Literature DB >> 27369767

Cigarette smoking and the risk of head and neck cancer in the Japanese population: a systematic review and meta-analysis.

Yuriko N Koyanagi1, Keitaro Matsuo2, Hidemi Ito3, Kenji Wakai4, Chisato Nagata5, Tomio Nakayama6, Atsuko Sadakane7, Keitaro Tanaka8, Akiko Tamakoshi9, Yumi Sugawara10, Tetsuya Mizoue11, Norie Sawada12, Manami Inoue13, Shoichiro Tsugane12, Shizuka Sasazuki12, Shizuka Sasazuki12, Shoichiro Tsugane12, Manami Inoue13, Motoki Iwasaki, Tetsuya Otani, Norie Sawada12, Taichi Shimazu, Taiki Yamaji, Ichiro Tsuji, Yoshitaka Tsubono, Yoshikazu Nishino, Akiko Tamakoshi9, Keitaro Matsuo2, Hidemi Ito3, Kenji Wakai4, Chisato Nagata5, Tetsuya Mizoue11, Keitaro Tanaka8, Tomio Nakayama6, Atsuko Sadakane7.   

Abstract

OBJECTIVE: Although cigarette smoking is a well-established risk factor for head and neck cancer, the impact of smoking on head and neck cancer might vary among geographic areas. To date, however, no systematic review of cigarette smoking and head and neck cancer in the Japanese population has yet appeared.
METHODS: We conducted a systematic review of previous epidemiological studies for cigarette smoking and head and neck cancer among Japanese. Evaluation of associations was based on the strength of evidence ('convincing', 'probable', 'possible' or 'insufficient') and the magnitude of association ('strong', 'moderate', 'weak' or 'no association'), together with biological plausibility as previously evaluated by the International Agency for Research on Cancer. A meta-analysis was conducted to obtain summary estimates for the overall magnitude of association.
RESULTS: We identified five cohort studies and 12 case-control studies. Four of five cohort studies and 11 of 12 case-control studies showed a strong positive association between cigarette smoking and head and neck cancer. Nine of 12 studies indicated a dose-response relationship between cigarette smoking and the risk of head and neck cancer. Meta-analysis of 12 studies indicated that the summary relative risk for ever smokers relative to never smokers was 2.43 (95% confidence interval: 2.09-2.83). Summary relative risks for current and former smokers relative to never smokers were 2.68 (2.08-3.44) and 1.49 (1.05-2.11), respectively.
CONCLUSIONS: Cigarette smoking is a convincing risk factor for head and neck cancer in the Japanese population.
© The Author 2016. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Entities:  

Keywords:  Japanese; cigarette smoking; epidemiology; head and neck cancer; systematic review

Mesh:

Year:  2016        PMID: 27369767     DOI: 10.1093/jjco/hyw027

Source DB:  PubMed          Journal:  Jpn J Clin Oncol        ISSN: 0368-2811            Impact factor:   3.019


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