Cigar and pipe smoking, smokeless tobacco use and pancreatic cancer: an analysis from the International Pancreatic Cancer Case-Control Consortium (PanC4)
Identifieur interne : 006C62 ( Main/Exploration ); précédent : 006C61; suivant : 006C63Cigar and pipe smoking, smokeless tobacco use and pancreatic cancer: an analysis from the International Pancreatic Cancer Case-Control Consortium (PanC4)
Auteurs : P. Bertuccio [Italie] ; C. La Vecchia [Italie] ; D. T. Silverman [États-Unis] ; G. M. Petersen [États-Unis] ; P. M. Bracci [États-Unis] ; E. Negri [Italie] ; D. Li [États-Unis] ; H. A. Risch [États-Unis] ; S. H. Olson [États-Unis] ; S. Gallinger [Canada] ; A. B. Miller [Canada] ; H. B. Bueno-De-Mesquita [Pays-Bas] ; R. Talamini [Italie] ; J. Polesel [Italie] ; P. Ghadirian [Canada] ; P. A. Baghurst [Australie] ; W. Zatonski [Pologne] ; E. T. Fontham [États-Unis] ; W. R. Bamlet [États-Unis] ; E. A. Holly [États-Unis] ; E. Lucenteforte [Pays-Bas] ; M. Hassan [États-Unis] ; H. Yu [États-Unis] ; R. C. Kurtz [États-Unis] ; M. Cotterchio [Canada] ; J. Su [États-Unis] ; P. Maisonneuve [Italie] ; E. J. Duell [Espagne] ; C. Bosetti [Italie] ; P. Boffetta [France, États-Unis]Source :
- Annals of oncology [ 0923-7534 ] ; 2011.
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Abstract
Background: Cigarette smoking is the best-characterized risk factor for pancreatic cancer. However, data are limited for other tobacco smoking products and smokeless tobacco. Materials and methods: We conducted a pooled analysis of cigar and pipe smoking and smokeless tobacco use and risk of pancreatic cancer using data from 11 case-control studies (6056 cases and 11 338 controls) within the International Pancreatic Cancer Case-Control Consortium (PanC4). Pooled odds ratios (OR) and the corresponding 95% confidence intervals (CI) were estimated by unconditional multiple logistic regression models adjusted for study center and selected covariates. Results: Compared with never tobacco users, the OR for cigar-only smokers was 1.6 (95% CI: 1.2-2.3), i.e. comparable to that of cigarette-only smokers (OR 1.5; 95% CI 1.4-1.6). The OR was 1.1 (95% CI 0.69-1.6) for pipe-only smokers. There was some evidence of increasing risk with increasing amount of cigar smoked per day (OR 1.82 for ≥ 10 grams of tobacco), although not with duration. The OR for ever smokeless tobacco users as compared with never tobacco users was 0.98 (95% CI 0.75-1.3). Conclusion: This collaborative analysis provides evidence that cigar smoking is associated with an excess risk of pancreatic cancer, while no significant association emerged for pipe smoking and smokeless tobacco use.
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Affiliations:
- Australie, Canada, Espagne, France, Italie, Pays-Bas, Pologne, États-Unis
- Auvergne-Rhône-Alpes, Californie, Catalogne, Lombardie, Ontario, Québec, Rhône-Alpes, Texas, Utrecht (province), État de New York
- Barcelone, Houston, Lyon, Milan, Montréal, San Francisco, Toronto, Utrecht
- Université de Toronto
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Bertuccio</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Epidemiology, Istituto di Ricerche Farmacologiche "Mario Negri</s1><s2>Milan</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>6 aut.</sZ><sZ>29 aut.</sZ></inist:fA14><country>Italie</country><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Department of Occupational Health, Section of Medical Statistics, University of Milan</s1><s2>Milan</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>Italie</country><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="La Vecchia, C" sort="La Vecchia, C" uniqKey="La Vecchia C" first="C." last="La Vecchia">C. 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Silverman</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>National Cancer Institute</s1><s2>Bethesda</s2><s3>USA</s3><sZ>3 aut.</sZ><sZ>26 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>National Cancer Institute</wicri:noRegion></affiliation></author><author><name sortKey="Petersen, G M" sort="Petersen, G M" uniqKey="Petersen G" first="G. M." last="Petersen">G. M. Petersen</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Mayo Clinic</s1><s2>Rochester</s2><s3>USA</s3><sZ>4 aut.</sZ><sZ>19 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Mayo Clinic</wicri:noRegion></affiliation></author><author><name sortKey="Bracci, P M" sort="Bracci, P M" uniqKey="Bracci P" first="P. M." last="Bracci">P. M. Bracci</name><affiliation wicri:level="3"><inist:fA14 i1="05"><s1>University of California</s1><s2>San Francisco</s2><s3>USA</s3><sZ>5 aut.</sZ><sZ>20 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><settlement type="city">San Francisco</settlement><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Negri, E" sort="Negri, E" uniqKey="Negri E" first="E." last="Negri">E. Negri</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Epidemiology, Istituto di Ricerche Farmacologiche "Mario Negri</s1><s2>Milan</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>6 aut.</sZ><sZ>29 aut.</sZ></inist:fA14><country>Italie</country><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Li, D" sort="Li, D" uniqKey="Li D" first="D." last="Li">D. Li</name><affiliation wicri:level="3"><inist:fA14 i1="06"><s1>The University of Texas M.D Anderson Cancer Center</s1><s2>Houston</s2><s3>USA</s3><sZ>7 aut.</sZ><sZ>22 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><settlement type="city">Houston</settlement><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Risch, H A" sort="Risch, H A" uniqKey="Risch H" first="H. A." last="Risch">H. A. Risch</name><affiliation wicri:level="1"><inist:fA14 i1="07"><s1>Department of Epidemiology and Public Health, Yale University School of Medicine</s1><s2>New Haven</s2><s3>USA</s3><sZ>8 aut.</sZ><sZ>23 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>New Haven</wicri:noRegion></affiliation></author><author><name sortKey="Olson, S H" sort="Olson, S H" uniqKey="Olson S" first="S. H." last="Olson">S. H. Olson</name><affiliation wicri:level="2"><inist:fA14 i1="08"><s1>Department of Epidemiology and Biostatistics, Memorial Sloan-Kettering Cancer Center</s1><s2>New York</s2><s3>USA</s3><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Gallinger, S" sort="Gallinger, S" uniqKey="Gallinger S" first="S." last="Gallinger">S. Gallinger</name><affiliation wicri:level="1"><inist:fA14 i1="09"><s1>Toronto General Hospital</s1><s3>CAN</s3><sZ>10 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Toronto General Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Miller, A B" sort="Miller, A B" uniqKey="Miller A" first="A. B." last="Miller">A. B. Miller</name><affiliation wicri:level="4"><inist:fA14 i1="10"><s1>Dalla Lana School of Public Health, University of Toronto</s1><s2>Toronto</s2><s3>CAN</s3><sZ>11 aut.</sZ><sZ>25 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName><orgName type="university">Université de Toronto</orgName></affiliation></author><author><name sortKey="Bueno De Mesquita, H B" sort="Bueno De Mesquita, H B" uniqKey="Bueno De Mesquita H" first="H. B." last="Bueno-De-Mesquita">H. B. Bueno-De-Mesquita</name><affiliation wicri:level="1"><inist:fA14 i1="11"><s1>National Institute for Public Health and the Environment (RIVM)</s1><s2>Bilthoven</s2><s3>NLD</s3><sZ>12 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>National Institute for Public Health and the Environment (RIVM)</wicri:noRegion></affiliation><affiliation wicri:level="3"><inist:fA14 i1="12"><s1>Department of Gastroenterology and Hepatology, University Medical Center Utrecht (UMCU)</s1><s2>Utrecht</s2><s3>NLD</s3><sZ>12 aut.</sZ><sZ>21 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Utrecht</settlement><region nuts="2" type="province">Utrecht (province)</region></placeName></affiliation></author><author><name sortKey="Talamini, R" sort="Talamini, R" uniqKey="Talamini R" first="R." last="Talamini">R. Talamini</name><affiliation wicri:level="1"><inist:fA14 i1="13"><s1>Unit of Epidemiology and Biostatistics, Centro di Riferimento Oncologico (CRO)</s1><s2>Aviano</s2><s3>ITA</s3><sZ>13 aut.</sZ><sZ>14 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>Aviano</wicri:noRegion></affiliation></author><author><name sortKey="Polesel, J" sort="Polesel, J" uniqKey="Polesel J" first="J." last="Polesel">J. Polesel</name><affiliation wicri:level="1"><inist:fA14 i1="13"><s1>Unit of Epidemiology and Biostatistics, Centro di Riferimento Oncologico (CRO)</s1><s2>Aviano</s2><s3>ITA</s3><sZ>13 aut.</sZ><sZ>14 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>Aviano</wicri:noRegion></affiliation></author><author><name sortKey="Ghadirian, P" sort="Ghadirian, P" uniqKey="Ghadirian P" first="P." last="Ghadirian">P. Ghadirian</name><affiliation wicri:level="3"><inist:fA14 i1="14"><s1>Epidemiology Research Unit, Research Centre (CRCHUM)</s1><s2>Montreal</s2><s3>CAN</s3><sZ>15 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Baghurst, P A" sort="Baghurst, P A" uniqKey="Baghurst P" first="P. A." last="Baghurst">P. A. Baghurst</name><affiliation wicri:level="1"><inist:fA14 i1="15"><s1>Public Health, Women's and Children's Hospital</s1><s2>Adelaide</s2><s3>AUS</s3><sZ>16 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>Adelaide</wicri:noRegion></affiliation></author><author><name sortKey="Zatonski, W" sort="Zatonski, W" uniqKey="Zatonski W" first="W." last="Zatonski">W. Zatonski</name><affiliation wicri:level="1"><inist:fA14 i1="16"><s1>Cancer Center & Institute of Oncology</s1><s2>Warsaw</s2><s3>POL</s3><sZ>17 aut.</sZ></inist:fA14><country>Pologne</country><wicri:noRegion>Cancer Center & Institute of Oncology</wicri:noRegion></affiliation></author><author><name sortKey="Fontham, E T" sort="Fontham, E T" uniqKey="Fontham E" first="E. T." last="Fontham">E. T. Fontham</name><affiliation wicri:level="1"><inist:fA14 i1="17"><s1>Louisiana State University, School of Public Health</s1><s2>New Orleans</s2><s3>USA</s3><sZ>18 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>New Orleans</wicri:noRegion></affiliation></author><author><name sortKey="Bamlet, W R" sort="Bamlet, W R" uniqKey="Bamlet W" first="W. R." last="Bamlet">W. R. Bamlet</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Mayo Clinic</s1><s2>Rochester</s2><s3>USA</s3><sZ>4 aut.</sZ><sZ>19 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Mayo Clinic</wicri:noRegion></affiliation></author><author><name sortKey="Holly, E A" sort="Holly, E A" uniqKey="Holly E" first="E. A." last="Holly">E. A. Holly</name><affiliation wicri:level="3"><inist:fA14 i1="05"><s1>University of California</s1><s2>San Francisco</s2><s3>USA</s3><sZ>5 aut.</sZ><sZ>20 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><settlement type="city">San Francisco</settlement><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Lucenteforte, E" sort="Lucenteforte, E" uniqKey="Lucenteforte E" first="E." last="Lucenteforte">E. Lucenteforte</name><affiliation wicri:level="3"><inist:fA14 i1="12"><s1>Department of Gastroenterology and Hepatology, University Medical Center Utrecht (UMCU)</s1><s2>Utrecht</s2><s3>NLD</s3><sZ>12 aut.</sZ><sZ>21 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Utrecht</settlement><region nuts="2" type="province">Utrecht (province)</region></placeName></affiliation></author><author><name sortKey="Hassan, M" sort="Hassan, M" uniqKey="Hassan M" first="M." last="Hassan">M. Hassan</name><affiliation wicri:level="3"><inist:fA14 i1="06"><s1>The University of Texas M.D Anderson Cancer Center</s1><s2>Houston</s2><s3>USA</s3><sZ>7 aut.</sZ><sZ>22 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><settlement type="city">Houston</settlement><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Yu, H" sort="Yu, H" uniqKey="Yu H" first="H." last="Yu">H. Yu</name><affiliation wicri:level="1"><inist:fA14 i1="07"><s1>Department of Epidemiology and Public Health, Yale University School of Medicine</s1><s2>New Haven</s2><s3>USA</s3><sZ>8 aut.</sZ><sZ>23 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>New Haven</wicri:noRegion></affiliation></author><author><name sortKey="Kurtz, R C" sort="Kurtz, R C" uniqKey="Kurtz R" first="R. C." last="Kurtz">R. C. Kurtz</name><affiliation wicri:level="2"><inist:fA14 i1="18"><s1>Department of Medicine, Memorial Sloan-Kettering Cancer Center</s1><s2>New York</s2><s3>USA</s3><sZ>24 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Cotterchio, M" sort="Cotterchio, M" uniqKey="Cotterchio M" first="M." last="Cotterchio">M. Cotterchio</name><affiliation wicri:level="4"><inist:fA14 i1="10"><s1>Dalla Lana School of Public Health, University of Toronto</s1><s2>Toronto</s2><s3>CAN</s3><sZ>11 aut.</sZ><sZ>25 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName><orgName type="university">Université de Toronto</orgName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="19"><s1>Cancer Care Ontario</s1><s2>Toronto</s2><s3>CAN</s3><sZ>25 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Cancer Care Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Su, J" sort="Su, J" uniqKey="Su J" first="J." last="Su">J. Su</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>National Cancer Institute</s1><s2>Bethesda</s2><s3>USA</s3><sZ>3 aut.</sZ><sZ>26 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>National Cancer Institute</wicri:noRegion></affiliation></author><author><name sortKey="Maisonneuve, P" sort="Maisonneuve, P" uniqKey="Maisonneuve P" first="P." last="Maisonneuve">P. Maisonneuve</name><affiliation wicri:level="3"><inist:fA14 i1="20"><s1>European Institute of Oncology</s1><s2>Milan</s2><s3>ITA</s3><sZ>27 aut.</sZ></inist:fA14><country>Italie</country><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Duell, E J" sort="Duell, E J" uniqKey="Duell E" first="E. J." last="Duell">E. J. Duell</name><affiliation wicri:level="3"><inist:fA14 i1="21"><s1>Catalan Institute of Oncology (ICO)</s1><s2>Barcelona</s2><s3>ESP</s3><sZ>28 aut.</sZ></inist:fA14><country>Espagne</country><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Bosetti, C" sort="Bosetti, C" uniqKey="Bosetti C" first="C." last="Bosetti">C. Bosetti</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Epidemiology, Istituto di Ricerche Farmacologiche "Mario Negri</s1><s2>Milan</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>6 aut.</sZ><sZ>29 aut.</sZ></inist:fA14><country>Italie</country><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Boffetta, P" sort="Boffetta, P" uniqKey="Boffetta P" first="P." last="Boffetta">P. Boffetta</name><affiliation wicri:level="3"><inist:fA14 i1="22"><s1>International Prevention Research Institute</s1><s2>Lyon</s2><s3>FRA</s3><sZ>30 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Lyon</settlement></placeName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="23"><s1>The Tisch Cancer Institute, Mount Sinai School of Medicine</s1><s2>New York</s2><s3>USA</s3><sZ>30 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">11-0317098</idno><date when="2011">2011</date><idno type="stanalyst">PASCAL 11-0317098 INIST</idno><idno type="RBID">Pascal:11-0317098</idno><idno type="wicri:Area/PascalFrancis/Corpus">001B15</idno><idno type="wicri:Area/PascalFrancis/Curation">004429</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">001C70</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">001C70</idno><idno type="wicri:doubleKey">0923-7534:2011:Bertuccio P:cigar:and:pipe</idno><idno type="wicri:Area/Main/Merge">007121</idno><idno type="wicri:source">PMC</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3139985</idno><idno type="RBID">PMC:3139985</idno><idno type="wicri:Area/Pmc/Corpus">001732</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001732</idno><idno type="wicri:Area/Pmc/Curation">001592</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001592</idno><idno type="wicri:Area/Pmc/Checkpoint">002379</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">002379</idno><idno type="wicri:Area/Ncbi/Merge">000961</idno><idno type="wicri:Area/Ncbi/Curation">000961</idno><idno type="wicri:Area/Ncbi/Checkpoint">000961</idno><idno type="wicri:doubleKey">0923-7534:2011:Bertuccio P:cigar:and:pipe</idno><idno type="wicri:Area/Main/Merge">006574</idno><idno type="wicri:Area/Main/Curation">006C62</idno><idno type="wicri:Area/Main/Exploration">006C62</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Cigar and pipe smoking, smokeless tobacco use and pancreatic cancer: an analysis from the International Pancreatic Cancer Case-Control Consortium (PanC4)</title><author><name sortKey="Bertuccio, P" sort="Bertuccio, P" uniqKey="Bertuccio P" first="P." last="Bertuccio">P. Bertuccio</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Epidemiology, Istituto di Ricerche Farmacologiche "Mario Negri</s1><s2>Milan</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>6 aut.</sZ><sZ>29 aut.</sZ></inist:fA14><country>Italie</country><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Department of Occupational Health, Section of Medical Statistics, University of Milan</s1><s2>Milan</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>Italie</country><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="La Vecchia, C" sort="La Vecchia, C" uniqKey="La Vecchia C" first="C." last="La Vecchia">C. La Vecchia</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Epidemiology, Istituto di Ricerche Farmacologiche "Mario Negri</s1><s2>Milan</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>6 aut.</sZ><sZ>29 aut.</sZ></inist:fA14><country>Italie</country><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Department of Occupational Health, Section of Medical Statistics, University of Milan</s1><s2>Milan</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>Italie</country><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Silverman, D T" sort="Silverman, D T" uniqKey="Silverman D" first="D. T." last="Silverman">D. T. Silverman</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>National Cancer Institute</s1><s2>Bethesda</s2><s3>USA</s3><sZ>3 aut.</sZ><sZ>26 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>National Cancer Institute</wicri:noRegion></affiliation></author><author><name sortKey="Petersen, G M" sort="Petersen, G M" uniqKey="Petersen G" first="G. M." last="Petersen">G. M. Petersen</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Mayo Clinic</s1><s2>Rochester</s2><s3>USA</s3><sZ>4 aut.</sZ><sZ>19 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Mayo Clinic</wicri:noRegion></affiliation></author><author><name sortKey="Bracci, P M" sort="Bracci, P M" uniqKey="Bracci P" first="P. M." last="Bracci">P. M. Bracci</name><affiliation wicri:level="3"><inist:fA14 i1="05"><s1>University of California</s1><s2>San Francisco</s2><s3>USA</s3><sZ>5 aut.</sZ><sZ>20 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><settlement type="city">San Francisco</settlement><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Negri, E" sort="Negri, E" uniqKey="Negri E" first="E." last="Negri">E. Negri</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Epidemiology, Istituto di Ricerche Farmacologiche "Mario Negri</s1><s2>Milan</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>6 aut.</sZ><sZ>29 aut.</sZ></inist:fA14><country>Italie</country><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Li, D" sort="Li, D" uniqKey="Li D" first="D." last="Li">D. Li</name><affiliation wicri:level="3"><inist:fA14 i1="06"><s1>The University of Texas M.D Anderson Cancer Center</s1><s2>Houston</s2><s3>USA</s3><sZ>7 aut.</sZ><sZ>22 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><settlement type="city">Houston</settlement><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Risch, H A" sort="Risch, H A" uniqKey="Risch H" first="H. A." last="Risch">H. A. Risch</name><affiliation wicri:level="1"><inist:fA14 i1="07"><s1>Department of Epidemiology and Public Health, Yale University School of Medicine</s1><s2>New Haven</s2><s3>USA</s3><sZ>8 aut.</sZ><sZ>23 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>New Haven</wicri:noRegion></affiliation></author><author><name sortKey="Olson, S H" sort="Olson, S H" uniqKey="Olson S" first="S. H." last="Olson">S. H. Olson</name><affiliation wicri:level="2"><inist:fA14 i1="08"><s1>Department of Epidemiology and Biostatistics, Memorial Sloan-Kettering Cancer Center</s1><s2>New York</s2><s3>USA</s3><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Gallinger, S" sort="Gallinger, S" uniqKey="Gallinger S" first="S." last="Gallinger">S. Gallinger</name><affiliation wicri:level="1"><inist:fA14 i1="09"><s1>Toronto General Hospital</s1><s3>CAN</s3><sZ>10 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Toronto General Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Miller, A B" sort="Miller, A B" uniqKey="Miller A" first="A. B." last="Miller">A. B. Miller</name><affiliation wicri:level="4"><inist:fA14 i1="10"><s1>Dalla Lana School of Public Health, University of Toronto</s1><s2>Toronto</s2><s3>CAN</s3><sZ>11 aut.</sZ><sZ>25 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName><orgName type="university">Université de Toronto</orgName></affiliation></author><author><name sortKey="Bueno De Mesquita, H B" sort="Bueno De Mesquita, H B" uniqKey="Bueno De Mesquita H" first="H. B." last="Bueno-De-Mesquita">H. B. Bueno-De-Mesquita</name><affiliation wicri:level="1"><inist:fA14 i1="11"><s1>National Institute for Public Health and the Environment (RIVM)</s1><s2>Bilthoven</s2><s3>NLD</s3><sZ>12 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>National Institute for Public Health and the Environment (RIVM)</wicri:noRegion></affiliation><affiliation wicri:level="3"><inist:fA14 i1="12"><s1>Department of Gastroenterology and Hepatology, University Medical Center Utrecht (UMCU)</s1><s2>Utrecht</s2><s3>NLD</s3><sZ>12 aut.</sZ><sZ>21 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Utrecht</settlement><region nuts="2" type="province">Utrecht (province)</region></placeName></affiliation></author><author><name sortKey="Talamini, R" sort="Talamini, R" uniqKey="Talamini R" first="R." last="Talamini">R. Talamini</name><affiliation wicri:level="1"><inist:fA14 i1="13"><s1>Unit of Epidemiology and Biostatistics, Centro di Riferimento Oncologico (CRO)</s1><s2>Aviano</s2><s3>ITA</s3><sZ>13 aut.</sZ><sZ>14 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>Aviano</wicri:noRegion></affiliation></author><author><name sortKey="Polesel, J" sort="Polesel, J" uniqKey="Polesel J" first="J." last="Polesel">J. Polesel</name><affiliation wicri:level="1"><inist:fA14 i1="13"><s1>Unit of Epidemiology and Biostatistics, Centro di Riferimento Oncologico (CRO)</s1><s2>Aviano</s2><s3>ITA</s3><sZ>13 aut.</sZ><sZ>14 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>Aviano</wicri:noRegion></affiliation></author><author><name sortKey="Ghadirian, P" sort="Ghadirian, P" uniqKey="Ghadirian P" first="P." last="Ghadirian">P. Ghadirian</name><affiliation wicri:level="3"><inist:fA14 i1="14"><s1>Epidemiology Research Unit, Research Centre (CRCHUM)</s1><s2>Montreal</s2><s3>CAN</s3><sZ>15 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Baghurst, P A" sort="Baghurst, P A" uniqKey="Baghurst P" first="P. A." last="Baghurst">P. A. Baghurst</name><affiliation wicri:level="1"><inist:fA14 i1="15"><s1>Public Health, Women's and Children's Hospital</s1><s2>Adelaide</s2><s3>AUS</s3><sZ>16 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>Adelaide</wicri:noRegion></affiliation></author><author><name sortKey="Zatonski, W" sort="Zatonski, W" uniqKey="Zatonski W" first="W." last="Zatonski">W. Zatonski</name><affiliation wicri:level="1"><inist:fA14 i1="16"><s1>Cancer Center & Institute of Oncology</s1><s2>Warsaw</s2><s3>POL</s3><sZ>17 aut.</sZ></inist:fA14><country>Pologne</country><wicri:noRegion>Cancer Center & Institute of Oncology</wicri:noRegion></affiliation></author><author><name sortKey="Fontham, E T" sort="Fontham, E T" uniqKey="Fontham E" first="E. T." last="Fontham">E. T. Fontham</name><affiliation wicri:level="1"><inist:fA14 i1="17"><s1>Louisiana State University, School of Public Health</s1><s2>New Orleans</s2><s3>USA</s3><sZ>18 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>New Orleans</wicri:noRegion></affiliation></author><author><name sortKey="Bamlet, W R" sort="Bamlet, W R" uniqKey="Bamlet W" first="W. R." last="Bamlet">W. R. Bamlet</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Mayo Clinic</s1><s2>Rochester</s2><s3>USA</s3><sZ>4 aut.</sZ><sZ>19 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Mayo Clinic</wicri:noRegion></affiliation></author><author><name sortKey="Holly, E A" sort="Holly, E A" uniqKey="Holly E" first="E. A." last="Holly">E. A. Holly</name><affiliation wicri:level="3"><inist:fA14 i1="05"><s1>University of California</s1><s2>San Francisco</s2><s3>USA</s3><sZ>5 aut.</sZ><sZ>20 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><settlement type="city">San Francisco</settlement><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Lucenteforte, E" sort="Lucenteforte, E" uniqKey="Lucenteforte E" first="E." last="Lucenteforte">E. Lucenteforte</name><affiliation wicri:level="3"><inist:fA14 i1="12"><s1>Department of Gastroenterology and Hepatology, University Medical Center Utrecht (UMCU)</s1><s2>Utrecht</s2><s3>NLD</s3><sZ>12 aut.</sZ><sZ>21 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Utrecht</settlement><region nuts="2" type="province">Utrecht (province)</region></placeName></affiliation></author><author><name sortKey="Hassan, M" sort="Hassan, M" uniqKey="Hassan M" first="M." last="Hassan">M. Hassan</name><affiliation wicri:level="3"><inist:fA14 i1="06"><s1>The University of Texas M.D Anderson Cancer Center</s1><s2>Houston</s2><s3>USA</s3><sZ>7 aut.</sZ><sZ>22 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><settlement type="city">Houston</settlement><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Yu, H" sort="Yu, H" uniqKey="Yu H" first="H." last="Yu">H. Yu</name><affiliation wicri:level="1"><inist:fA14 i1="07"><s1>Department of Epidemiology and Public Health, Yale University School of Medicine</s1><s2>New Haven</s2><s3>USA</s3><sZ>8 aut.</sZ><sZ>23 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>New Haven</wicri:noRegion></affiliation></author><author><name sortKey="Kurtz, R C" sort="Kurtz, R C" uniqKey="Kurtz R" first="R. C." last="Kurtz">R. C. Kurtz</name><affiliation wicri:level="2"><inist:fA14 i1="18"><s1>Department of Medicine, Memorial Sloan-Kettering Cancer Center</s1><s2>New York</s2><s3>USA</s3><sZ>24 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Cotterchio, M" sort="Cotterchio, M" uniqKey="Cotterchio M" first="M." last="Cotterchio">M. Cotterchio</name><affiliation wicri:level="4"><inist:fA14 i1="10"><s1>Dalla Lana School of Public Health, University of Toronto</s1><s2>Toronto</s2><s3>CAN</s3><sZ>11 aut.</sZ><sZ>25 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName><orgName type="university">Université de Toronto</orgName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="19"><s1>Cancer Care Ontario</s1><s2>Toronto</s2><s3>CAN</s3><sZ>25 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Cancer Care Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Su, J" sort="Su, J" uniqKey="Su J" first="J." last="Su">J. Su</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>National Cancer Institute</s1><s2>Bethesda</s2><s3>USA</s3><sZ>3 aut.</sZ><sZ>26 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>National Cancer Institute</wicri:noRegion></affiliation></author><author><name sortKey="Maisonneuve, P" sort="Maisonneuve, P" uniqKey="Maisonneuve P" first="P." last="Maisonneuve">P. Maisonneuve</name><affiliation wicri:level="3"><inist:fA14 i1="20"><s1>European Institute of Oncology</s1><s2>Milan</s2><s3>ITA</s3><sZ>27 aut.</sZ></inist:fA14><country>Italie</country><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Duell, E J" sort="Duell, E J" uniqKey="Duell E" first="E. J." last="Duell">E. J. Duell</name><affiliation wicri:level="3"><inist:fA14 i1="21"><s1>Catalan Institute of Oncology (ICO)</s1><s2>Barcelona</s2><s3>ESP</s3><sZ>28 aut.</sZ></inist:fA14><country>Espagne</country><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Bosetti, C" sort="Bosetti, C" uniqKey="Bosetti C" first="C." last="Bosetti">C. Bosetti</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Epidemiology, Istituto di Ricerche Farmacologiche "Mario Negri</s1><s2>Milan</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>6 aut.</sZ><sZ>29 aut.</sZ></inist:fA14><country>Italie</country><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Boffetta, P" sort="Boffetta, P" uniqKey="Boffetta P" first="P." last="Boffetta">P. Boffetta</name><affiliation wicri:level="3"><inist:fA14 i1="22"><s1>International Prevention Research Institute</s1><s2>Lyon</s2><s3>FRA</s3><sZ>30 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Lyon</settlement></placeName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="23"><s1>The Tisch Cancer Institute, Mount Sinai School of Medicine</s1><s2>New York</s2><s3>USA</s3><sZ>30 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author></analytic><series><title level="j" type="main">Annals of oncology</title><title level="j" type="abbreviated">Ann. oncol.</title><idno type="ISSN">0923-7534</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Annals of oncology</title><title level="j" type="abbreviated">Ann. oncol.</title><idno type="ISSN">0923-7534</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Analysis</term><term>Case control study</term><term>Cigar</term><term>Human</term><term>International</term><term>Pancreas cancer</term><term>Smokeless tobacco</term><term>Tobacco smoking</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Cigare</term><term>Tabagisme</term><term>Tabac sans fumée</term><term>Cancer du pancréas</term><term>Analyse</term><term>International</term><term>Homme</term><term>Etude cas témoin</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Tabagisme</term><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: Cigarette smoking is the best-characterized risk factor for pancreatic cancer. However, data are limited for other tobacco smoking products and smokeless tobacco. Materials and methods: We conducted a pooled analysis of cigar and pipe smoking and smokeless tobacco use and risk of pancreatic cancer using data from 11 case-control studies (6056 cases and 11 338 controls) within the International Pancreatic Cancer Case-Control Consortium (PanC4). Pooled odds ratios (OR) and the corresponding 95% confidence intervals (CI) were estimated by unconditional multiple logistic regression models adjusted for study center and selected covariates. Results: Compared with never tobacco users, the OR for cigar-only smokers was 1.6 (95% CI: 1.2-2.3), i.e. comparable to that of cigarette-only smokers (OR 1.5; 95% CI 1.4-1.6). The OR was 1.1 (95% CI 0.69-1.6) for pipe-only smokers. There was some evidence of increasing risk with increasing amount of cigar smoked per day (OR 1.82 for ≥ 10 grams of tobacco), although not with duration. The OR for ever smokeless tobacco users as compared with never tobacco users was 0.98 (95% CI 0.75-1.3). Conclusion: This collaborative analysis provides evidence that cigar smoking is associated with an excess risk of pancreatic cancer, while no significant association emerged for pipe smoking and smokeless tobacco use.</div></front></TEI><affiliations><list><country><li>Australie</li><li>Canada</li><li>Espagne</li><li>France</li><li>Italie</li><li>Pays-Bas</li><li>Pologne</li><li>États-Unis</li></country><region><li>Auvergne-Rhône-Alpes</li><li>Californie</li><li>Catalogne</li><li>Lombardie</li><li>Ontario</li><li>Québec</li><li>Rhône-Alpes</li><li>Texas</li><li>Utrecht (province)</li><li>État de New York</li></region><settlement><li>Barcelone</li><li>Houston</li><li>Lyon</li><li>Milan</li><li>Montréal</li><li>San Francisco</li><li>Toronto</li><li>Utrecht</li></settlement><orgName><li>Université de Toronto</li></orgName></list><tree><country name="Italie"><region name="Lombardie"><name sortKey="Bertuccio, P" sort="Bertuccio, P" uniqKey="Bertuccio P" first="P." last="Bertuccio">P. Bertuccio</name></region><name sortKey="Bertuccio, P" sort="Bertuccio, P" uniqKey="Bertuccio P" first="P." last="Bertuccio">P. Bertuccio</name><name sortKey="Bosetti, C" sort="Bosetti, C" uniqKey="Bosetti C" first="C." last="Bosetti">C. Bosetti</name><name sortKey="La Vecchia, C" sort="La Vecchia, C" uniqKey="La Vecchia C" first="C." last="La Vecchia">C. La Vecchia</name><name sortKey="La Vecchia, C" sort="La Vecchia, C" uniqKey="La Vecchia C" first="C." last="La Vecchia">C. La Vecchia</name><name sortKey="Maisonneuve, P" sort="Maisonneuve, P" uniqKey="Maisonneuve P" first="P." last="Maisonneuve">P. Maisonneuve</name><name sortKey="Negri, E" sort="Negri, E" uniqKey="Negri E" first="E." last="Negri">E. Negri</name><name sortKey="Polesel, J" sort="Polesel, J" uniqKey="Polesel J" first="J." last="Polesel">J. Polesel</name><name sortKey="Talamini, R" sort="Talamini, R" uniqKey="Talamini R" first="R." last="Talamini">R. Talamini</name></country><country name="États-Unis"><noRegion><name sortKey="Silverman, D T" sort="Silverman, D T" uniqKey="Silverman D" first="D. T." last="Silverman">D. T. Silverman</name></noRegion><name sortKey="Bamlet, W R" sort="Bamlet, W R" uniqKey="Bamlet W" first="W. R." last="Bamlet">W. R. Bamlet</name><name sortKey="Boffetta, P" sort="Boffetta, P" uniqKey="Boffetta P" first="P." last="Boffetta">P. Boffetta</name><name sortKey="Bracci, P M" sort="Bracci, P M" uniqKey="Bracci P" first="P. M." last="Bracci">P. M. Bracci</name><name sortKey="Fontham, E T" sort="Fontham, E T" uniqKey="Fontham E" first="E. T." last="Fontham">E. T. Fontham</name><name sortKey="Hassan, M" sort="Hassan, M" uniqKey="Hassan M" first="M." last="Hassan">M. Hassan</name><name sortKey="Holly, E A" sort="Holly, E A" uniqKey="Holly E" first="E. A." last="Holly">E. A. Holly</name><name sortKey="Kurtz, R C" sort="Kurtz, R C" uniqKey="Kurtz R" first="R. C." last="Kurtz">R. C. Kurtz</name><name sortKey="Li, D" sort="Li, D" uniqKey="Li D" first="D." last="Li">D. Li</name><name sortKey="Olson, S H" sort="Olson, S H" uniqKey="Olson S" first="S. H." last="Olson">S. H. Olson</name><name sortKey="Petersen, G M" sort="Petersen, G M" uniqKey="Petersen G" first="G. M." last="Petersen">G. M. Petersen</name><name sortKey="Risch, H A" sort="Risch, H A" uniqKey="Risch H" first="H. A." last="Risch">H. A. Risch</name><name sortKey="Su, J" sort="Su, J" uniqKey="Su J" first="J." last="Su">J. Su</name><name sortKey="Yu, H" sort="Yu, H" uniqKey="Yu H" first="H." last="Yu">H. Yu</name></country><country name="Canada"><noRegion><name sortKey="Gallinger, S" sort="Gallinger, S" uniqKey="Gallinger S" first="S." last="Gallinger">S. Gallinger</name></noRegion><name sortKey="Cotterchio, M" sort="Cotterchio, M" uniqKey="Cotterchio M" first="M." last="Cotterchio">M. Cotterchio</name><name sortKey="Cotterchio, M" sort="Cotterchio, M" uniqKey="Cotterchio M" first="M." last="Cotterchio">M. Cotterchio</name><name sortKey="Ghadirian, P" sort="Ghadirian, P" uniqKey="Ghadirian P" first="P." last="Ghadirian">P. Ghadirian</name><name sortKey="Miller, A B" sort="Miller, A B" uniqKey="Miller A" first="A. B." last="Miller">A. B. Miller</name></country><country name="Pays-Bas"><noRegion><name sortKey="Bueno De Mesquita, H B" sort="Bueno De Mesquita, H B" uniqKey="Bueno De Mesquita H" first="H. B." last="Bueno-De-Mesquita">H. B. Bueno-De-Mesquita</name></noRegion><name sortKey="Bueno De Mesquita, H B" sort="Bueno De Mesquita, H B" uniqKey="Bueno De Mesquita H" first="H. B." last="Bueno-De-Mesquita">H. B. Bueno-De-Mesquita</name><name sortKey="Lucenteforte, E" sort="Lucenteforte, E" uniqKey="Lucenteforte E" first="E." last="Lucenteforte">E. Lucenteforte</name></country><country name="Australie"><noRegion><name sortKey="Baghurst, P A" sort="Baghurst, P A" uniqKey="Baghurst P" first="P. A." last="Baghurst">P. A. Baghurst</name></noRegion></country><country name="Pologne"><noRegion><name sortKey="Zatonski, W" sort="Zatonski, W" uniqKey="Zatonski W" first="W." last="Zatonski">W. Zatonski</name></noRegion></country><country name="Espagne"><region name="Catalogne"><name sortKey="Duell, E J" sort="Duell, E J" uniqKey="Duell E" first="E. J." last="Duell">E. J. Duell</name></region></country><country name="France"><region name="Auvergne-Rhône-Alpes"><name sortKey="Boffetta, P" sort="Boffetta, P" uniqKey="Boffetta P" first="P." last="Boffetta">P. Boffetta</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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