Research output: Contribution to journal › Literature review › peer-review
Cigarette smoking and risk of Hodgkin lymphoma and its subtypes : a pooled analysis from the International Lymphoma Epidemiology Consortium (InterLymph). / Kamper-Jorgensen, M; Rostgaard, K; Glaser, S.L. ; Zahm, S H ; Cozen, W; Smedby, K E ; Sanjose, S ; Chang, E T ; Zheng, T ; LaVecchia, C; Serraino, D; Monnereau, A; Kane, Eleanor Victoria; Miligi, L; Vineis, P; Spinelli, J J ; McLaughlin, J R ; Pahwa, P; Dosman, J A; Vornanen, M; Foretova, L; Maynadie, M; Staines, A; Becker, N ; Nieters, A; Brennan, P; Boffetta, P; Cocco, P; Hjalgrim, H.
In: Annals of oncology, Vol. 24, No. 9, mdt218, 19.06.2013, p. 2245-2255.Research output: Contribution to journal › Literature review › peer-review
}
TY - JOUR
T1 - Cigarette smoking and risk of Hodgkin lymphoma and its subtypes
T2 - a pooled analysis from the International Lymphoma Epidemiology Consortium (InterLymph)
AU - Kamper-Jorgensen, M
AU - Rostgaard, K
AU - Glaser, S.L.
AU - Zahm, S H
AU - Cozen, W
AU - Smedby, K E
AU - Sanjose, S
AU - Chang, E T
AU - Zheng, T
AU - LaVecchia, C
AU - Serraino, D
AU - Monnereau, A
AU - Kane, Eleanor Victoria
AU - Miligi, L
AU - Vineis, P
AU - Spinelli, J J
AU - McLaughlin, J R
AU - Pahwa, P
AU - Dosman, J A
AU - Vornanen, M
AU - Foretova, L
AU - Maynadie, M
AU - Staines, A
AU - Becker, N
AU - Nieters, A
AU - Brennan, P
AU - Boffetta, P
AU - Cocco, P
AU - Hjalgrim, H
PY - 2013/6/19
Y1 - 2013/6/19
N2 - Background: The etiology of Hodgkin lymphoma (HL) remains incompletely characterized. Studies of the association between smoking and HL have yielded ambiguous results, possibly due to differences between HL subtypes.Patients and methods: Through the InterLymph Consortium, 12 case–control studies regarding cigarette smoking and HL were identified. Pooled analyses on the association between smoking and HL stratified by tumor histology andEpstein–Barr virus (EBV) status were conducted using random effects models adjusted for confounders. Analyses included 3335 HL cases and 14 278 controls.Results: Overall, 54.5% of cases and 57.4% of controls were ever cigarette smokers. Compared with never smokers, ever smokers had an odds ratio (OR) of HL of 1.10 [95% confidence interval (CI) 1.01–1.21]. This increased risk reflectedassociations with mixed cellularity cHL (OR = 1.60, 95% CI 1.29–1.99) and EBV-positive cHL (OR = 1.81, 95% CI 1.27–2.56) among current smokers, whereas risk of nodular sclerosis (OR = 1.09, 95% CI 0.90–1.32) and EBV-negative HL(OR = 1.02, 95% CI 0.72–1.44) was not increased.Conclusion: These results support the notion of etiologic heterogeneity between HL subtypes, highlighting the need for HL stratification in future studies. Even if not relevant to all subtypes, our study emphasizes that cigarette smoking shouldbe added to the few modifiable HL risk factors identified.Key words: Hodgkin lymphoma, case–control, cigarette smoking, epidemiology, Epstein–Barr virus, individual patient data meta-analysis
AB - Background: The etiology of Hodgkin lymphoma (HL) remains incompletely characterized. Studies of the association between smoking and HL have yielded ambiguous results, possibly due to differences between HL subtypes.Patients and methods: Through the InterLymph Consortium, 12 case–control studies regarding cigarette smoking and HL were identified. Pooled analyses on the association between smoking and HL stratified by tumor histology andEpstein–Barr virus (EBV) status were conducted using random effects models adjusted for confounders. Analyses included 3335 HL cases and 14 278 controls.Results: Overall, 54.5% of cases and 57.4% of controls were ever cigarette smokers. Compared with never smokers, ever smokers had an odds ratio (OR) of HL of 1.10 [95% confidence interval (CI) 1.01–1.21]. This increased risk reflectedassociations with mixed cellularity cHL (OR = 1.60, 95% CI 1.29–1.99) and EBV-positive cHL (OR = 1.81, 95% CI 1.27–2.56) among current smokers, whereas risk of nodular sclerosis (OR = 1.09, 95% CI 0.90–1.32) and EBV-negative HL(OR = 1.02, 95% CI 0.72–1.44) was not increased.Conclusion: These results support the notion of etiologic heterogeneity between HL subtypes, highlighting the need for HL stratification in future studies. Even if not relevant to all subtypes, our study emphasizes that cigarette smoking shouldbe added to the few modifiable HL risk factors identified.Key words: Hodgkin lymphoma, case–control, cigarette smoking, epidemiology, Epstein–Barr virus, individual patient data meta-analysis
U2 - 10.1093/annonc/mdt218
DO - 10.1093/annonc/mdt218
M3 - Literature review
VL - 24
SP - 2245
EP - 2255
JO - Annals of oncology
JF - Annals of oncology
SN - 0923-7534
IS - 9
M1 - mdt218
ER -