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@ARTICLE{DiCredico:143906,
author = {G. Di Credico and V. Edefonti and J. Polesel and F. Pauli
and N. Torelli and D. Serraino and E. Negri and D. Luce and
I. Stucker and K. Matsuo and P. Brennan and M. Vilensky and
L. Fernandez and M. P. Curado and A. Menezes and A. W. Daudt
and R. Koifman and V. Wunsch-Filho and I. Holcatova and W.
Ahrens and P. Lagiou and L. Simonato and L. Richiardi and C.
Healy and K. Kjaerheim and D. I. Conway and T. V. Macfarlane
and P. Thomson and A. Agudo and A. Znaor and L. F.
Boaventura Rios and T. N. Toporcov and S. Franceschi and R.
Herrero and J. Muscat and A. F. Olshan and J. P. Zevallos
and C. La Vecchia and D. M. Winn and E. M. Sturgis and G. Li
and E. Fabianova and J. Lissowska and D. Mates and P. Rudnai
and O. Shangina and B. Swiatkowska and K. Moysich and Z.-F.
Zhang and H. Morgenstern and F. Levi and E. Smith and P.
Lazarus and C. Bosetti and W. Garavello and K. Kelsey and M.
McClean and H. Ramroth and C. Chen and S. M. Schwartz and T.
L. Vaughan and T. Zheng and G. Menvielle and S. Boccia and
G. Cadoni and R. B. Hayes and M. Purdue and M. Gillison and
S. Schantz and G.-P. Yu and H. Brenner$^*$ and G. D'Souza
and N. D. Gross and S.-C. Chuang and P. Boffetta and M.
Hashibe and Y. A. Lee and L. Dal Maso},
title = {{J}oint effects of intensity and duration of cigarette
smoking on the risk of head and neck cancer: {A} bivariate
spline model approach.},
journal = {Oral oncology},
volume = {94},
issn = {1368-8375},
address = {Amsterdam [u.a.]},
publisher = {Elsevier Science},
reportid = {DKFZ-2019-01464},
pages = {47 - 57},
year = {2019},
abstract = {This study aimed at re-evaluating the strength and shape of
the dose-response relationship between the combined (or
joint) effect of intensity and duration of cigarette smoking
and the risk of head and neck cancer (HNC). We explored this
issue considering bivariate spline models, where smoking
intensity and duration were treated as interacting
continuous exposures.We pooled individual-level data from 33
case-control studies (18,260 HNC cases and 29,844 controls)
participating in the International Head and Neck Cancer
Epidemiology (INHANCE) consortium. In bivariate regression
spline models, exposures to cigarette smoking intensity and
duration (compared with never smokers) were modeled as a
linear piecewise function within a logistic regression also
including potential confounders. We jointly estimated the
optimal knot locations and regression parameters within the
Bayesian framework.For oral-cavity/pharyngeal (OCP) cancers,
an odds ratio (OR) >5 was reached after 30 years in
current smokers of ∼20 or more cigarettes/day. Patterns of
OCP cancer risk in current smokers differed across strata of
alcohol intensity. For laryngeal cancer, ORs >20 were found
for current smokers of ≥20 cigarettes/day for ≥30
years. In former smokers who quit ≥10 years ago, the
ORs were approximately halved for OCP cancers, and ∼1/3
for laryngeal cancer, as compared to the same levels of
intensity and duration in current smokers.Referring to
bivariate spline models, this study better quantified the
joint effect of intensity and duration of cigarette smoking
on HNC risk, further stressing the need of smoking cessation
policies.},
cin = {C070 / C120 / L101},
ddc = {610},
cid = {I:(DE-He78)C070-20160331 / I:(DE-He78)C120-20160331 /
I:(DE-He78)L101-20160331},
pnm = {313 - Cancer risk factors and prevention (POF3-313)},
pid = {G:(DE-HGF)POF3-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:31178212},
doi = {10.1016/j.oraloncology.2019.05.006},
url = {https://inrepo02.dkfz.de/record/143906},
}