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1.	Rohrmann, Sabine, et al. (author) Ethanol intake and the risk of pancreatic cancer in the European prospective investigation into cancer and nutrition (EPIC) 2009 In: Cancer Causes and Control. - : Springer Science and Business Media LLC. - 1573-7225 .- 0957-5243. ; 20:5, s. 785-794 Journal article (peer-reviewed)abstract To examine the association of baseline and lifetime ethanol intake with cancer of the pancreas in the European Prospective Investigation into Cancer and Nutrition (EPIC). Included in this analysis were 478,400 subjects, of whom detailed information on the intake of alcoholic beverages at baseline and over lifetime was collected between 1992 and 2000. During a median follow-up time of 8.9 years, 555 non-endocrine pancreatic cancer cases were observed. Multivariate Cox proportional hazard models were used to examine the association of ethanol intake at recruitment and average lifetime ethanol intake and pancreatic cancer adjusting for smoking, height, weight, and history of diabetes. Overall, neither ethanol intake at recruitment (relative risk (RR) = 0.94, 95% confidence interval (CI) 0.69-1.27 comparing 30+ g/d vs. 0.1-4.9 g/d) nor average lifetime ethanol intake (RR = 0.95, 95% CI 0.65-1.39) was associated with pancreatic cancer risk. High lifetime ethanol intake from spirits/liquor at recruitment tended to be associated with a higher risk (RR = 1.40, 95% CI 0.93-2.10 comparing 10+ g/d vs. 0.1-4.9 g/d), but no associations were observed for wine and beer consumption. These results suggest no association of alcohol consumption with the risk of pancreatic cancer.
2.	Vrieling, Alina, et al. (author) Cigarette smoking, environmental tobacco smoke exposure and pancreatic cancer risk in the European Prospective Investigation into Cancer and Nutrition. 2010 In: International Journal of Cancer. - : Wiley. - 0020-7136 .- 1097-0215. ; 126:10, s. 2394-2403 Journal article (peer-reviewed)abstract Cigarette smoking is an established risk factor for pancreatic cancer. However, prospective data for most European countries are lacking, and epidemiologic studies on exposure to environmental tobacco smoke (ETS) in relation to pancreatic cancer risk are scarce. We examined the association of cigarette smoking and exposure to ETS with pancreatic cancer risk within the European Prospective Investigation into Cancer and Nutrition (EPIC). This analysis was based on 465,910 participants, including 524 first incident pancreatic cancer cases diagnosed after a median follow-up of 8.9 years. Estimates of risk were obtained by Cox proportional hazard models and adjusted for weight, height, and history of diabetes mellitus. An increased risk of pancreatic cancer was found for current cigarette smokers compared with never smokers (HR = 1.71, 95% CI = 1.36-2.15), and risk increased with greater intensity and pack-years. Former cigarette smokers who quit for less than 5 years were at increased risk of pancreatic cancer (HR = 1.78, 95% CI = 1.23-2.56), but risk was comparable to never smokers after quitting for 5 years or more. Pancreatic cancer risk was increased among never smokers daily exposed to ETS (for many hours) during childhood (HR = 2.61, 95% CI = 0.96-7.10) and exposed to ETS at home and/or work (HR = 1.54, 95% CI = 1.00-2.39). These results suggest that both active cigarette smoking, as well as exposure to ETS, is associated with increased risk of pancreatic cancer and that risk is reduced to levels of never smokers within 5 years of quitting.

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Type of publication: journal article (2)

Type of content: peer-reviewed (2)

Author/Editor: Rohrmann, Sabine (2); Lund, Eiliv (2); Olsen, Anja (2); Overvad, Kim (2); Boutron-Ruault, Mari ... (2); Clavel-Chapelon, Fra ... (2); show more...; Kaaks, Rudolf (2); Boeing, Heiner (2); Trichopoulou, Antoni ... (2); Tumino, Rosario (2); Sánchez, Maria-José (2); Manjer, Jonas (2); Khaw, Kay-Tee (2); Riboli, Elio (2); Agudo, Antonio (2); Palli, Domenico (2); Panico, Salvatore (2); Jenab, Mazda (2); Vineis, Paolo (2); Bueno-de-Mesquita, H ... (2); Boffetta, Paolo (2); Peeters, Petra H. M. (2); Bingham, Sheila (2); Ye, Weimin (2); Duell, Eric J. (2); Vrieling, Alina (2); Linseisen, Jakob (1); Tjønneland, Anne (1); Krogh, Vittorio (1); Barricarte, Aurelio (1); Sund, Malin, 1972- (1); Gallo, Valentina (1); Fagherazzi, G. (1); Pala, Valeria (1); Johansson, Ingegerd (1); van Gils, Carla H. (1); Gram, Inger T. (1); Boshuizen, Hendriek ... (1); Navarro, Carmen (1); Lagiou, Pagona (1); Tjonneland, Anne (1); Larranaga, Nerea (1); Allen, Naomi (1); Key, Tim (1); Jensen, Majken K (1); Rodríguez, Laudina (1); Nöthlings, Ute (1); Lindkvist, Björn (1); Mouw, Traci (1); Bergmann, Manuela M (1); show less...

University: Lund University (2); Karolinska Institutet (2); Umeå University (1)

Language: English (2)

Research subject (UKÄ/SCB): Medical and Health Sciences (2)

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