Cigar and pipe smoking, smokeless tobacco use and pancreatic cancer: an analysis from the International Pancreatic Cancer Case-Control Consortium (PanC4)
Identifieur interne : 007121 ( Main/Merge ); précédent : 007120; suivant : 007122Cigar 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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English descriptors
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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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<affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Department of Occupational Health, Section of Medical Statistics, University of Milan</s1>
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<author><name sortKey="Li, D" sort="Li, D" uniqKey="Li D" first="D." last="Li">D. Li</name>
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<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>
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<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>
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<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>
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<author><name sortKey="Baghurst, P A" sort="Baghurst, P A" uniqKey="Baghurst P" first="P. A." last="Baghurst">P. A. Baghurst</name>
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<author><name sortKey="Zatonski, W" sort="Zatonski, W" uniqKey="Zatonski W" first="W." last="Zatonski">W. Zatonski</name>
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<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>
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<author><name sortKey="Bamlet, W R" sort="Bamlet, W R" uniqKey="Bamlet W" first="W. R." last="Bamlet">W. R. Bamlet</name>
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<author><name sortKey="Holly, E A" sort="Holly, E A" uniqKey="Holly E" first="E. A." last="Holly">E. A. Holly</name>
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<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>
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<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>
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<placeName><settlement type="city">Houston</settlement>
<region type="state">Texas</region>
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<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>
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<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>
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<country>États-Unis</country>
<placeName><region type="state">État de New York</region>
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<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>
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<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>
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<country>Canada</country>
<wicri:noRegion>Cancer Care Ontario</wicri:noRegion>
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<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>
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<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>
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<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>
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<idno type="wicri:Area/Main/Merge">007121</idno>
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<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>
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<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>
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