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  • Araghi, MarziehKarolinska Institute (author)

Smokeless tobacco (snus) use and colorectal cancer incidence and survival : Results from nine pooled cohorts

  • Article/chapterEnglish2017

Publisher, publication year, extent ...

  • 2017-10-10
  • SAGE Publications,2017
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:umu-143328
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-143328URI
  • https://doi.org/10.1177/1403494817714191DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-32719URI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:137292109URI
  • https://lup.lub.lu.se/record/56164159-0476-4d62-932c-0dfaf3791bbaURI

Supplementary language notes

  • Language:English
  • Summary in:English

Part of subdatabase

Classification

  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • AIMS: Although smoking is considered to be an established risk factor for colorectal cancer, the current evidence on the association between smokeless tobacco and colorectal cancer is scant and inconclusive. We used pooled individual data from the Swedish Collaboration on Health Effects of Snus Use to assess this association.METHODS: A total of 417,872 male participants from nine cohort studies across Sweden were followed up for incidence of colorectal cancer and death. Outcomes were ascertained through linkage to health registers. We used shared frailty models with random effects at the study level to estimate hazard ratios (HRs) and 95% confidence intervals (CIs).RESULTS: During 7,135,504 person-years of observation, 4170 men developed colorectal cancer. There was no clear association between snus use and colorectal cancer overall. Exclusive current snus users, however, had an increased risk of rectal cancer (HR 1.40: 95% CI 1.09, 1.79). There were no statistically significant associations between snus use and either all-cause or colorectal cancer-specific mortality after colorectal cancer diagnosis.CONCLUSIONS: Our findings, from a large sample, do not support any strong relationships between snus use and colorectal cancer risk and survival among men. However, the observed increased risk of rectal cancer is noteworthy, and in merit of further attention.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Galanti, Maria RosariaStockholm County Council,Karolinska Institute,Karolinska Institutet (author)
  • Lundberg, MichaelKarolinska Institute,Karolinska Institutet (author)
  • Liu, ZhiweiKarolinska Institute (author)
  • Ye, WeiminKarolinska Institute,Karolinska Institutet (author)
  • Lager, AntonStockholm County Council,Karolinska Institute,Karolinska Institutet (author)
  • Engström, GunnarLund University,Lunds universitet,Kardiovaskulär forskning - epidemiologi,Forskargrupper vid Lunds universitet,Cardiovascular Research - Epidemiology,Lund University Research Groups(Swepub:lu)smi-gen (author)
  • Manjer, JonasLund University,Lunds universitet,Kirurgi,Forskargrupper vid Lunds universitet,Surgery,Lund University Research Groups,Skåne University Hospital(Swepub:lu)smi-jma (author)
  • Alfredsson, LarsKarolinska Institute,Karolinska Institutet (author)
  • Knutsson, Anders,1942-Mid Sweden University,Mittuniversitetet,Avdelningen för hälsovetenskap(Swepub:miun)andknu (author)
  • Norberg, MargaretaUmeå universitet,Epidemiologi och global hälsa,Umeå University(Swepub:umu)mano0062 (author)
  • Palmqvist, RichardUmeå universitet,Patologi,Umeå University(Swepub:umu)ripa0001 (author)
  • Gylling, BjörnUmeå universitet,Patologi,Umeå University(Swepub:umu)bjgy0001 (author)
  • Wennberg, PatrikUmeå universitet,Allmänmedicin,Umeå University(Swepub:umu)pawe0002 (author)
  • Lagerros, Ylva TrolleKarolinska Institute,Karolinska Institutet,Karolinska University Hospital (author)
  • Bellocco, RinoKarolinska Institute,Karolinska Institutet,European Institute of Oncology (author)
  • Pedersen, Nancy LKarolinska Institute,Karolinska Institutet (author)
  • Östergren, Per OlofLund University,Lunds universitet,Socialmedicin och global hälsa,Forskargrupper vid Lunds universitet,Social Medicine and Global Health,Lund University Research Groups(Swepub:lu)smi-pos (author)
  • Magnusson, CeciliaStockholm County Council,Karolinska Institute,Karolinska Institutet (author)
  • Karolinska InstitutetKarolinska Institute (creator_code:org_t)

Related titles

  • In:Scandinavian Journal of Public Health: SAGE Publications45:8, s. 741-7481403-49481651-1905

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