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1. Risk factors for head and neck cancer in more and less developed countries: Analysis from the INHANCE consortium

Author: Goyal, N., Hennessy, M., Lehman, E., Lin, W., Agudo, A., Ahrens, W., Boccia, Stefania, Brennan, P., Brenner, H., Cadoni, Gabriella, Canova, C., Chen, Chen, Conway, D., Curado, M., Dal Maso, L., Daudt, A. W., Edefonti, V., Fabianova, E., Fernandez, L., Franceschi, S., Garavello, W., Gillison, M., Hayes, R. B., Healy, C., Herrero, R., Holcatova, I., Kanda, J. L., Kelsey, K., Hansen, B., Koifman, R., Lagiou, Pagona, La Vecchia, C., Levi, F., Li, G., Lissowska, J., Mendoza Lopez, R., Luce, D., Macfarlane, G., Mates, D., Matsuo, K., Mcclean, M., Menezes, A., Menvielle, G., Morgenstern, H., Moysich, K., Negri, Erica, Olshan, A. F., Pandics, T., Polesel, J., Purdue, M., Radoi, L., Ramroth, H., Richiardi, L., Schantz, S., Schwartz, S. M., Serraino, D., Shangina, O., Smith, E., Sturgis, E. M., Swiatkowska, B., Thomson, P., Vaughan, T. L., Vilensky, M., Winn, D. M., Wunsch-Filho, V., Yu, G. -P., Zevallos, J. P., Zhang, Z. -F., Zheng, T., Znaor, A., Boffetta, Paolo, Hashibe, M., Lee, Y. -C. A., Muscat, J. E., Boccia S. (ORCID:0000-0002-1864-749X), Cadoni G. (ORCID:0000-0001-8244-784X), Chen C., Lagiou P., Negri E., Boffetta P., Goyal, N., Hennessy, M., Lehman, E., Lin, W., Agudo, A., Ahrens, W., Boccia, Stefania, Brennan, P., Brenner, H., Cadoni, Gabriella, Canova, C., Chen, Chen, Conway, D., Curado, M., Dal Maso, L., Daudt, A. W., Edefonti, V., Fabianova, E., Fernandez, L., Franceschi, S., Garavello, W., Gillison, M., Hayes, R. B., Healy, C., Herrero, R., Holcatova, I., Kanda, J. L., Kelsey, K., Hansen, B., Koifman, R., Lagiou, Pagona, La Vecchia, C., Levi, F., Li, G., Lissowska, J., Mendoza Lopez, R., Luce, D., Macfarlane, G., Mates, D., Matsuo, K., Mcclean, M., Menezes, A., Menvielle, G., Morgenstern, H., Moysich, K., Negri, Erica, Olshan, A. F., Pandics, T., Polesel, J., Purdue, M., Radoi, L., Ramroth, H., Richiardi, L., Schantz, S., Schwartz, S. M., Serraino, D., Shangina, O., Smith, E., Sturgis, E. M., Swiatkowska, B., Thomson, P., Vaughan, T. L., Vilensky, M., Winn, D. M., Wunsch-Filho, V., Yu, G. -P., Zevallos, J. P., Zhang, Z. -F., Zheng, T., Znaor, A., Boffetta, Paolo, Hashibe, M., Lee, Y. -C. A., Muscat, J. E., Boccia S. (ORCID:0000-0002-1864-749X), Cadoni G. (ORCID:0000-0001-8244-784X), Chen C., Lagiou P., Negri E., and Boffetta P.
Abstract: Objective We analyzed the pooled case-control data from the International Head and Neck Cancer Epidemiology (INHANCE) consortium to compare cigarette smoking and alcohol consumption risk factors for head and neck cancer between less developed and more developed countries. Subjects and Methods The location of each study was categorized as either a less developed or more developed country. We compared the risk of overall head and neck cancer and cancer of specific anatomic subsites associated with cigarette smoking and alcohol consumption. Additionally, age and sex distribution between categories was compared. Results The odds ratios for head and neck cancer sites associated with smoking duration differed between less developed and more developed countries. Smoking greater than 20 years conferred a higher risk for oral cavity and laryngeal cancer in more developed countries, whereas the risk was greater for oropharynx and hypopharynx cancer in less developed countries. Alcohol consumed for more than 20 years conferred a higher risk for oropharynx, hypopharynx, and larynx cancer in less developed countries. The proportion of cases that were young (<45 years) or female differed by country type for some HNC subsites. Conclusion These findings suggest the degree of industrialization and economic development affects the relationship between smoking and alcohol with head and neck cancer.
Published: 2023

2. Risk factors for head and neck cancer in more and less developed countries: Analysis from the INHANCE consortium

Author: Goyal, N, Hennessy, M, Lehman, E, Lin, W, Agudo, A, Ahrens, W, Boccia, S, Brennan, P, Brenner, H, Cadoni, G, Canova, C, Chen, C, Conway, D, Curado, M, Dal Maso, L, Daudt, A, Edefonti, V, Fabianova, E, Fernandez, L, Franceschi, S, Garavello, W, Gillison, M, Hayes, R, Healy, C, Herrero, R, Holcatova, I, Kanda, J, Kelsey, K, Hansen, B, Koifman, R, Lagiou, P, La Vecchia, C, Levi, F, Li, G, Lissowska, J, Mendoza Lopez, R, Luce, D, Macfarlane, G, Mates, D, Matsuo, K, Mcclean, M, Menezes, A, Menvielle, G, Morgenstern, H, Moysich, K, Negri, E, Olshan, A, Pandics, T, Polesel, J, Purdue, M, Radoi, L, Ramroth, H, Richiardi, L, Schantz, S, Schwartz, S, Serraino, D, Shangina, O, Smith, E, Sturgis, E, Swiatkowska, B, Thomson, P, Vaughan, T, Vilensky, M, Winn, D, Wunsch-Filho, V, Yu, G, Zevallos, J, Zhang, Z, Zheng, T, Znaor, A, Boffetta, P, Hashibe, M, Lee, Y, Muscat, J, Goyal N., Hennessy M., Lehman E., Lin W., Agudo A., Ahrens W., Boccia S., Brennan P., Brenner H., Cadoni G., Canova C., Chen C., Conway D., Curado M., Dal Maso L., Daudt A. W., Edefonti V., Fabianova E., Fernandez L., Franceschi S., Garavello W., Gillison M., Hayes R. B., Healy C., Herrero R., Holcatova I., Kanda J. L., Kelsey K., Hansen B., Koifman R., Lagiou P., La Vecchia C., Levi F., Li G., Lissowska J., Mendoza Lopez R., Luce D., Macfarlane G., Mates D., Matsuo K., McClean M., Menezes A., Menvielle G., Morgenstern H., Moysich K., Negri E., Olshan A. F., Pandics T., Polesel J., Purdue M., Radoi L., Ramroth H., Richiardi L., Schantz S., Schwartz S. M., Serraino D., Shangina O., Smith E., Sturgis E. M., Swiatkowska B., Thomson P., Vaughan T. L., Vilensky M., Winn D. M., Wunsch-Filho V., Yu G. -P., Zevallos J. P., Zhang Z. -F., Zheng T., Znaor A., Boffetta P., Hashibe M., Lee Y. -C. A., Muscat J. E., Goyal, N, Hennessy, M, Lehman, E, Lin, W, Agudo, A, Ahrens, W, Boccia, S, Brennan, P, Brenner, H, Cadoni, G, Canova, C, Chen, C, Conway, D, Curado, M, Dal Maso, L, Daudt, A, Edefonti, V, Fabianova, E, Fernandez, L, Franceschi, S, Garavello, W, Gillison, M, Hayes, R, Healy, C, Herrero, R, Holcatova, I, Kanda, J, Kelsey, K, Hansen, B, Koifman, R, Lagiou, P, La Vecchia, C, Levi, F, Li, G, Lissowska, J, Mendoza Lopez, R, Luce, D, Macfarlane, G, Mates, D, Matsuo, K, Mcclean, M, Menezes, A, Menvielle, G, Morgenstern, H, Moysich, K, Negri, E, Olshan, A, Pandics, T, Polesel, J, Purdue, M, Radoi, L, Ramroth, H, Richiardi, L, Schantz, S, Schwartz, S, Serraino, D, Shangina, O, Smith, E, Sturgis, E, Swiatkowska, B, Thomson, P, Vaughan, T, Vilensky, M, Winn, D, Wunsch-Filho, V, Yu, G, Zevallos, J, Zhang, Z, Zheng, T, Znaor, A, Boffetta, P, Hashibe, M, Lee, Y, Muscat, J, Goyal N., Hennessy M., Lehman E., Lin W., Agudo A., Ahrens W., Boccia S., Brennan P., Brenner H., Cadoni G., Canova C., Chen C., Conway D., Curado M., Dal Maso L., Daudt A. W., Edefonti V., Fabianova E., Fernandez L., Franceschi S., Garavello W., Gillison M., Hayes R. B., Healy C., Herrero R., Holcatova I., Kanda J. L., Kelsey K., Hansen B., Koifman R., Lagiou P., La Vecchia C., Levi F., Li G., Lissowska J., Mendoza Lopez R., Luce D., Macfarlane G., Mates D., Matsuo K., McClean M., Menezes A., Menvielle G., Morgenstern H., Moysich K., Negri E., Olshan A. F., Pandics T., Polesel J., Purdue M., Radoi L., Ramroth H., Richiardi L., Schantz S., Schwartz S. M., Serraino D., Shangina O., Smith E., Sturgis E. M., Swiatkowska B., Thomson P., Vaughan T. L., Vilensky M., Winn D. M., Wunsch-Filho V., Yu G. -P., Zevallos J. P., Zhang Z. -F., Zheng T., Znaor A., Boffetta P., Hashibe M., Lee Y. -C. A., and Muscat J. E.
Abstract: Objective: We analyzed the pooled case-control data from the International Head and Neck Cancer Epidemiology (INHANCE) consortium to compare cigarette smoking and alcohol consumption risk factors for head and neck cancer between less developed and more developed countries. Subjects and Methods: The location of each study was categorized as either a less developed or more developed country. We compared the risk of overall head and neck cancer and cancer of specific anatomic subsites associated with cigarette smoking and alcohol consumption. Additionally, age and sex distribution between categories was compared. Results: The odds ratios for head and neck cancer sites associated with smoking duration differed between less developed and more developed countries. Smoking greater than 20 years conferred a higher risk for oral cavity and laryngeal cancer in more developed countries, whereas the risk was greater for oropharynx and hypopharynx cancer in less developed countries. Alcohol consumed for more than 20 years conferred a higher risk for oropharynx, hypopharynx, and larynx cancer in less developed countries. The proportion of cases that were young (<45 years) or female differed by country type for some HNC subsites. Conclusion: These findings suggest the degree of industrialization and economic development affects the relationship between smoking and alcohol with head and neck cancer.
Published: 2023

3. The INHANCE consortium: toward a better understanding of the causes and mechanisms of head and neck cancer

Author: Winn, D M, Lee, Y-CA, Hashibe, M, and Boffetta, P
Published: 2015
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4. Lessons learned from the INHANCE consortium: An overview of recent results on head and neck cancer

Author: Bravi, F, Lee, Y, Hashibe, M, Boffetta, P, Conway, D, Ferraroni, M, La Vecchia, C, Edefonti, V, Agudo, A, Ahrens, W, Benhamou, S, Boccia, S, Brennan, P, Brenner, H, Cadoni, G, Canova, C, Chen, C, Chuang, S, Curado, M, Dal Maso, L, Daudt, A, D'Souza, G, Fabianova, E, Fernandez, L, Franceschi, S, Garavello, W, Gillison, M, Gross, N, Hayes, R, Healy, C, Herrero, R, Holcatova, I, Kelsey, K, Kjaerheim, K, Koifman, R, Lagiou, P, Lazarus, P, Levi, F, Li, G, Lissowska, J, Luce, D, Macfarlane, G, Mates, D, Matsuo, K, Mcclean, M, Menezes, A, Menvielle, G, Morgenstern, H, Moyses, R, Moysich, K, Muscat, J, Negri, E, Olshan, A, Pandics, T, Polesel, J, Purdue, M, Radoi, L, Ramroth, H, Richiardi, L, Schantz, S, Schwartz, S, Serraino, D, Shangina, O, Smith, E, Sturgis, E, Swiatkowska, B, Thomson, P, Toporcov, T, Vaughan, T, Vilensky, M, Winn, D, Wunsch-Filho, V, Yu, G, Zevallos, J, Zhang, Z, Zheng, T, Znaor, A, Bravi F., Lee Y. -C. A., Hashibe M., Boffetta P., Conway D. I., Ferraroni M., La Vecchia C., Edefonti V., Agudo A., Ahrens W., Benhamou S., Boccia S., Brennan P., Brenner H., Cadoni G., Canova C., Chen C., Chuang S. -C., Curado M. P., Dal Maso L., Daudt A. W., D'Souza G., Fabianova E., Fernandez L., Franceschi S., Garavello W., Gillison M., Gross N. D., Hayes R. B., Healy C., Herrero R., Holcatova I., Kelsey K., Kjaerheim K., Koifman R., Lagiou P., Lazarus P., Levi F., Li G., Lissowska J., Luce D., Macfarlane G. J., Mates D., Matsuo K., McClean M., Menezes A., Menvielle G., Morgenstern H., Moyses R. A., Moysich K., Muscat J., Negri E., Olshan A. F., Pandics T., Polesel J., Purdue M. P., Radoi L., Ramroth H., Richiardi L., Schantz S., Schwartz S. M., Serraino D., Shangina O., Smith E., Sturgis E. M., Swiatkowska B., Thomson P., Toporcov T. N., Vaughan T. L., Vilensky M., Winn D. M., Wunsch-Filho V., Yu G. -P., Zevallos J. P., Zhang Z. -F., Zheng T., Znaor A., Bravi, F, Lee, Y, Hashibe, M, Boffetta, P, Conway, D, Ferraroni, M, La Vecchia, C, Edefonti, V, Agudo, A, Ahrens, W, Benhamou, S, Boccia, S, Brennan, P, Brenner, H, Cadoni, G, Canova, C, Chen, C, Chuang, S, Curado, M, Dal Maso, L, Daudt, A, D'Souza, G, Fabianova, E, Fernandez, L, Franceschi, S, Garavello, W, Gillison, M, Gross, N, Hayes, R, Healy, C, Herrero, R, Holcatova, I, Kelsey, K, Kjaerheim, K, Koifman, R, Lagiou, P, Lazarus, P, Levi, F, Li, G, Lissowska, J, Luce, D, Macfarlane, G, Mates, D, Matsuo, K, Mcclean, M, Menezes, A, Menvielle, G, Morgenstern, H, Moyses, R, Moysich, K, Muscat, J, Negri, E, Olshan, A, Pandics, T, Polesel, J, Purdue, M, Radoi, L, Ramroth, H, Richiardi, L, Schantz, S, Schwartz, S, Serraino, D, Shangina, O, Smith, E, Sturgis, E, Swiatkowska, B, Thomson, P, Toporcov, T, Vaughan, T, Vilensky, M, Winn, D, Wunsch-Filho, V, Yu, G, Zevallos, J, Zhang, Z, Zheng, T, Znaor, A, Bravi F., Lee Y. -C. A., Hashibe M., Boffetta P., Conway D. I., Ferraroni M., La Vecchia C., Edefonti V., Agudo A., Ahrens W., Benhamou S., Boccia S., Brennan P., Brenner H., Cadoni G., Canova C., Chen C., Chuang S. -C., Curado M. P., Dal Maso L., Daudt A. W., D'Souza G., Fabianova E., Fernandez L., Franceschi S., Garavello W., Gillison M., Gross N. D., Hayes R. B., Healy C., Herrero R., Holcatova I., Kelsey K., Kjaerheim K., Koifman R., Lagiou P., Lazarus P., Levi F., Li G., Lissowska J., Luce D., Macfarlane G. J., Mates D., Matsuo K., McClean M., Menezes A., Menvielle G., Morgenstern H., Moyses R. A., Moysich K., Muscat J., Negri E., Olshan A. F., Pandics T., Polesel J., Purdue M. P., Radoi L., Ramroth H., Richiardi L., Schantz S., Schwartz S. M., Serraino D., Shangina O., Smith E., Sturgis E. M., Swiatkowska B., Thomson P., Toporcov T. N., Vaughan T. L., Vilensky M., Winn D. M., Wunsch-Filho V., Yu G. -P., Zevallos J. P., Zhang Z. -F., Zheng T., and Znaor A.
Abstract: Objective: To summarize the latest evidence on head and neck cancer epidemiology from the International Head and Neck Cancer Epidemiology (INHANCE) consortium. Subjects and Methods: INHANCE was established in 2004 to elucidate the etiology of head and neck cancer through pooled analyses of individual-level data on a large scale. We summarize results from recent INHANCE-based publications updating our 2015 overview. Results: Seventeen papers were published between 2015 and May 2020. These studies further define the nature of risks associated with tobacco and alcohol, and occupational exposures on head and neck cancer. The beneficial effects on incidence of head and neck cancer were identified for good oral health, endogenous and exogenous hormonal factors, and selected aspects of diet related to fruit and vegetables. INHANCE has begun to develop risk prediction models and to pool follow-up data on their studies, finding that ~30% of cases had cancer recurrence and 9% second primary cancers, with overall- and disease-specific 5-year-survival of 51% and 57%, respectively. Conclusions: The number and importance of INHANCE scientific findings provides further evidence of the advantages of large-scale internationally collaborative projects and will support the development of prevention strategies.
Published: 2021

5. Lessons learned from the INHANCE consortium: An overview of recent results on head and neck cancer

Author: Bravi, F., Lee, Y. -C. A., Hashibe, M., Boffetta, Paolo, Conway, D. I., Ferraroni, M., La Vecchia, C., Edefonti, V., Agudo, A., Ahrens, W., Benhamou, S., Boccia, Stefania, Brennan, P., Brenner, H., Cadoni, Gabriella, Canova, C., Chen, Chen, Chuang, S. -C., Curado, M. P., Dal Maso, L., Daudt, A. W., D'Souza, G., Fabianova, E., Fernandez, L., Franceschi, S., Garavello, W., Gillison, M., Gross, N. D., Hayes, R. B., Healy, C., Herrero, R., Holcatova, I., Kelsey, K., Kjaerheim, K., Koifman, R., Lagiou, Pagona, Lazarus, P., Levi, F., Li, G., Lissowska, J., Luce, D., Macfarlane, G. J., Mates, D., Matsuo, K., Mcclean, M., Menezes, A., Menvielle, G., Morgenstern, H., Moyses, R. A., Moysich, K., Muscat, J., Negri, Erica, Olshan, A. F., Pandics, T., Polesel, J., Purdue, M. P., Radoi, L., Ramroth, H., Richiardi, L., Schantz, S., Schwartz, S. M., Serraino, D., Shangina, O., Smith, E., Sturgis, E. M., Swiatkowska, B., Thomson, P., Toporcov, T. N., Vaughan, T. L., Vilensky, M., Winn, D. M., Wunsch-Filho, V., Yu, G. -P., Zevallos, J. P., Zhang, Z. -F., Zheng, T., Znaor, A., Boffetta P., Boccia S. (ORCID:0000-0002-1864-749X), Cadoni G. (ORCID:0000-0001-8244-784X), Chen C., Lagiou P., Negri E., Bravi, F., Lee, Y. -C. A., Hashibe, M., Boffetta, Paolo, Conway, D. I., Ferraroni, M., La Vecchia, C., Edefonti, V., Agudo, A., Ahrens, W., Benhamou, S., Boccia, Stefania, Brennan, P., Brenner, H., Cadoni, Gabriella, Canova, C., Chen, Chen, Chuang, S. -C., Curado, M. P., Dal Maso, L., Daudt, A. W., D'Souza, G., Fabianova, E., Fernandez, L., Franceschi, S., Garavello, W., Gillison, M., Gross, N. D., Hayes, R. B., Healy, C., Herrero, R., Holcatova, I., Kelsey, K., Kjaerheim, K., Koifman, R., Lagiou, Pagona, Lazarus, P., Levi, F., Li, G., Lissowska, J., Luce, D., Macfarlane, G. J., Mates, D., Matsuo, K., Mcclean, M., Menezes, A., Menvielle, G., Morgenstern, H., Moyses, R. A., Moysich, K., Muscat, J., Negri, Erica, Olshan, A. F., Pandics, T., Polesel, J., Purdue, M. P., Radoi, L., Ramroth, H., Richiardi, L., Schantz, S., Schwartz, S. M., Serraino, D., Shangina, O., Smith, E., Sturgis, E. M., Swiatkowska, B., Thomson, P., Toporcov, T. N., Vaughan, T. L., Vilensky, M., Winn, D. M., Wunsch-Filho, V., Yu, G. -P., Zevallos, J. P., Zhang, Z. -F., Zheng, T., Znaor, A., Boffetta P., Boccia S. (ORCID:0000-0002-1864-749X), Cadoni G. (ORCID:0000-0001-8244-784X), Chen C., Lagiou P., and Negri E.
Abstract: Objective: To summarize the latest evidence on head and neck cancer epidemiology from the International Head and Neck Cancer Epidemiology (INHANCE) consortium. Subjects and Methods: INHANCE was established in 2004 to elucidate the etiology of head and neck cancer through pooled analyses of individual-level data on a large scale. We summarize results from recent INHANCE-based publications updating our 2015 overview. Results: Seventeen papers were published between 2015 and May 2020. These studies further define the nature of risks associated with tobacco and alcohol, and occupational exposures on head and neck cancer. The beneficial effects on incidence of head and neck cancer were identified for good oral health, endogenous and exogenous hormonal factors, and selected aspects of diet related to fruit and vegetables. INHANCE has begun to develop risk prediction models and to pool follow-up data on their studies, finding that ~30% of cases had cancer recurrence and 9% second primary cancers, with overall- and disease-specific 5-year-survival of 51% and 57%, respectively. Conclusions: The number and importance of INHANCE scientific findings provides further evidence of the advantages of large-scale internationally collaborative projects and will support the development of prevention strategies.
Published: 2021

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

Author: Di Credico, G, Edefonti, V, Polesel, J, Pauli, F, Torelli, N, Serraino, D, Negri, E, Luce, D, Stucker, I, Matsuo, K, Brennan, P, Vilensky, M, Fernandez, L, Curado, M, Menezes, A, Daudt, A, Koifman, R, Wunsch-Filho, V, Holcatova, I, Ahrens, W, Lagiou, P, Simonato, L, Richiardi, L, Healy, C, Kjaerheim, K, Conway, D, Macfarlane, T, Thomson, P, Agudo, A, Znaor, A, Boaventura Rios, L, Toporcov, T, Franceschi, S, Herrero, R, Muscat, J, Olshan, A, Zevallos, J, La Vecchia, C, Winn, D, Sturgis, E, Li, G, Fabianova, E, Lissowska, J, Mates, D, Rudnai, P, Shangina, O, Swiatkowska, B, Moysich, K, Zhang, Z, Morgenstern, H, Levi, F, Smith, E, Lazarus, P, Bosetti, C, Garavello, W, Kelsey, K, Mcclean, M, Ramroth, H, Chen, C, Schwartz, S, Vaughan, T, Zheng, T, Menvielle, G, Boccia, S, Cadoni, G, Hayes, R, Purdue, M, Gillison, M, Schantz, S, Yu, G, Brenner, H, D'Souza, G, Gross, N, Chuang, S, Boffetta, P, Hashibe, M, Lee, Y, Dal Maso, L, Di Credico G., Edefonti V., Polesel J., Pauli F., Torelli N., Serraino D., Negri E., Luce D., Stucker I., Matsuo K., Brennan P., Vilensky M., Fernandez L., Curado M. P., Menezes A., Daudt A. W., Koifman R., Wunsch-Filho V., Holcatova I., Ahrens W., Lagiou P., Simonato L., Richiardi L., Healy C., Kjaerheim K., Conway D. I., Macfarlane T. V., Thomson P., Agudo A., Znaor A., Boaventura Rios L. F., Toporcov T. N., Franceschi S., Herrero R., Muscat J., Olshan A. F., Zevallos J. P., La Vecchia C., Winn D. M., Sturgis E. M., Li G., Fabianova E., Lissowska J., Mates D., Rudnai P., Shangina O., Swiatkowska B., Moysich K., Zhang Z. -F., Morgenstern H., Levi F., Smith E., Lazarus P., Bosetti C., Garavello W., Kelsey K., McClean M., Ramroth H., Chen C., Schwartz S. M., Vaughan T. L., Zheng T., Menvielle G., Boccia S., Cadoni G., Hayes R. B., Purdue M., Gillison M., Schantz S., Yu G. -P., Brenner H., D'Souza G., Gross N. D., Chuang S. -C., Boffetta P., Hashibe M., Lee Y. -C. A., Dal Maso L., Di Credico, G, Edefonti, V, Polesel, J, Pauli, F, Torelli, N, Serraino, D, Negri, E, Luce, D, Stucker, I, Matsuo, K, Brennan, P, Vilensky, M, Fernandez, L, Curado, M, Menezes, A, Daudt, A, Koifman, R, Wunsch-Filho, V, Holcatova, I, Ahrens, W, Lagiou, P, Simonato, L, Richiardi, L, Healy, C, Kjaerheim, K, Conway, D, Macfarlane, T, Thomson, P, Agudo, A, Znaor, A, Boaventura Rios, L, Toporcov, T, Franceschi, S, Herrero, R, Muscat, J, Olshan, A, Zevallos, J, La Vecchia, C, Winn, D, Sturgis, E, Li, G, Fabianova, E, Lissowska, J, Mates, D, Rudnai, P, Shangina, O, Swiatkowska, B, Moysich, K, Zhang, Z, Morgenstern, H, Levi, F, Smith, E, Lazarus, P, Bosetti, C, Garavello, W, Kelsey, K, Mcclean, M, Ramroth, H, Chen, C, Schwartz, S, Vaughan, T, Zheng, T, Menvielle, G, Boccia, S, Cadoni, G, Hayes, R, Purdue, M, Gillison, M, Schantz, S, Yu, G, Brenner, H, D'Souza, G, Gross, N, Chuang, S, Boffetta, P, Hashibe, M, Lee, Y, Dal Maso, L, Di Credico G., Edefonti V., Polesel J., Pauli F., Torelli N., Serraino D., Negri E., Luce D., Stucker I., Matsuo K., Brennan P., Vilensky M., Fernandez L., Curado M. P., Menezes A., Daudt A. W., Koifman R., Wunsch-Filho V., Holcatova I., Ahrens W., Lagiou P., Simonato L., Richiardi L., Healy C., Kjaerheim K., Conway D. I., Macfarlane T. V., Thomson P., Agudo A., Znaor A., Boaventura Rios L. F., Toporcov T. N., Franceschi S., Herrero R., Muscat J., Olshan A. F., Zevallos J. P., La Vecchia C., Winn D. M., Sturgis E. M., Li G., Fabianova E., Lissowska J., Mates D., Rudnai P., Shangina O., Swiatkowska B., Moysich K., Zhang Z. -F., Morgenstern H., Levi F., Smith E., Lazarus P., Bosetti C., Garavello W., Kelsey K., McClean M., Ramroth H., Chen C., Schwartz S. M., Vaughan T. L., Zheng T., Menvielle G., Boccia S., Cadoni G., Hayes R. B., Purdue M., Gillison M., Schantz S., Yu G. -P., Brenner H., D'Souza G., Gross N. D., Chuang S. -C., Boffetta P., Hashibe M., Lee Y. -C. A., and Dal Maso L.
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
Published: 2019

7. Age at start of using tobacco on the risk of head and neck cancer: Pooled analysis in the International Head and Neck Cancer Epidemiology Consortium (INHANCE)

Author: Chang, C, Chang, S, Chuang, S, Berthiller, J, Ferro, G, Matsuo, K, Wunsch-Filho, V, Toporcov, T, de Carvalho, M, La Vecchia, C, Olshan, A, Zevallos, J, Serraino, D, Muscat, J, Sturgis, E, Li, G, Morgenstern, H, Levi, F, Dal Maso, L, Smith, E, Kelsey, K, Mcclean, M, Vaughan, T, Lazarus, P, Ramroth, H, Chen, C, Schwartz, S, Winn, D, Bosetti, C, Edefonti, V, Garavello, W, Negri, E, Hayes, R, Purdue, M, Boccia, S, Cadoni, G, Shangina, O, Koifman, R, Curado, M, Vilensky, M, Swiatkowska, B, Herrero, R, Franceschi, S, Benhamou, S, Fernandez, L, Menezes, A, Daudt, A, Mates, D, Schantz, S, Yu, G, Lissowska, J, Brenner, H, Fabianova, E, Rudnai, P, Brennan, P, Boffetta, P, Zhang, Z, Hashibe, M, Lee, Y, Chang C. -P., Chang S. -C., Chuang S. -C., Berthiller J., Ferro G., Matsuo K., Wunsch-Filho V., Toporcov T. N., de Carvalho M. B., La Vecchia C., Olshan A. F., Zevallos J. P., Serraino D., Muscat J., Sturgis E. M., Li G., Morgenstern H., Levi F., Dal Maso L., Smith E., Kelsey K., McClean M., Vaughan T. L., Lazarus P., Ramroth H., Chen C., Schwartz S. M., Winn D. M., Bosetti C., Edefonti V., Garavello W., Negri E., Hayes R. B., Purdue M. P., Boccia S., Cadoni G., Shangina O., Koifman R., Curado M. P., Vilensky M., Swiatkowska B., Herrero R., Franceschi S., Benhamou S., Fernandez L., Menezes A. M. B., Daudt A. W., Mates D., Schantz S., Yu G. -P., Lissowska J., Brenner H., Fabianova E., Rudnai P., Brennan P., Boffetta P., Zhang Z. -F., Hashibe M., Lee Y. -C. A., Chang, C, Chang, S, Chuang, S, Berthiller, J, Ferro, G, Matsuo, K, Wunsch-Filho, V, Toporcov, T, de Carvalho, M, La Vecchia, C, Olshan, A, Zevallos, J, Serraino, D, Muscat, J, Sturgis, E, Li, G, Morgenstern, H, Levi, F, Dal Maso, L, Smith, E, Kelsey, K, Mcclean, M, Vaughan, T, Lazarus, P, Ramroth, H, Chen, C, Schwartz, S, Winn, D, Bosetti, C, Edefonti, V, Garavello, W, Negri, E, Hayes, R, Purdue, M, Boccia, S, Cadoni, G, Shangina, O, Koifman, R, Curado, M, Vilensky, M, Swiatkowska, B, Herrero, R, Franceschi, S, Benhamou, S, Fernandez, L, Menezes, A, Daudt, A, Mates, D, Schantz, S, Yu, G, Lissowska, J, Brenner, H, Fabianova, E, Rudnai, P, Brennan, P, Boffetta, P, Zhang, Z, Hashibe, M, Lee, Y, Chang C. -P., Chang S. -C., Chuang S. -C., Berthiller J., Ferro G., Matsuo K., Wunsch-Filho V., Toporcov T. N., de Carvalho M. B., La Vecchia C., Olshan A. F., Zevallos J. P., Serraino D., Muscat J., Sturgis E. M., Li G., Morgenstern H., Levi F., Dal Maso L., Smith E., Kelsey K., McClean M., Vaughan T. L., Lazarus P., Ramroth H., Chen C., Schwartz S. M., Winn D. M., Bosetti C., Edefonti V., Garavello W., Negri E., Hayes R. B., Purdue M. P., Boccia S., Cadoni G., Shangina O., Koifman R., Curado M. P., Vilensky M., Swiatkowska B., Herrero R., Franceschi S., Benhamou S., Fernandez L., Menezes A. M. B., Daudt A. W., Mates D., Schantz S., Yu G. -P., Lissowska J., Brenner H., Fabianova E., Rudnai P., Brennan P., Boffetta P., Zhang Z. -F., Hashibe M., and Lee Y. -C. A.
Abstract: Background: Tobacco use is a well-established risk factor for head and neck cancer (HNC). However, less is known about the potential impact of exposure to tobacco at an early age on HNC risk. Methods: We analyzed individual-level data on ever tobacco smokers from 27 case-control studies (17,146 HNC cases and 17,449 controls) in the International Head and Neck Cancer Epidemiology (INHANCE) consortium. Adjusted odds ratios (ORs) and 95% confidence intervals (CIs) were estimated using random-effects logistic regression models. Results: Without adjusting for tobacco packyears, we observed that younger age at starting tobacco use was associated with an increased HNC risk for ever smokers (OR<10 years vs. ≥30 years: 1.64, 95% CI: 1.35, 1.97). However, the observed association between age at starting tobacco use and HNC risk became null after adjusting for tobacco packyears (OR<10 years vs. ≥30 years: 0.97, 95% CI: 0.80, 1.19). In the stratified analyses on HNC subsites by tobacco packyears or years since quitting, no difference in the association between age at start and HNC risk was observed. Conclusions: Results from this pooled analysis suggest that increased HNC risks observed with earlier age at starting tobacco smoking are largely due to longer duration and higher cumulative tobacco exposures.
Published: 2019

8. Age at start of using tobacco on the risk of head and neck cancer: Pooled analysis in the International Head and Neck Cancer Epidemiology Consortium (INHANCE)

Author: Chang, C. -P., Chang, S. -C., Chuang, S. -C., Berthiller, J., Ferro, G., Matsuo, K., Wunsch-Filho, V., Toporcov, T. N., de Carvalho, M. B., La Vecchia, C., Olshan, A. F., Zevallos, J. P., Serraino, D., Muscat, J., Sturgis, E. M., Li, G., Morgenstern, H., Levi, F., Dal Maso, L., Smith, E., Kelsey, K., Mcclean, M., Vaughan, T. L., Lazarus, P., Ramroth, H., Chen, C., Schwartz, S. M., Winn, D. M., Bosetti, C., Edefonti, V., Garavello, W., Negri, E., Hayes, R. B., Purdue, M. P., Boccia, Stefania, Cadoni, Gabriella, Shangina, O., Koifman, R., Curado, M. P., Vilensky, M., Swiatkowska, B., Herrero, R., Franceschi, S., Benhamou, S., Fernandez, L., Menezes, A. M. B., Daudt, A. W., Mates, D., Schantz, S., Yu, G. -P., Lissowska, J., Brenner, H., Fabianova, E., Rudnai, P., Brennan, P., Boffetta, P., Zhang, Z. -F., Hashibe, M., Lee, Y. -C. A., Boccia S. (ORCID:0000-0002-1864-749X), Cadoni G. (ORCID:0000-0001-8244-784X), Chang, C. -P., Chang, S. -C., Chuang, S. -C., Berthiller, J., Ferro, G., Matsuo, K., Wunsch-Filho, V., Toporcov, T. N., de Carvalho, M. B., La Vecchia, C., Olshan, A. F., Zevallos, J. P., Serraino, D., Muscat, J., Sturgis, E. M., Li, G., Morgenstern, H., Levi, F., Dal Maso, L., Smith, E., Kelsey, K., Mcclean, M., Vaughan, T. L., Lazarus, P., Ramroth, H., Chen, C., Schwartz, S. M., Winn, D. M., Bosetti, C., Edefonti, V., Garavello, W., Negri, E., Hayes, R. B., Purdue, M. P., Boccia, Stefania, Cadoni, Gabriella, Shangina, O., Koifman, R., Curado, M. P., Vilensky, M., Swiatkowska, B., Herrero, R., Franceschi, S., Benhamou, S., Fernandez, L., Menezes, A. M. B., Daudt, A. W., Mates, D., Schantz, S., Yu, G. -P., Lissowska, J., Brenner, H., Fabianova, E., Rudnai, P., Brennan, P., Boffetta, P., Zhang, Z. -F., Hashibe, M., Lee, Y. -C. A., Boccia S. (ORCID:0000-0002-1864-749X), and Cadoni G. (ORCID:0000-0001-8244-784X)
Abstract: Background: Tobacco use is a well-established risk factor for head and neck cancer (HNC). However, less is known about the potential impact of exposure to tobacco at an early age on HNC risk. Methods: We analyzed individual-level data on ever tobacco smokers from 27 case-control studies (17,146 HNC cases and 17,449 controls) in the International Head and Neck Cancer Epidemiology (INHANCE) consortium. Adjusted odds ratios (ORs) and 95% confidence intervals (CIs) were estimated using random-effects logistic regression models. Results: Without adjusting for tobacco packyears, we observed that younger age at starting tobacco use was associated with an increased HNC risk for ever smokers (OR<10 years vs. ≥30 years: 1.64, 95% CI: 1.35, 1.97). However, the observed association between age at starting tobacco use and HNC risk became null after adjusting for tobacco packyears (OR<10 years vs. ≥30 years: 0.97, 95% CI: 0.80, 1.19). In the stratified analyses on HNC subsites by tobacco packyears or years since quitting, no difference in the association between age at start and HNC risk was observed. Conclusions: Results from this pooled analysis suggest that increased HNC risks observed with earlier age at starting tobacco smoking are largely due to longer duration and higher cumulative tobacco exposures.
Published: 2019

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

Author: Di Credico, G., Edefonti, V., Polesel, J., Pauli, F., Torelli, N., Serraino, D., Negri, E., Luce, D., Stucker, I., Matsuo, K., Brennan, P., Vilensky, M., Fernandez, L., Curado, M. P., Menezes, A., Daudt, A. W., Koifman, R., Wunsch-Filho, V., Holcatova, I., Ahrens, W., Lagiou, Pagona, Simonato, L., Richiardi, L., Healy, C., Kjaerheim, K., Conway, D. I., Macfarlane, T. V., Thomson, P., Agudo, A., Znaor, A., Boaventura Rios, L. F., Toporcov, T. N., Franceschi, S., Herrero, R., Muscat, J., Olshan, A. F., Zevallos, J. P., La Vecchia, C., Winn, D. M., Sturgis, E. M., Li, G., Fabianova, E., Lissowska, J., Mates, D., Rudnai, P., Shangina, O., Swiatkowska, B., Moysich, K., Zhang, Z. -F., Morgenstern, H., Levi, F., Smith, E., Lazarus, P., Bosetti, C., Garavello, W., Kelsey, K., Mcclean, M., Ramroth, H., Chen, C., Schwartz, S. M., Vaughan, T. L., Zheng, T., Menvielle, G., Boccia, Stefania, Cadoni, Gabriella, Hayes, R. B., Purdue, M., Gillison, M., Schantz, S., Yu, G. -P., Brenner, H., D'Souza, G., Gross, N. D., Chuang, S. -C., Boffetta, Paolo, Hashibe, M., Lee, Y. -C. A., Dal Maso, L., Lagiou P., Boccia S. (ORCID:0000-0002-1864-749X), Cadoni G. (ORCID:0000-0001-8244-784X), Boffetta P., Di Credico, G., Edefonti, V., Polesel, J., Pauli, F., Torelli, N., Serraino, D., Negri, E., Luce, D., Stucker, I., Matsuo, K., Brennan, P., Vilensky, M., Fernandez, L., Curado, M. P., Menezes, A., Daudt, A. W., Koifman, R., Wunsch-Filho, V., Holcatova, I., Ahrens, W., Lagiou, Pagona, Simonato, L., Richiardi, L., Healy, C., Kjaerheim, K., Conway, D. I., Macfarlane, T. V., Thomson, P., Agudo, A., Znaor, A., Boaventura Rios, L. F., Toporcov, T. N., Franceschi, S., Herrero, R., Muscat, J., Olshan, A. F., Zevallos, J. P., La Vecchia, C., Winn, D. M., Sturgis, E. M., Li, G., Fabianova, E., Lissowska, J., Mates, D., Rudnai, P., Shangina, O., Swiatkowska, B., Moysich, K., Zhang, Z. -F., Morgenstern, H., Levi, F., Smith, E., Lazarus, P., Bosetti, C., Garavello, W., Kelsey, K., Mcclean, M., Ramroth, H., Chen, C., Schwartz, S. M., Vaughan, T. L., Zheng, T., Menvielle, G., Boccia, Stefania, Cadoni, Gabriella, Hayes, R. B., Purdue, M., Gillison, M., Schantz, S., Yu, G. -P., Brenner, H., D'Souza, G., Gross, N. D., Chuang, S. -C., Boffetta, Paolo, Hashibe, M., Lee, Y. -C. A., Dal Maso, L., Lagiou P., Boccia S. (ORCID:0000-0002-1864-749X), Cadoni G. (ORCID:0000-0001-8244-784X), and Boffetta P.
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.
Published: 2019

10. Letter to the editor

Author: Wyss, A. B., Hashibe, M., Lee, Y. -C. A., Chuang, S. -C., Muscat, J., Chen, C., Schwartz, S. M., Smith, E., Zhang, Z. -F., Morgenstern, H., Wei, Q., Li, G., Kelsey, K. T., Winn, D. M., Gillison, M. L., Zevallos, J. P., Boffetta, P., Olshan, A. F., and Wyss, A.B. and Hashibe, M. and Lee, Y.-C.A. and Chuang, S.-C. and Muscat, J. and Chen, C. and Schwartz, S.M. and Smith, E. and Zhang, Z.-F. and Morgenstern, H. and Wei, Q. and Li, G. and Kelsey, K.T. and Winn, D.M. and Gillison, M.L. and Zevallos, J.P. and Boffetta, P. and Olshan, A.F.
Subjects: tobacco snuff, Letter, sex difference, disease association, prevalence, head and neck cancer, human, smokeless tobacco, cancer risk, smoking, United States, cancer epidemiology
Abstract: No abstract
Published: 2017

11. Dietary fiber intake and head and neck cancer risk: A pooled analysis in the International Head and Neck Cancer Epidemiology consortium

Author: Kawakita, D., Lee, Y. -C. A., Turati, F., Parpinel, M., Decarli, A., Serraino, D., Matsuo, K., Olshan, A. F., Zevallos, J. P., Winn, D. M., Moysich, K., Zhang, Z. -F., Morgenstern, H., Levi, F., Kelsey, K., McClean, M., Bosetti, C., Garavello, W., Schantz, S., Yu, G. -P., Boffetta, P., Chuang, S. -C., Hashibe, M., Ferraroni, M., La Vecchia, C., Edefonti, V., Kawakita, D, Lee, Y, Turati, F, Parpinel, M, Decarli, A, Serraino, D, Matsuo, K, Olshan, A, Zevallos, J, Winn, D, Moysich, K, Zhang, Z, Morgenstern, H, Levi, F, Kelsey, K, Mcclean, M, Bosetti, C, Garavello, W, Schantz, S, Yu, G, Boffetta, P, Chuang, S, Hashibe, M, Ferraroni, M, La Vecchia, C, Edefonti, V, and Kawakita, D. and Lee, Y.-C.A. and Turati, F. and Parpinel, M. and Decarli, A. and Serraino, D. and Matsuo, K. and Olshan, A.F. and Zevallos, J.P. and Winn, D.M. and Moysich, K. and Zhang, Z.-F. and Morgenstern, H. and Levi, F. and Kelsey, K. and McClean, M. and Bosetti, C. and Garavello, W. and Schantz, S. and Yu, G.-P. and Boffetta, P. and Chuang, S.-C. and Hashibe, M. and Ferraroni, M. and La Vecchia, C. and Edefonti, V.
Subjects: squamous cell carcinoma, tobacco, Adult, Dietary Fiber, Male, Cancer Research, larynx tumor, epidemiological data, pharynx cancer, dietary fiber intake, cancer risk, Oral and gastrointestinal, tobacco consumption, INHANCE, head and neck cancer, laryngeal cancer, oral cavity and pharyngeal cancer, Risk Factors, Cancer, Head and Neck Neoplasm, drinking behavior, Middle Aged, priority journal, Oncology, Head and Neck Neoplasms, Adult, Aged, Alcohol Drinking, Carcinoma, Squamous Cell, Case-Control Studies, Female, Humans, Laryngeal Neoplasms, Pharyngeal Neoplasms, Tobacco, Case-Control Studie, Human, alcohol consumption, Oncology and Carcinogenesis, Article, Rare Diseases, adverse effect, controlled study, Pharyngeal Neoplasm, Oncology & Carcinogenesis, Dental/Oral and Craniofacial Disease, Laryngeal Neoplasm, Squamous Cell Carcinoma of Head and Neck, Risk Factor, Prevention, disease association, Carcinoma, larynx cancer, case control study, mouth cancer, major clinical study, Good Health and Well Being, diet therapy, Squamous Cell, therapeutic use, pathology, dietary intake, Digestive Diseases
Abstract: The possible role of dietary fiber in the etiology of head neck cancers (HNCs) is unclear. We used individual-level pooled data from ten case-control studies (5959 cases and 12,248 controls) participating in the International Head and Neck Cancer Epidemiology (INHANCE) consortium, to examine the association between fiber intake and cancer of the oral cavity/pharynx and larynx. Odds Ratios (ORs) and their 95% Confidence Intervals (CIs) were estimated using unconditional multiple logistic regression applied to quintile categories of non-alcohol energy-adjusted fiber intake and adjusted for tobacco and alcohol use and other known or putative confounders. Fiber intake was inversely associated with oral and pharyngeal cancer combined (OR for 5th vs. 1st quintile category = 0.49, 95% CI: 0.40–0.59; p for trend
Published: 2017

12. Dietary fiber intake and head and neck cancer risk: A pooled analysis in the International Head and Neck Cancer Epidemiology consortium

Author: Kawakita, D, Lee, Y, Turati, F, Parpinel, M, Decarli, A, Serraino, D, Matsuo, K, Olshan, A, Zevallos, J, Winn, D, Moysich, K, Zhang, Z, Morgenstern, H, Levi, F, Kelsey, K, Mcclean, M, Bosetti, C, Garavello, W, Schantz, S, Yu, G, Boffetta, P, Chuang, S, Hashibe, M, Ferraroni, M, La Vecchia, C, Edefonti, V, Kawakita D., Lee Y. -C. A., Turati F., Parpinel M., Decarli A., Serraino D., Matsuo K., Olshan A. F., Zevallos J. P., Winn D. M., Moysich K., Zhang Z. -F., Morgenstern H., Levi F., Kelsey K., McClean M., Bosetti C., Garavello W., Schantz S., Yu G. -P., Boffetta P., Chuang S. -C., Hashibe M., Ferraroni M., La Vecchia C., Edefonti V., Kawakita, D, Lee, Y, Turati, F, Parpinel, M, Decarli, A, Serraino, D, Matsuo, K, Olshan, A, Zevallos, J, Winn, D, Moysich, K, Zhang, Z, Morgenstern, H, Levi, F, Kelsey, K, Mcclean, M, Bosetti, C, Garavello, W, Schantz, S, Yu, G, Boffetta, P, Chuang, S, Hashibe, M, Ferraroni, M, La Vecchia, C, Edefonti, V, Kawakita D., Lee Y. -C. A., Turati F., Parpinel M., Decarli A., Serraino D., Matsuo K., Olshan A. F., Zevallos J. P., Winn D. M., Moysich K., Zhang Z. -F., Morgenstern H., Levi F., Kelsey K., McClean M., Bosetti C., Garavello W., Schantz S., Yu G. -P., Boffetta P., Chuang S. -C., Hashibe M., Ferraroni M., La Vecchia C., and Edefonti V.
Abstract: The possible role of dietary fiber in the etiology of head neck cancers (HNCs) is unclear. We used individual-level pooled data from ten case-control studies (5959 cases and 12,248 controls) participating in the International Head and Neck Cancer Epidemiology (INHANCE) consortium, to examine the association between fiber intake and cancer of the oral cavity/pharynx and larynx. Odds Ratios (ORs) and their 95% Confidence Intervals (CIs) were estimated using unconditional multiple logistic regression applied to quintile categories of non-alcohol energy-adjusted fiber intake and adjusted for tobacco and alcohol use and other known or putative confounders. Fiber intake was inversely associated with oral and pharyngeal cancer combined (OR for 5th vs. 1st quintile category = 0.49, 95% CI: 0.40–0.59; p for trend <0.001) and with laryngeal cancer (OR = 0.66, 95% CI: 0.54–0.82, p for trend <0.001). There was, however, appreciable heterogeneity of the estimated effect across studies for oral and pharyngeal cancer combined. Nonetheless, inverse associations were consistently observed for the subsites of oral and pharyngeal cancers and within most strata of the considered covariates, for both cancer sites. Our findings from a multicenter large-scale pooled analysis suggest that, although in the presence of between-study heterogeneity, a greater intake of fiber may lower HNC risk.
Published: 2017

13. Natural vitamin C intake and the risk of head and neck cancer: A pooled analysis in the International Head and Neck Cancer Epidemiology Consortium

Author: Edefonti, V., Hashibe, M., Parpinel, M., Turati, F., Serraino, D., Matsuo, K., Olshan, A. F., Zevallos, J. P., Winn, D. M., Moysich, K., Zhang, Z. -F., Morgenstern, H., Levi, F., Kelsey, K., McClean, M., Bosetti, C., Galeone, C., Schantz, S., Yu, G. -P., Boffetta, P., Amy Lee, Y. -C., Chuang, S. -C., La Vecchia, C., Decarli, A., Edefonti, V., Hashibe, M., Parpinel, M., Turati, F., Serraino, D., Matsuo, K., Olshan, A.F., Zevallos, J.P., Winn, D.M., Moysich, K., Zhang, Z.-F., Morgenstern, H., Levi, F., Kelsey, K., McClean, M., Bosetti, C., Galeone, C., Schantz, S., Yu, G.-P., Boffetta, P., Amy Lee, Y.-C., Chuang, S.-C., La Vecchia, C., and Decarli, A.
Subjects: INHANCE, Oncology and Carcinogenesis, INHANCE, head and neck cancer, laryngeal cancer, oral and pharyngeal cancer, vitamin C, vitamin C, Natural vitamin C - head and neck cancer, oral and pharyngeal cancer, Ascorbic Acid, Rare Diseases, Japan, Risk Factors, Surveys and Questionnaires, Humans, Oncology & Carcinogenesis, Dental/Oral and Craniofacial Disease, Nutrition, Cancer, Prevention, International Agencies, Vitamins, United States, Logistic Models, Good Health and Well Being, Italy, Head and Neck Neoplasms, Case-Control Studies, laryngeal cancer, head and neck cancer, Digestive Diseases, Switzerland
Abstract: Evidence of associations between single nutrients and head and neck cancer (HNC) is still more limited and less consistent than that for fruit and vegetables. However, clarification of the protective mechanisms of fruit and vegetables is important to our understanding of HNC etiology. We investigated the association between vitamin C intake from natural sources and cancer of the oral cavity/pharynx and larynx using individual-level pooled data from ten case-control studies (5,959 cases and 12,248 controls) participating in the International Head and Neck Cancer Epidemiology (INHANCE) consortium. After harmonization of study-specific exposure information via the residual method, adjusted odds ratios (ORs) and corresponding 95% confidence intervals (CIs) were estimated using unconditional multiple logistic regression models on quintile categories of 'non-alcohol energy-adjusted' vitamin C intake. In the presence of heterogeneity of the estimated ORs among studies, we derived those estimates from generalized linear mixed models. Higher intakes of vitamin C were inversely related to oral and pharyngeal (OR = 0.54, 95% CI: 0.45-0.65, for the fifth quintile category versus the first one, p for trend
Published: 2015

14. Gene-environment interactions in cancer epidemiology: A national cancer institute think tank report

Author: Hutter, C. M., Mechanic, L. E., Chatterjee, N., Kraft, P., Gillanders, E. M., Abnet, C. C., Amos, C., Balshaw, D., Bickeböller, H., Bierut, L. J., Boffetta, P., Bondy, M., Chanock, S., Chen, H. -S., Cox, N., Vivo, I. D., Divi, R., Dupuis, J., Ellison, G., Fallin, M. D., Gauderman, W. J., Gillanders, E., Haiman, C., Hutter, C., Simonds, N. I., Iversen, E., Khoury, M. J., Marchand, L. L., McAllister, K., Mechanic, L., Peters, U., Prentice, R., Rebbeck, T., Reedy, J., Rothman, N., Schully, S., Seminara, D., Shaughnessy, D., Shete, S., Spiegelman, D., Stram, D. O., BALDWIN, THOMAS DONALD, Wang, M., WANG, WENPING, WEINBERG, CAREN HELENE, Winn, D. M., Witte, J. S., Hutter, C.M., Mechanic, L.E., Chatterjee, N., Kraft, P., Gillanders, E.M., Abnet, C.C., Amos, C., Balshaw, D., Bickeböller, H., Bierut, L.J., Boffetta, P., Bondy, M., Chanock, S., Chen, H.-S., Cox, N., Vivo, I.D., Divi, R., Dupuis, J., Ellison, G., Fallin, M.D., Gauderman, W.J., Gillanders, E., Haiman, C., Hutter, C., Simonds, N.I., Iversen, E., Khoury, M.J., Marchand, L.L., McAllister, K., Mechanic, L., Peters, U., Prentice, R., Rebbeck, T., Reedy, J., Rothman, N., Schully, S., Seminara, D., Shaughnessy, D., Shete, S., Spiegelman, D., Stram, D.O., Thomas, D., Wang, M., Wang, W., Weinberg, C., Winn, D.M., and Witte, J.S.
Subjects: Gene-environment interactions, complex phenotypes, genetic epidemiology
Abstract: Cancer risk is determined by a complex interplay of genetic and environmental factors. Genome-wide association studies (GWAS) have identified hundreds of common (minor allele frequency [MAF] > 0.05) and less common (0.01 < MAF < 0.05) genetic variants associated with cancer. The marginal effects of most of these variants have been small (odds ratios: 1.1-1.4). There remain unanswered questions on how best to incorporate the joint effects of genes and environment, including gene-environment (G × E) interactions, into epidemiologic studies of cancer. To help address these questions, and to better inform research priorities and allocation of resources, the National Cancer Institute sponsored a "Gene-Environment Think Tank" on January 10-11, 2012. The objective of the Think Tank was to facilitate discussions on (1) the state of the science, (2) the goals of G × E interaction studies in cancer epidemiology, and (3) opportunities for developing novel study designs and analysis tools. This report summarizes the Think Tank discussion, with a focus on contemporary approaches to the analysis of G × E interactions. Selecting the appropriate methods requires first identifying the relevant scientific question and rationale, with an important distinction made between analyses aiming to characterize the joint effects of putative or established genetic and environmental factors and analyses aiming to discover novel risk factors or novel interaction effects. Other discussion items include measurement error, statistical power, significance, and replication. Additional designs, exposure assessments, and analytical approaches need to be considered as we move from the current small number of success stories to a fuller understanding of the interplay of genetic and environmental factors. © 2013 WILEY PERIODICALS, INC.
Published: 2013

15. Vitamin E intake from natural sources and head and neck cancer risk: a pooled analysis in the International Head and Neck Cancer Epidemiology consortium

Author: Edefonti, V, primary, Hashibe, M, additional, Parpinel, M, additional, Ferraroni, M, additional, Turati, F, additional, Serraino, D, additional, Matsuo, K, additional, Olshan, A F, additional, Zevallos, J P, additional, Winn, D M, additional, Moysich, K, additional, Zhang, Z-F, additional, Morgenstern, H, additional, Levi, F, additional, Kelsey, K, additional, McClean, M, additional, Bosetti, C, additional, Schantz, S, additional, Yu, G-P, additional, Boffetta, P, additional, Chuang, S-C, additional, A Lee, Y-C, additional, La Vecchia, C, additional, and Decarli, A, additional
Published: 2015
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16. Cessation of alcohol drinking, tobacco smoking and the reversal of head and neck cancer risk

Author: Wunsch-Filho, V., Szeszenia-Dabrowska, N., Fernandez, L., Koifman, S., Morgenstern, H., Zaridze, D., Sturgis, E. M, Menezes, A., Levi, F., Zhang, Z.-F., Franceschi, S., McClean, M., Talamini, R., Eluf-Neto, J., Smith, E., Lazarus, P., Schwartz, S. M, Muscat, J., Olshan, A. F, Boffetta, P., Purdue, M. P, Vecchia, C. L., Marron, M., Winn, D. M, Wei, Q., Hayes, R. B, Herrero, R., Matos, E., Rudnai, P., Kelsey, K., Lissowska, J., and Mates, I. N.
Abstract: Background Quitting tobacco or alcohol use has been reported to reduce the head and neck cancer risk in previous studies. However, it is unclear how many years must pass following cessation of these habits before the risk is reduced, and whether the risk ultimately declines to the level of never smokers or never drinkers.
Published: 2010
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17. Recommendations and proposed guidelines for assessing the cumulative evidence on joint effects of genes and environments on cancer occurrence in humans

Author: Boffetta, P., primary, Winn, D. M., additional, Ioannidis, J. P., additional, Thomas, D. C., additional, Little, J., additional, Smith, G. D., additional, Cogliano, V. J., additional, Hecht, S. S., additional, Seminara, D., additional, Vineis, P., additional, and Khoury, M. J., additional
Published: 2012
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18. Cessation of alcohol drinking, tobacco smoking and the reversal of head and neck cancer risk

Author: Marron, M., primary, Boffetta, P., additional, Zhang, Z.-F., additional, Zaridze, D., additional, Wunsch-Filho, V., additional, Winn, D. M, additional, Wei, Q., additional, Talamini, R., additional, Szeszenia-Dabrowska, N., additional, Sturgis, E. M, additional, Smith, E., additional, Schwartz, S. M, additional, Rudnai, P., additional, Purdue, M. P, additional, Olshan, A. F, additional, Eluf-Neto, J., additional, Muscat, J., additional, Morgenstern, H., additional, Menezes, A., additional, McClean, M., additional, Matos, E., additional, Mates, I. N., additional, Lissowska, J., additional, Levi, F., additional, Lazarus, P., additional, Vecchia, C. L., additional, Koifman, S., additional, Kelsey, K., additional, Herrero, R., additional, Hayes, R. B, additional, Franceschi, S., additional, Fernandez, L., additional, Fabianova, E., additional, Daudt, A. W, additional, Maso, L. D., additional, Curado, M. P., additional, Cadoni, G., additional, Chen, C., additional, Castellsague, X., additional, Boccia, S., additional, Benhamou, S., additional, Ferro, G., additional, Berthiller, J., additional, Brennan, P., additional, Moller, H., additional, and Hashibe, M., additional
Published: 2009
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19. Genome-Wide Association Studies, Field Synopses, and the Development of the Knowledge Base on Genetic Variation and Human Diseases

Author: Khoury, M. J., primary, Bertram, L., additional, Boffetta, P., additional, Butterworth, A. S., additional, Chanock, S. J., additional, Dolan, S. M., additional, Fortier, I., additional, Garcia-Closas, M., additional, Gwinn, M., additional, Higgins, J. P. T., additional, Janssens, A. C. J. W., additional, Ostell, J., additional, Owen, R. P., additional, Pagon, R. A., additional, Rebbeck, T. R., additional, Rothman, N., additional, Bernstein, J. L., additional, Burton, P. R., additional, Campbell, H., additional, Chockalingam, A., additional, Furberg, H., additional, Little, J., additional, O'Brien, T. R., additional, Seminara, D., additional, Vineis, P., additional, Winn, D. M., additional, Yu, W., additional, and Ioannidis, J. P. A., additional
Published: 2009
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20. Alcohol Drinking in Never Users of Tobacco, Cigarette Smoking in Never Drinkers, and the Risk of Head and Neck Cancer: Pooled Analysis in the International Head and Neck Cancer Epidemiology Consortium

Author: Hashibe, M., primary, Brennan, P., additional, Benhamou, S., additional, Castellsague, X., additional, Chen, C., additional, Curado, M. P., additional, Maso, L. D., additional, Daudt, A. W., additional, Fabianova, E., additional, Wunsch-Filho, V., additional, Franceschi, S., additional, Hayes, R. B., additional, Herrero, R., additional, Koifman, S., additional, La Vecchia, C., additional, Lazarus, P., additional, Levi, F., additional, Mates, D., additional, Matos, E., additional, Menezes, A., additional, Muscat, J., additional, Eluf-Neto, J., additional, Olshan, A. F., additional, Rudnai, P., additional, Schwartz, S. M., additional, Smith, E., additional, Sturgis, E. M., additional, Szeszenia-Dabrowska, N., additional, Talamini, R., additional, Wei, Q., additional, Winn, D. M., additional, Zaridze, D., additional, Zatonski, W., additional, Zhang, Z.-F., additional, Berthiller, J., additional, and Boffetta, P., additional
Published: 2007
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21. Self-Collection of Oral Epithelial Cell DNA under Instruction from Epidemiologic Interviewers

Author: Harty, L. C., primary, Shields, P. G., additional, Winn, D. M., additional, Caporaso, N. E., additional, and Hayes, R. B., additional
Published: 2000
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22. Marine Corps Reserves: An Operational Option for a Shrinking Armed Force

Author: NAVAL WAR COLL NEWPORT RI DEPT OF OPERATIONS, Winn, D. M., NAVAL WAR COLL NEWPORT RI DEPT OF OPERATIONS, and Winn, D. M.
Abstract: The Marine Corps Reserve can support active duty units, and will become increasingly critical to sustainability as the force structure declines. Reserve support is not currently a first choice for augmentation by operational commanders. However, as less active units are available, commanders will be forced to tap reserve personnel, especially in the service support communities. The Marine Corps Reserve possesses dynamic capability that should not be overlooked as a last resort measure. The strengths of the reserve include: trained, functional, combat power or sustainment support. Their acquired training, funding, planning and augmentation assets will become crucial for the operational tempo, as active forces shrink. The key limitation to the reserve is the legislated periods they can serve on active duty. This is a serious weakness, which must be neutralized by effective planning or coordination. Reserve units can be used as a base force for theater training operations, annual training augmentation, or mustered as initial volunteers to support the commander. Reserves can assist in bridging the gaps created by downsizing the active force Planning or this support must be integrated now.
Published: 1992

23. Response

Author: Harty, L. C., primary, Hayes, R. B., additional, Caporaso, N. E., additional, Shields, P. G., additional, and Winn, D. M., additional
Published: 1998
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24. Alcohol dehydrogenase 3 genotype and risk of oral cavity and pharyngeal cancers

Author: Harty, L. C., primary, Caporaso, N. E., additional, Hayes, R. B., additional, Winn, D. M., additional, Bravo-Otero, E., additional, Blot, W. J., additional, Kleinman, D. V., additional, Brown, L. M., additional, Armenian, H. K., additional, Fraumeni, J. F., additional, and Shields, P. G., additional
Published: 1997
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25. Racial Differences in Risk of Oral and Pharyngeal Cancer: Alcohol, Tobacco, and Other Determinants

Author: Day, G. L., primary, Blot, W. J., additional, Austin, D. F., additional, Bernstein, L., additional, Greenberg, R. S., additional, Preston-Martin, S., additional, Schoenberg, J. B., additional, Winn, D. M., additional, McLaughlin, J. K., additional, and Fraumeni, J. F., additional
Published: 1993
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26. Knowledge about AIDS and HIV in the US adult population: influence of the local incidence of AIDS.

Author: McCaig, L F, primary, Hardy, A M, additional, and Winn, D M, additional
Published: 1991
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27. Comorbidity and survival of elderly head and neck carcinoma patients.

Author: Reid, Britt C., Alberg, Anthony J., Klassen, Ann C., Samet, Jonathan M., Rozier, R. Gary, Garcia, Isabel, Winn, Deborah M., Reid, B C, Alberg, A J, Klassen, A C, Samet, J M, Rozier, R G, Garcia, I, and Winn, D M
Published: 2001
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28. Mouthwash in the etiology of oral cancer in Puerto Rico.

Author: Winn, Deborah, Diehl, Scott, Brown, Linda, Harty, Lea, Bravo-Otero, Eleuterio, Fraumeni, Joseph, Kleinman, Dushanka, Hayes, Richard, Winn, D M, Diehl, S R, Brown, L M, Harty, L C, Bravo-Otero, E, Fraumeni, J F Jr, Kleinman, D V, and Hayes, R B
Abstract: Objectives: To determine if the risk of cancers of the mouth and pharynx is associated with mouthwash use in Puerto Rico, an area of relatively high risk.Methods: Interviews were conducted with 342 cases of oral and pharyngeal cancer registered in Puerto Rico and diagnosed between 1992 and 1995 and with 521 population-based controls regarding mouthwash use and other factors. Mouthwash-related risks were estimated using unconditional logistic regression controlling for potential confounders.Results: The adjusted odds ratio associated with using mouthwash with an alcohol content of 25% or greater was 1.0. Risks were not higher with greater frequency, years of use, or lifetime mouthwash exposure. Among tobacco and alcohol abstainers the odds ratio associated with mouthwash use was 2.8 (CI = 0.8-9.9), in contrast to 0.8 (CI = 0.4-1.7) and 0.9 (CI = 0.6-1.3) among those with light and heavy cigarette smoking/alcohol drinking behaviors, respectively.Conclusions: There was no overall increased risk of oral cancer associated with mouthwash use. An elevated, but not statistically significant, risk was observed among the small number of subjects who neither smoked cigarettes nor drank alcohol, among whom an effect of alcohol-containing mouthwash would be most likely evident. Our findings indicate the need to clarify the mechanisms of oral carcinogenesis, including the possible role of alcohol-containing mouthwash. [ABSTRACT FROM AUTHOR]
Published: 2001
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29. Tobacco and alcohol use and oral cancer in Puerto Rico.

Author: Hayes, Richard, Bravo-Otero, Eleuterio, Kleinman, Dushanka, Brown, Linda, Fraumeni, Joseph, Harty, Lea, Winn, Deborah, Hayes, R B, Bravo-Otero, E, Kleinman, D V, Brown, L M, Fraumeni, J F Jr, Harty, L C, and Winn, D M
Abstract: Objectives: To determine risk for oral cancer in Puerto Rico associated with use of alcohol and tobacco.Methods: In Puerto Rico, alcohol and tobacco use were compared among nonsalivary gland cancers of the mouth and pharynx (n = 342), cancers of major and minor salivary glands (n = 25) and 521 population-based controls.Results: Alcohol (usual use, Ptrend < 0.0001 for men and Ptrend = 0.02 for women) and tobacco (usual use, Ptrend < 0.0001, for both men and women) were strong independent risk factors for oral cancer in Puerto Rico, with a multiplicative effect from combined exposures. Risks did not vary systematically by use of filter vs. nonfilter cigarettes. Risks with use of other forms of smoked tobacco were about sevenfold among both men and women. Risks decreased only gradually after cessation of tobacco and alcohol use. Tobacco use, but not alcohol, was linked to cancers of the salivary glands. The burden of oral cancer due to alcohol and tobacco use in Puerto Rico (76% for men, 52% for women) agreed closely with earlier estimates for the mainland US population, while about 72% of salivary gland cancer (men and women, combined) was due to tobacco use.Conclusions: Excess risks for oral cancer in Puerto Rico are largely explained by patterns of alcohol and tobacco use. Smoking filter vs. nonfilter cigarettes does not alter risk, while cessation of alcohol and tobacco use appears to reduce risk only gradually. [ABSTRACT FROM AUTHOR]
Published: 1999
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30. EPIDEMIOLOGY OF CANCER AND OTHER SYSTEMIC EFFECTS ASSOCIATED WITH THE USE OF SMOKELESS TOBACCO.

Author: WINN, D. M.
Subjects: SMOKELESS tobacco, MOUTH tumors, EPIDEMIOLOGY, NICOTINE, CANCER, ORAL cancer
Abstract: Persons who use chewing tobacco and snuff experience an increased risk of oral cancer. Because of the pharmacologic properties of nicotine and other constituents of smokeless tobacco, there is also concern that smokeless tobacco products may lead to cardiovascular diseases as well. The relatively few human population studies to date conflict with respect to whether smokeless tobacco use elevates cardiovascular risk factors or leads to cardiovascular disease or death from cardiovascular causes. Hemoglobin adducts to carcinogens present in smokeless tobacco products are measurable in the blood of smokeless tobacco users, indicating that smokeless-tobacco-related carcinogens circulate throughout the body. This prompts a concern that smokeless tobacco may increase risks of other cancers as well. The evidence to date from epidemiologic studies indicates no relationship between smokeless tobacco and bladder cancer, but there is suggestive evidence linking smokeless tobacco use to prostate cancer risk. Only single studies have been conducted of some cancers, and inconsistencies among studies of the same cancer site have been reported. Molecular epidemiologic studies may help identify markers of malignant transformation in smokeless tobacco users that may help in early intervention to prevent or ameliorate the consequences of oral cancer. Further studies are needed to determine more clearly the cardiovascular and non-oral cancer risks potentially associated with smokeless tobacco use. [ABSTRACT FROM AUTHOR]
Published: 1997
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31. Epidemiologic issues in the design and use of biologic specimen banks.

Author: WINN, DEBORAH M., REICHMAN, MARSHA E., GUNTER, ELAINE, Winn, D M, Reichman, M E, and Gunter, E
Subjects: COLLECTION & preservation of biological specimens, EPIDEMIOLOGY, INFORMED consent (Medical law), MEDICAL ethics, PRIVACY, RESEARCH, TISSUE banks
Published: 1990
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32. Smokeless tobacco and cancer: the epidemiologic evidence.

Author: Winn, Deborah M. and Winn, D M
Published: 1988
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33. Oral Mucosal Smokeless Tobacco Lesions among Adolescents in the United States.

Author: Tomar, S. L., Winn, D. M., Swango, P. A., Giovino, G. A., and Kleinman, D. V.
Subjects: SMOKELESS tobacco, TEENAGERS, PRECANCEROUS conditions, ORAL cancer risk factors, ADOLESCENT health, SNUFF, LEUKOPLAKIA, ORAL mucosa diseases
Abstract: The presence of oral smokeless tobacco lesions among adolescents may be an early indicator of increased risk for oral cancers. Data from the 1986-1987 National Survey of Oral Health in US School Children were used to examine the cross-sectional relationship between the use of tobacco and alcohol and the presence of white or whitish oral soft-tissue lesions. The sample included 17,027 schoolchildren (aged 12 to 17 years) who provided information on the use of snuff, chewing tobacco, cigarettes, and alcohol and who received oral clinical examinations. Smokeless tobacco lesions were detected in 1.5% of students (projects to about 300,000 nationally), including 2.9% of males and 0.1% of females. These lesions were more prevalent among whites (2.0%) than among African- Americans (0.2%) or Hispanics (0.8%). Modeling with multivariate logistic regression revealed that, among white males, current snuff use was the strongest correlate of lesions [odds ratio (OR) = 18.4; 95% confidence interval (CI) = 8.5- 39.8], followed by current chewing tobacco use [OR = 2.5; 95% CI = 1.3-5.0]. Lesions were strongly associated with duration, monthly frequency, and daily minutes of use of snuff and chewing tobacco. These data suggest that snuff may be a stronger risk factor than chewing tobacco for smokeless tobacco lesions, but the use of either of these forms of oral tobacco exhibits a dose-response relationship with the occurrence of lesions. We found little evidence that the use of alcohol or cigarettes may increase the risk of smokeless tobacco lesions. Preventing smokeless tobacco lesions and their possible malignant transformation may be best accomplished among adolescents by preventing the use of snuff and chewing tobacco. [ABSTRACT FROM AUTHOR]
Published: 1997
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34. A comparison of three comorbidity indexes in a head and neck cancer population

Author: Reid, B. C., Alberg, A. J., Klassen, A. C., Rozier, R. G., Garcia, I., Winn, D. M., and Samet, J. M.
Published: 2002
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35. Head and neck in situ carcinoma: incidence, trends, and survival

Author: Reid, B. C., Winn, D. M., Morse, D. E., and Pendrys, D. G.
Published: 2000
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36. A case-control study of cancers of the nasal cavity and paranasal sinuses.

Author: Brinton, L A, Blot, W J, Becker, J A, Winn, D M, Browder, J P, Farmer, J C, and Fraumeni, J F
Abstract: To examine occupation, smoking, and other risk factors for nasal cancer, a case-control study was conducted among 160 patients, who were admitted to four hospitals in North Carolina and Virginia between 1970 and 1980, and 290 controls. Employment in the furniture industry was not associated with squamous cell tumors, but such employment increased the risk of nasal adenocarcinoma by fivefold. In addition, approximately threefold excess risks of adenocarcinoma were observed for those employed in other industries involving possible exposure to wood dust. Elevated risks among males were also associated with occupational exposures to chromates (relative risk (RR) = 5.1) and chemicals (RR = 2.7). Among females, an excess risk was associated with employment in the textile industry, particularly for jobs involving dust exposure (RR = 2.3). Although there was no evidence that alcohol consumption affected risk, heavy cigarette smokers were at a two- to threefold excess risk (predominantly for squamous cell tumors); in addition, there was evidence that there was an elevated risk associated with the use of snuff. Elevated risks were also associated with histories of nasal polyps (RR = 8.3), recurrent nose bleeds (RR = 2.0), and sinus trouble (RR = 2.7). These findings provide leads for further studies, and underscore the importance of distinguishing between histologic types.
Published: 1984
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37. Decreased helper T lymphocytes in homosexual men. I. Sexual contact in high-incidence areas for the acquired immunodeficiency syndrome.

Author: Goedert, J J, Biggar, R J, Winn, D M, Mann, D L, Byar, D P, Strong, D M, DiGioia, R A, Grossman, R J, Sanchez, W C, and Kase, R G
Abstract: In June 1982, sexual and other behavioral patterns were examined in 245 homosexual men in relationship to T-lymphocyte phenotypes that are characteristic of the acquired immunodeficiency syndrome (AIDS). Mean helper T-cell counts in New York City (579 +/- 32 cells/mm3) and Washington, DC, homosexual men with sexual contacts in areas at high risk (endemic) for AIDS (567 +/- 24 cells/mm3) were significantly lower than in Washington, DC, residents without such contacts (672 +/- 36 cells/mm3, p = 0.04 by analysis of variance). Helper T-cell counts in the Washington men were inversely correlated with a greater number of endemic-area homosexual contacts (p = 0.005), even after adjustment for multiple confounding variables (p = 0.02). The 31 Washington men with more than 15 endemic-area partners had a mean helper T-cell count of 517 +/- 44 cells/mm3, and 12 of those 31 men had helper T-cell counts less than 400 cells/mm3. AIDS patients are known to have a marked reduction in the number and function of helper T-lymphocytes. The data suggest that deficits of helper T lymphocytes can be acquired by homosexual contact with men in cities where AIDS is common. This supports the hypotheses that low helper T-cell counts may be caused by a sexually transmissible agent and that frequent homosexual exposure to residents of high-risk areas for AIDS may be an important means of spread of this agent.
Published: 1985
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38. Decreased helper T lymphocytes in homosexual men. II. Sexual practices.

Author: Goedert, J J, Biggar, R J, Winn, D M, Mann, D L, Byar, D P, Strong, D M, DiGioia, R A, Grossman, R J, Sanchez, W C, and Kase, R G
Abstract: In June 1982, the sexual practices of 245 homosexual male outpatients of private physicians were evaluated in relationship to decreased numbers of helper T lymphocytes, an abnormality that is characteristic of the acquired immunodeficiency syndrome (AIDS). Three risk groups were defined a priori--85 high-risk men from central Manhattan ("New York"), 96 intermediate-risk men from Washington, DC, with AIDS-area homosexual contacts ("Washington-exposed"), and 64 low-risk Washington, DC, men without such contacts ("Washington-unexposed"). An increasing number of homosexual partners was correlated with decreasing helper T-cell counts (R = -0.29, p = 0.009) and decreasing helper:suppressor T-cell ratios (R = -0.32, p = 0.005) in the entire study group combined and in New York subjects separately. Suppressor T-cell counts were unrelated to the number of partners in all three groups. Increasingly frequent receptive anal intercourse correlated with decreasing helper T-cell counts most clearly in the New York City group (R = -0.23, p = 0.04), somewhat less so in the Washington-exposed group (R = -0.18, p = 0.07), and not at all in the Washington-unexposed group (R = -0.09, p = 0.48). This association persisted in the New York and Washington-exposed groups after adjusting for seven other sexual practices, the number of homosexual partners, and five other potentially confounding variables. A transmissible agent associated with receptive anal intercourse best explains these data. The cause of these low helper T-cell counts may also be the cause of AIDS.
Published: 1985
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39. Vitamin E intake from natural sources and head and neck cancer risk: a pooled analysis in the International Head and Neck Cancer Epidemiology consortium

Author: Decarli, A., La Vecchia, C., Ferraroni, M., Kelsey, K., Edefonti, V., Yu, G. P., Olshan, A. F., Parpinel, M., McClean, M., Moysich, K., Levi, F., Serraino, D., Morgenstern, H., Matsuo, K., A Lee, Y. C., Zhang, Z. F., Boffetta, P., Hashibe, M., Schantz, S., Turati, F., Chuang, S. C., Zevallos, J. P., Winn, D. M., and Bosetti, C.
Subjects: 3. Good health
Abstract: BACKGROUND: Evidence for the possible effect of vitamin E on head and neck cancers (HNCs) is limited. METHODS: We used individual-level pooled data from 10 case-control studies (5959 cases and 12 248 controls) participating in the International Head and Neck Cancer Epidemiology (INHANCE) consortium to assess the association between vitamin E intake from natural sources and cancer of the oral cavity/pharynx and larynx. Adjusted odds ratios (ORs) and 95% confidence intervals (CIs) were estimated using unconditional logistic regression models applied to quintile categories of non-alcohol energy-adjusted vitamin E intake. RESULTS: Intake of vitamin E was inversely related to oral/pharyngeal cancer (OR for the fifth vs the first quintile category=0.59, 95% CI: 0.49-0.71; P for trend

40. Characterization of a distinct nuclear acidic protein antigen (MA) and clinical findings in systemic lupus erythematosus patients with MA antibodies.

Author: Winn, D M, primary, Wolfe, J F, additional, Harmon, D, additional, and Sharp, G C, additional
Published: 1979
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41. Dietary Factors in Oral and Pharyngeal Cancer

Author: McLaughlin, J. K., primary, Gridley, G., additional, Block, G., additional, Winn, D. M., additional, Preston-Martin, S., additional, Schoenberg, J. B., additional, Greenberg, R. S., additional, Stemhagen, A., additional, Austin, D. F., additional, Ershow, A. G., additional, Blot, W. J., additional, and Fraumeni, J. F., additional
Published: 1988
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42. The role of oral hygiene in head and neck cancer: results from International Head and Neck Cancer Epidemiology (INHANCE) consortium.

Author: Hashim, D., Sartori, S., Brennan, P., Curado, M. P., Wünsch-Filho, V., Divaris, K., Olshan, A. F., Zevallos, J. P., Winn, D. M., Franceschi, S., Castellsagué, X., Lissowska, J., Rudnai, P., Matsuo, K., Morgenstern, H., Chen, C., Vaughan, T. L., Hofmann, J. N., D'Souza, G., and Haddad, R. I.
Subjects: *HEAD & neck cancer treatment, *ORAL hygiene, *GINGIVAL diseases, *PHYSIOLOGICAL effects of tobacco, *REGRESSION analysis, *PREVENTION
Abstract: Background: Poor oral hygiene has been proposed to contribute to head and neck cancer (HNC) risk, although causality and independency of some indicators are uncertain. This study investigates the relationship of five oral hygiene indicators with incident HNCs. Methods: In a pooled analysis of 8925 HNC cases and 12 527 controls from 13 studies participating in the International Head and Neck Cancer Epidemiology Consortium, comparable data on good oral hygiene indicators were harmonized. These included: no denture wear, no gum disease (or bleeding), <5 missing teeth, tooth brushing at least daily, and visiting a dentist ≥once a year. Logistic regression was used to estimate the effects of each oral hygiene indicator and cumulative score on HNC risk, adjusting for tobacco smoking and alcohol consumption. Results: Inverse associations with any HNC, in the hypothesized direction, were observed for <5 missing teeth [odds ratio (OR) = 0.78; 95% confidence interval (CI) 0.74, 0.82], annual dentist visit (OR = 0.82; 95% CI 0.78, 0.87), daily tooth brushing (OR = 0.83, 95% CI 0.79, 0.88), and no gum disease (OR = 0.94; 95% CI 0.89, 0.99), and no association was observed for wearing dentures. These associations were relatively consistent across specific cancer sites, especially for tooth brushing and dentist visits. The population attributable fraction for ≤ 2 out of 5 good oral hygiene indicators was 8.9% (95% CI 3.3%, 14%) for oral cavity cancer. Conclusion: Good oral hygiene, as characterized by few missing teeth, annual dentist visits, and daily tooth brushing, may modestly reduce the risk of HNC. [ABSTRACT FROM AUTHOR]
Published: 2016
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43. Associations between serum antibody levels to periodontal pathogens and early-onset periodontitis.

Author: Albandar JM, DeNardin AM, Adesanya MR, Diehl SR, and Winn DM
Subjects: Adolescent, Adult, Aggregatibacter actinomycetemcomitans immunology, Aggressive Periodontitis immunology, Analysis of Variance, Black People, Campylobacter immunology, Case-Control Studies, Eikenella corrodens immunology, Enzyme-Linked Immunosorbent Assay, Female, Follow-Up Studies, Fusobacterium nucleatum immunology, Humans, Immunoglobulin A blood, Immunoglobulin G blood, Immunoglobulin M blood, Linear Models, Male, Periodontal Attachment Loss immunology, Periodontal Attachment Loss microbiology, Porphyromonas gingivalis immunology, Prevotella intermedia immunology, Black or African American, Aggressive Periodontitis microbiology, Antibodies, Bacterial blood, Gram-Negative Bacteria immunology
Abstract: Background: The role of antibodies to periodontal microorganisms in the development of periodontal tissue destruction is still unclear. The aim of this study was to investigate the association between serum levels of IgG, IgA, and IgM antibodies to 6 periodontal microorganisms and clinical subtypes of varying severity of early-onset periodontitis (EOP) in young African American adults., Methods: The study group consisted of 159 African Americans aged 19 to 25 years (mean 22 years) and included 97 cases with EOP and 62 controls with no clinical signs of EOP. These subjects were selected from a nationally representative sample of adolescents who received an oral examination as part of the National Survey of Oral Health of United States Children in 1986-1987. The group was examined clinically a second time 6 years later and blood samples were collected. Serum levels of IgG, IgA, and IgM reactive to Actinobacillus actinomycetemcomitans, Porphyromonas gingivalis, Prevotella intermedia, Campylobacter rectus, Eikenella corrodens, and Fusobacterium nucleatum were assessed., Results: Serum levels of IgG and IgA antibody reactive to P. gingivalis and A. actinomycetemcomitans and IgA antibody to P. intermedia were significantly higher in generalized EOP cases compared to healthy controls. IgM antibody levels did not show any significant associations with EOP for any of the 6 bacterial species tested. There were no significant differences in antibody levels between controls and the 13 subjects in our study who were classified with localized EOP., Conclusions: The findings suggest that antibodies to P. gingivalis, P. intermedia, and A. actinomycetemcomitans may play a significant role in the pathogenesis of EOP. Substantial longitudinal studies that monitor antibody levels and avidity prior to disease onset, during progression, and following clinical intervention will be necessary to fully understand the role of this component of the immune response in protection versus tissue destruction and the potential use in EOP risk assessment and disease management.
Published: 2001
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44. Family cancer history and susceptibility to oral carcinoma in Puerto Rico.

Author: Brown LM, Gridley G, Diehl SR, Winn DM, Harty LC, Otero EB, Fraumeni JF Jr, and Hayes RB
Subjects: Adult, Aged, Alcohol Drinking, Case-Control Studies, Diet, Female, Genetic Predisposition to Disease, Humans, Logistic Models, Male, Middle Aged, Mouth Neoplasms epidemiology, Pharyngeal Neoplasms epidemiology, Pharyngeal Neoplasms genetics, Puerto Rico epidemiology, Risk Factors, Smoking, Mouth Neoplasms genetics
Abstract: Background: Use of alcohol and tobacco are the major risk factors for cancers of the oral cavity and pharynx in most of the world. A heritable component to oral carcinoma risk also has been suggested, although only limited data are available on familial aggregation of this disease., Methods: A population-based case-control study of 342 subjects with carcinomas of the oral cavity and pharynx (oral carcinoma) and 521 controls was conducted in Puerto Rico. The relation between family history of carcinomas of the oral cavity, the upper aerodigestive tract (UADT), and other selected sites with risk of oral carcinoma was explored using logistic regression modeling techniques., Results: Risk of oral carcinoma was elevated for subjects reporting a first-degree relative with carcinoma of the oral cavity (odds ratio [OR], 2.5; 95% confidence interval [CI], 0.8-8.0) or any UADT carcinoma (OR, 2.6; 95% CI, 1.4-4.8). The increased risk associated with family history of UADT carcinoma tended to be greatest for subjects with known risk factors (i.e., heavy consumption of alcohol and/or tobacco and infrequent intake of raw fruits and vegetables) and with oral carcinoma diagnoses at ages younger than 65 years., Conclusions: These findings are consistent with a heritable component to oral carcinoma, although shared lifestyle risk factors may be partially involved., (Copyright 2001 American Cancer Society.)
Published: 2001
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45. Tobacco use and oral disease.

Author: Winn DM
Subjects: Dental Caries etiology, Female, Humans, Leukoplakia, Oral etiology, Male, Mouth Mucosa pathology, Mouth Neoplasms etiology, Periodontal Diseases etiology, Stomatitis, Aphthous etiology, Tobacco, Smokeless adverse effects, Mouth Diseases etiology, Plants, Toxic, Smoking adverse effects, Nicotiana adverse effects
Abstract: Tobacco use is a risk factor for oral cancer, oral mucosal lesions, periodontal disease and impaired healing after periodontal treatment, gingival recession, and coronal and root caries. Available evidence suggests that the risks of oral diseases increase with greater use of tobacco and that quitting smoking can result in decreased risk. The magnitude of the effect of tobacco on the occurrence of oral diseases is high, with users having many times the risk of non-users. There is a clear benefit to quitting tobacco use. The risks of oral cancer and periodontal disease decline as time from cessation increases, and some oral mucosal lesions may resolve with cessation of smokeless tobacco use. Smoking accounts for half of periodontal disease and three-fourths of oral cancers in the United States. Because tobacco accounts for such a high proportion of these diseases, comprehensive tobacco control policies are required to make progress in reducing the burden of tobacco-related oral diseases. Effective treatments to prevent tobacco use and increase cessation are available and need greater implementation. Dental practices may provide a uniquely effective setting for tobacco prevention and cessation.
Published: 2001

46. Cigar, pipe, and cigarette smoking as risk factors for periodontal disease and tooth loss.

Author: Albandar JM, Streckfus CF, Adesanya MR, and Winn DM
Subjects: Adult, Age Factors, Aged, Aged, 80 and over, Baltimore epidemiology, Black People, Dental Calculus epidemiology, Female, Gingival Hemorrhage epidemiology, Gingival Recession epidemiology, Humans, Interviews as Topic, Longitudinal Studies, Male, Middle Aged, Multivariate Analysis, Periodontal Attachment Loss epidemiology, Periodontal Index, Periodontitis epidemiology, Prevalence, Regression Analysis, Risk Factors, Sex Factors, Smoking Cessation statistics & numerical data, White People, Black or African American, Periodontal Diseases epidemiology, Smoking epidemiology, Tooth Loss epidemiology
Abstract: Background: Our purpose was to test the hypotheses that cigar and pipe smoking have significant associations with periodontal disease and cigar, pipe, and cigarette smoking is associated with tooth loss. We also investigated whether a history of smoking habits cessation may affect the risk of periodontal disease and tooth loss., Methods: A group of 705 individuals (21 to 92 years-old) who were among volunteer participants in the ongoing Baltimore Longitudinal Study of Aging were examined clinically to assess their periodontal status and tooth loss. A structured interview was used to assess the participants' smoking behaviors with regard to cigarettes, cigar, and pipe smoking status. For a given tobacco product, current smokers were defined as individuals who at the time of examination continued to smoke daily. Former heavy smokers were defined as individuals who have smoked daily for 10 or more years and who had quit smoking. Non-smokers included individuals with a previous history of smoking for less than 10 years or no history of smoking., Results: Cigarette and cigar/pipe smokers had a higher prevalence of moderate and severe periodontitis and higher prevalence and extent of attachment loss and gingival recession than non-smokers, suggesting poorer periodontal health in smokers. In addition, smokers had less gingival bleeding and higher number of missing teeth than non-smokers. Current cigarette smokers had the highest prevalence of moderate and severe periodontitis (25.7%) compared to former cigarette smokers (20.2%), and non-smokers (13.1%). The estimated prevalence of moderate and severe periodontitis in current or former cigar/pipe smokers was 17.6%. A similar pattern was seen for other periodontal measurements including the percentages of teeth with > or = 5 mm attachment loss and probing depth, > or = 3 mm gingival recession, and dental calculus. Current, former, and non- cigarette smokers had 5.1, 3.9, and 2.8 missing teeth, respectively. Cigar/pipe smokers had on average 4 missing teeth. Multiple regression analysis also showed that current tobacco smokers may have increased risks of having moderate and severe periodontitis than former smokers. However, smoking behaviors explained only small percentages (<5%) of the variances in the multivariate models., Conclusion: The results suggest that cigar and pipe smoking may have similar adverse effects on periodontal health and tooth loss as cigarette smoking. Smoking cessation efforts should be considered as a means of improving periodontal health and reducing tooth loss in heavy smokers of cigarettes, cigars, and pipes with periodontal disease.
Published: 2000
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47. Motherhood during the teen years: a developmental perspective on risk factors for childbearing.

Author: Miller-Johnson S, Winn DM, Coie J, Maumary-Gremaud A, Hyman C, Terry R, and Lochman J
Subjects: Adolescent, Black or African American psychology, Aggression psychology, Child, Cohort Studies, Depression psychology, Family Relations, Female, Humans, Infant, Newborn, Longitudinal Studies, Peer Group, Personality Assessment, Pregnancy, Prospective Studies, Risk Factors, Mothers psychology, Personality Development, Pregnancy in Adolescence psychology
Abstract: The role of peer relations in childhood and behavioral and family characteristics in early adolescence as risk factors for adolescent childbearing was investigated. Sociometric surveys across third, fourth, and fifth grade and parent and child measures of behavioral and family functioning at sixth and eighth grade were collected in a lower income, urban sample of 308 African American females. Results replicated earlier findings on the role of childhood aggression as a predictor of teen motherhood. In addition, girls who displayed stable patterns of childhood aggression were at significantly higher risk not only to have children as teenagers but to have more children and to have children at younger ages. Results also indicated that females who were depressed in midadolescence were at greater risk to become parents between age 15 and 19 years. These findings demonstrate the need to take a differentiated approach to understanding teen childbearing and varying developmental pathways in the prediction of teen motherhood.
Published: 1999
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48. Chewing tobacco use and dental caries among U.S. men.

Author: Tomar SL and Winn DM
Subjects: Adolescent, Adult, Aged, Confidence Intervals, DMF Index, Demography, Dental Caries epidemiology, Health Surveys, Humans, Logistic Models, Male, Middle Aged, Odds Ratio, Root Caries epidemiology, Root Caries etiology, United States epidemiology, Dental Caries etiology, Plants, Toxic, Tobacco, Smokeless adverse effects
Abstract: Background: Chewing tobacco has high levels of sugars and may be cariogenic, but few studies have investigated such an association. This study examined the relationship between chewing tobacco use and dental caries among U.S. adult men., Methods: Participants in the Third National Health and Nutrition Examination Survey conducted from 1988 to 1994 were interviewed about tobacco use and examined by dentists. The authors included in their analysis dentate men 18 years of age or older. They calculated the mean number of decayed or filled permanent teeth, or DFT, and decayed or filled coronal tooth surfaces, or DFS, as well as the mean number and percentage of decayed or filled root surfaces, or RDFS, and decayed root surfaces, or RDS, by tobacco-use status. They used multiple logistic regression to examine the association between chewing tobacco use and root-surface caries., Results: Men who currently used only chewing tobacco had a higher adjusted mean number of DFT than did those who currently used only snuff, only cigarettes or more than one form of tobacco or who never used tobacco. Mean DFS also was higher among chewing tobacco users than among those who used only snuff, only cigarettes or more than one form of tobacco. Chewing tobacco users had a higher mean RDFS and RDS than did the users of other forms of tobacco or nonusers. Current users of chewing tobacco were more than four times as likely as those who never used tobacco to have one or more RDFS or RDS, with a dose-response relationship between number of packages used per week and odds of having root-surface caries., Conclusions: In addition to its established role as a carcinogen, chewing tobacco may be a risk factor in the development of root-surface caries and, to a lesser extent, coronal caries. This may be due to high sugar content, increased gingival recession and enhanced collagenase activity., Clinical Implications: Interventions by dentists and other members of the oral health care team to prevent tobacco use and help users quit can reduce the risk of developing oral and systemic disease.
Published: 1999
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49. Periodontal disease estimates in NHANES III: clinical measurement and complex sample design issues.

Author: Winn DM, Johnson CL, and Kingman A
Subjects: Bias, Dentists, Gingivitis epidemiology, Humans, Observer Variation, Periodontal Pocket epidemiology, Prevalence, Random Allocation, Research Design, Selection Bias, United States epidemiology, Health Surveys, Periodontal Diseases epidemiology
Abstract: Objective: This paper evaluates the possibility that examiner bias or other factors contributed to an observed decline in pocket depth and gingivitis between the two three-year sequential periods of time (or phases) covered by the Third National Health and Nutrition Examination Survey (NHANES III)., Methods: Prevalences of periodontal conditions were analyzed using data from two sets of repeat oral health examinations by examining dentists of NHANES III sample persons. The first set includes sample persons who were examined twice by the same examining dentist at an interval of one to six weeks. The second set includes sample persons who were assessed on the same day by both an examining dentist and a reference dentist. Other possible sources of error also were evaluated., Results: Overall kappa statistics measuring agreement between or within dental examiners were within the range observed for other periodontal disease surveys. While differences were found among dentists in the prevalence of pocket depth of 4 mm or more, for each group of sample persons assessed by a reference examiner-examining dentist pair, the reference examiner's periodontal measurements closely corresponded to measurements made by the examining dentists., Conclusions: Differences between dental examiners in prevalences of periodontal conditions may be due in part to the fact that examinees were not randomly assigned to examiners. As a result, the sample persons examined by each dentist may not have been alike in characteristics thought to affect periodontal disease status. These findings suggest that the observed declines in periodontal health status between phases is not due to examiner bias. This unexplained decline may be the result of sampling variation. It is recommended that combined six-year survey results be presented whenever possible.
Published: 1999
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50. Reducing the burden of oral and pharyngeal cancers.

Author: Winn DM, Sandberg AL, Horowitz AM, Diehl SR, Gutkind S, and Kleinman DV
Subjects: Computer Communication Networks, Dentists, Government Agencies, Humans, Interprofessional Relations, Mouth Neoplasms epidemiology, Pharyngeal Neoplasms epidemiology, Research Personnel, United States epidemiology, Mouth Neoplasms prevention & control, Pharyngeal Neoplasms prevention & control
Abstract: In the United States, oral and pharyngeal cancers continue to result in significant morbidity and mortality. Dental professionals play a pivotal role in all facets of controlling the burden of oral and pharyngeal cancer-from efforts to prevent its occurrence, to ensuring that oral cancers are detected at the earliest possible stage, to treating these cancers, and to ensuring maximum quality of life and function for oral and pharyngeal cancer survivors. Individually and by making linkages within the community and beyond, dentists can help patients modify their risk of these cancers and can take steps to screen for them, thereby potentially improving survival and function of those who develop oral cancer. Creative partnerships between community dentists and academic and other research centers will help move knowledge of the biological processes involved in carcinogenesis and innovations in treatment into clinical practice. Partnerships between dental and medical professionals may also help efforts to reduce the morbidity related to oral and pharyngeal cancers. Local, state and national multidisciplinary initiatives are emerging that focus more broadly on risk factor control or oral and pharyngeal cancer issues. These many forms of cooperative approaches offer excellent opportunities to make a significant impact on reducing the incidence of and in treating these debilitating and disfiguring malignancies.
Published: 1998

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