Skip to main navigation Skip to search Skip to main content

Joint effects of intensity and duration of cigarette smoking on the risk of head and neck cancer: A bivariate spline model approach

  • Gioia Di Credico
  • , Valeria Edefonti
  • , Jerry Polesel
  • , Francesco Pauli
  • , Nicola Torelli
  • , Diego Serraino
  • , Eva Negri
  • , Daniele Luce
  • , Isabelle Stucker
  • , Keitaro Matsuo
  • , Paul Brennan
  • , Marta Vilensky
  • , Leticia Fernandez
  • , Maria Paula Curado
  • , Ana Menezes
  • , Alexander W. Daudt
  • , Rosalina Koifman
  • , Victor Wunsch-Filho
  • , Ivana Holcatova
  • , Wolfgang Ahrens
  • Pagona Lagiou, Lorenzo Simonato, Lorenzo Richiardi, Claire Healy, Kristina Kjaerheim, David I. Conway, Tatiana V. Macfarlane, Peter Thomson, Antonio Agudo, Ariana Znaor, Leonardo F. Boaventura Rios, Tatiana N. Toporcov, Silvia Franceschi, Rolando Herrero, Joshua Muscat, Andrew F. Olshan, Jose P. Zevallos, Carlo La Vecchia, Deborah M. Winn, Erich M. Sturgis, Guojun Li, Eleonora Fabianova, Jolanda Lissowska, Dana Mates, Peter Rudnai, Oxana Shangina, Beata Swiatkowska, Kirsten Moysich, Zuo Feng Zhang, Hal Morgenstern, Fabio Levi, Elaine Smith, Philip Lazarus, Cristina Bosetti, Werner Garavello, Karl Kelsey, Michael McClean, Heribert Ramroth, Chu Chen, Stephen M. Schwartz, Thomas L. Vaughan, Tongzhang Zheng, Gwenn Menvielle, Stefania Boccia, Gabriella Cadoni, Richard B. Hayes, Mark Purdue, Maura Gillison, Stimson Schantz, Guo Pei Yu, Hermann Brenner, Gypsyamber D'Souza, Neil D. Gross, Shu Chun Chuang, Paolo Boffetta, Mia Hashibe, Yuan Chin Amy Lee, Luigino Dal Maso
  • University of Padua
  • University of Trieste
  • University of Milan
  • IRCCS Centro di Riferimento Oncologico - Aviano PN
  • Inserm U1085—IRSET
  • Institut national de la santé et de la recherche médicale
  • Aichi Cancer Center Hospital and Research Institute
  • International Agency for Research on Cancer
  • Universidad de Buenos Aires
  • National School of Public Health
  • Epidemiology - CIPE/ACCAMARGO
  • Universidade Federal de Pelotas
  • Hospital Moinhos de Vento
  • Fundação Oswaldo Cruz
  • Universidade de São Paulo
  • Charles University
  • Leibniz Institute for Prevention Research and Epidemiology
  • University of Bremen
  • National and Kapodistrian University of Athens
  • University of Turin
  • Trinity College Dublin
  • Cancer Registry of Norway Institute of Population-Based Cancer Research
  • University of Glasgow
  • University of Aberdeen
  • The University of Hong Kong
  • Institute Catala Oncologia
  • Pennsylvania State University
  • University of North Carolina at Chapel Hill
  • Washington University St. Louis
  • National Institutes of Health
  • University of Texas MD Anderson Cancer Center
  • Regional Authority of Public Health in BanskaBystrica
  • Maria Sklodowska-Curie Institute of Oncology
  • National Institute of Public Health
  • Hungarian National Institute of Environmental Health
  • Blokhin Cancer Research Center
  • Nofer Institute of Occupational Medicine
  • Roswell Park Cancer Institute
  • University of California at Los Angeles
  • University of Michigan, Ann Arbor
  • University of Lausanne
  • University of Iowa
  • Washington State University Spokane
  • IRCCS Istituto di ricerche farmacologiche Mario Negri - Milano, Bergamo, Ranica
  • University of Milan - Bicocca
  • Brown University
  • Boston University
  • Heidelberg University 
  • Fred Hutchinson Cancer Research Center
  • Sorbonne Université
  • Fondazione Policlinico Universitario A.Gemelli IRCS
  • Catholic University of the Sacred Heart
  • New York University
  • Continuum Health Partners, Inc.
  • Peking University
  • German Cancer Research Center
  • Johns Hopkins University
  • National Health Research Institutes Taiwan
  • University of Utah

Research output: Contribution to journalArticlepeer-review

46 Scopus citations

Abstract

Objectives: 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. Materials and Methods: 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. Results: 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. Conclusion: 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.

Original languageEnglish
Pages (from-to)47-57
Number of pages11
JournalOral Oncology
Volume94
DOIs
StatePublished - Jul 2019

Keywords

  • Bivariate spline models
  • Cigarette smoking duration
  • Cigarette smoking intensity
  • Head and neck cancer
  • INHANCE
  • Laryngeal cancer
  • Oral cavity and pharyngeal cancers

Fingerprint

Dive into the research topics of 'Joint effects of intensity and duration of cigarette smoking on the risk of head and neck cancer: A bivariate spline model approach'. Together they form a unique fingerprint.

Cite this