TY - JOUR
T1 - A meta-analysis of alcohol drinking and oral and pharyngeal cancers
T2 - Results from subgroup analyses
AU - Turati, F.
AU - Garavello, W.
AU - Tramacere, I.
AU - Pelucchi, C.
AU - Galeone, C.
AU - Bagnardi, V.
AU - Corrao, G.
AU - Islami, F.
AU - Fedirko, V.
AU - Boffetta, P.
AU - La Vecchia, C.
AU - Negri, E.
N1 - Copyright:
Copyright 2013 Elsevier B.V., All rights reserved.
PY - 2013/1
Y1 - 2013/1
N2 - To quantify the magnitude of the association between alcohol and oral and pharyngeal cancer (OPC) by sex,smoking habits, type of alcoholic beverage and other factors. Methods: We combined findings from all case-control and cohort studies published until September 2010 and present in this article the results classified by these factors, using a meta- nalytic approach.Summary relative risks (RRs) were obtained using random-effects models; heterogeneity was assessed using the X2 test. Results: The association between alcohol and OPC risk was similar in men and women, with similar dose-response relationships.No notable differences were found with respect to geographic area and other factors, both for drinking overall and heavy (≥4 drinks/day) drinking. Among never/non-current smokers, the pooled RRs were 1.32 (95% confidence interval, CI, 1.05-1.67) for drinking,and 2.54 (95% CI, 1.80-3.58) for heavy drinking. The corresponding RRs in smokers were 2.92 (95% CI, 2.31-3.70) and 6.32(95% CI, 5.05-7.90). The pooled RRs for any drinking irrespective of smoking were 2.12 (95% CI, 1.37-3.29) for wine-, 2.43 (95%CI, 1.92-3.07) for beer- and 2.30 (95% CI, 1.78-2.98) for spirits-only drinking. The corresponding RRs for heavy drinking were 4.92 (95% CI, 2.80-8.65), 4.20 (95% CI, 1.43-12.38) and 5.20 (95% CI, 2.77-9.78). Conclusion: The alcohol-related RRs are similar with respect to sex, geographic area and type of alcoholic beverage. The association between alcohol and OPC is stronger in smokers than in non-smokers.
AB - To quantify the magnitude of the association between alcohol and oral and pharyngeal cancer (OPC) by sex,smoking habits, type of alcoholic beverage and other factors. Methods: We combined findings from all case-control and cohort studies published until September 2010 and present in this article the results classified by these factors, using a meta- nalytic approach.Summary relative risks (RRs) were obtained using random-effects models; heterogeneity was assessed using the X2 test. Results: The association between alcohol and OPC risk was similar in men and women, with similar dose-response relationships.No notable differences were found with respect to geographic area and other factors, both for drinking overall and heavy (≥4 drinks/day) drinking. Among never/non-current smokers, the pooled RRs were 1.32 (95% confidence interval, CI, 1.05-1.67) for drinking,and 2.54 (95% CI, 1.80-3.58) for heavy drinking. The corresponding RRs in smokers were 2.92 (95% CI, 2.31-3.70) and 6.32(95% CI, 5.05-7.90). The pooled RRs for any drinking irrespective of smoking were 2.12 (95% CI, 1.37-3.29) for wine-, 2.43 (95%CI, 1.92-3.07) for beer- and 2.30 (95% CI, 1.78-2.98) for spirits-only drinking. The corresponding RRs for heavy drinking were 4.92 (95% CI, 2.80-8.65), 4.20 (95% CI, 1.43-12.38) and 5.20 (95% CI, 2.77-9.78). Conclusion: The alcohol-related RRs are similar with respect to sex, geographic area and type of alcoholic beverage. The association between alcohol and OPC is stronger in smokers than in non-smokers.
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U2 - 10.1093/alcalc/ags100
DO - 10.1093/alcalc/ags100
M3 - Review article
C2 - 22949102
AN - SCOPUS:84871577722
SN - 0735-0414
VL - 48
SP - 107
EP - 118
JO - Alcohol and Alcoholism
JF - Alcohol and Alcoholism
IS - 1
M1 - ags100
ER -