass following cessation of these habits before the risk is reduced, and whether the risk ultimately declines to the level of never smokers or never drinkers. METHODS: We pooled individual-level data from case-control studies in the International Head and Neck Cancer Epidemiology Consortium. Data were available from 13 studies on drinking cessation (9167 cases and 12 593 controls), and from 17 studies on smoking cessation (12 040 cases and 16 884 controls). We estimated the effect of quitting smoking and drinking on the risk of head and neck cancer and its subsites, by calculating odds ratios (ORs) using logistic regression models. RESULTS: Quitting tobacco smoking for 1-4 years resulted in a head and neck cancer risk reduction [OR 0.70, confidence interval (CI) 0.61-0.81 compared with current smoking], with the risk reduction due to smoking cessation after > or =20 years (OR 0.23, CI 0.18-0.31), reaching the level of never smokers. For alcohol use, a beneficial effect on the risk of head and neck cancer was only observed after > or =20 years of quitting (OR 0.60, CI 0.40-0.89 compared with current drinking), reaching the level of never drinkers. CONCLUSIONS: Our results support that cessation of tobacco smoking and cessation of alcohol drinking protect against the development of head and neck cancer.
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A critical look at methods for handling missing covariates in epidemiologic regression analyses.
Greenland, S., & Finkle, W. D. (1995) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a117592 · Cited by 891
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Nagai, H., & Kim, Y. H. (2017) · Journal of Thoracic Disease · doi:10.21037/jtd.2017.02.75 · Cited by 621
Oral health risks of tobacco use and effects of cessation
Warnakulasuriya, S., Dietrich, T., Bornstein, M. M., Peidró, E. C., Preshaw, P. M., Walter, C., Wennström, J. L., & Bergström, J. (2010) · International Dental Journal · doi:10.1016/s0020-6539(20)34036-3 · Cited by 393
Epidemiology and Demographics of the Head and Neck Cancer Population
Cohen, N., Fedewa, S., & Chen, A. Y. (2018) · Oral and Maxillofacial Surgery Clinics of North America · doi:10.1016/j.coms.2018.06.001 · Cited by 388
Association of Oral Microbiome With Risk for Incident Head and Neck Squamous Cell Cancer
Hayes, R. B., Ahn, J., Fan, X., Peters, B. A., Ma, Y., Yang, L., Agalliu, I., Burk, R. D., Ganly, I., Purdue, M. P., et al. (2018) · JAMA Oncology · doi:10.1001/jamaoncol.2017.4777 · Cited by 332
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- Authors
- Marron, M., Boffetta, P., Zhang, Z.-F., Zaridze, D., Wunsch-Filho, V., Winn, D. M., Wei, Q., Talamini, R., Szeszenia-Dabrowska, N., Sturgis, E. M., Smith, E., Schwartz, S. M., Rudnai, P., Purdue, M. P., Olshan, A. F., Eluf-Neto, J., Muscat, J., Morgenstern, H., Menezes, A., McClean, M., Matos, E., Mates, I. N., Lissowska, J., Levi, F., Lazarus, P., Vecchia, C. L., Koifman, S., Kelsey, K., Herrero, R., Hayes, R. B., Franceschi, S., Fernandez, L., Fabianova, E., Daudt, A. W., Maso, L. D., Curado, M. P., Cadoni, G., Chen, C., Castellsague, X., Boccia, S., Benhamou, S., Ferro, G., Berthiller, J., Brennan, P., Moller, H., & Hashibe, M.
- Venue
- International Journal of Epidemiology
- Publisher
- Oxford University Press (OUP)
- Published
- 2009-10-05
- Volume
- 39
- Issue
- 1
- Pages
- 182-196
- ISSN
- 0300-5771 (ISSN-L)
- 1464-3685
- OpenAlex
- W2117248525
- Cited by
- 283
- References
- 1
- FWCI
- 11.02
- Type
- journal article
- Language
- en
- Open access
- green
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- Marron, M., Boffetta, P., Zhang, Z.-F., Zaridze, D., Wunsch-Filho, V., Winn, D. M., Wei, Q., Talamini, R., Szeszenia-Dabrowska, N., Sturgis, E. M., Smith, E., Schwartz, S. M., Rudnai, P., Purdue, M. P., Olshan, A. F., Eluf-Neto, J., Muscat, J., Morgenstern, H., Menezes, A., . . . Hashibe, M. (2010). Cessation of alcohol drinking, tobacco smoking and the reversal of head and neck cancer risk. International Journal of Epidemiology. https://doi.org/10.1093/ije/dyp291
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.