Do smoking and alcohol behaviours influence GI cancer survival?
Little is known about the role of alcohol and smoking in GI cancer survival compared to GI cancer development. We systematically reviewed the evidence for a role of smoking and alcohol in prognosis among GI cancer patients and inform whether smoking or alcohol cessation interventions or guidelines f...
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| Veröffentlicht in: | Baillière's best practice & research. Clinical gastroenterology 2017-10, Vol.31 (5), p.569-577 |
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| container_title | Baillière's best practice & research. Clinical gastroenterology |
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| creator | McMenamin, Úna C. McCain, Stephen Kunzmann, Andrew T. |
| description | Little is known about the role of alcohol and smoking in GI cancer survival compared to GI cancer development. We systematically reviewed the evidence for a role of smoking and alcohol in prognosis among GI cancer patients and inform whether smoking or alcohol cessation interventions or guidelines for GI cancer patients are likely to improve prognosis. A total of 84 relevant studies were identified. Continued smokers, particularly heavy smokers, had worse prognosis than never smokers in most GI cancers. However, more evidence is needed to establish the likely impact of smoking cessation interventions amongst GI cancer patients. Heavy alcohol drinkers had worse prognosis in oesophageal squamous cell carcinoma and hepatocellular carcinoma patients. Light alcohol consumption was not associated with worse prognosis from any GI cancer, though further studies are needed. UK guidelines for the general population recommending under 14 units (∼7 drinks) per week may be sufficient for GI cancer patients, until further evidence is available. |
| doi_str_mv | 10.1016/j.bpg.2017.09.015 |
| format | Article |
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We systematically reviewed the evidence for a role of smoking and alcohol in prognosis among GI cancer patients and inform whether smoking or alcohol cessation interventions or guidelines for GI cancer patients are likely to improve prognosis. A total of 84 relevant studies were identified. Continued smokers, particularly heavy smokers, had worse prognosis than never smokers in most GI cancers. However, more evidence is needed to establish the likely impact of smoking cessation interventions amongst GI cancer patients. Heavy alcohol drinkers had worse prognosis in oesophageal squamous cell carcinoma and hepatocellular carcinoma patients. Light alcohol consumption was not associated with worse prognosis from any GI cancer, though further studies are needed. 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Clinical gastroenterology</title><addtitle>Best Pract Res Clin Gastroenterol</addtitle><description>Little is known about the role of alcohol and smoking in GI cancer survival compared to GI cancer development. We systematically reviewed the evidence for a role of smoking and alcohol in prognosis among GI cancer patients and inform whether smoking or alcohol cessation interventions or guidelines for GI cancer patients are likely to improve prognosis. A total of 84 relevant studies were identified. Continued smokers, particularly heavy smokers, had worse prognosis than never smokers in most GI cancers. However, more evidence is needed to establish the likely impact of smoking cessation interventions amongst GI cancer patients. Heavy alcohol drinkers had worse prognosis in oesophageal squamous cell carcinoma and hepatocellular carcinoma patients. Light alcohol consumption was not associated with worse prognosis from any GI cancer, though further studies are needed. UK guidelines for the general population recommending under 14 units (∼7 drinks) per week may be sufficient for GI cancer patients, until further evidence is available.</description><subject>Alcohol</subject><subject>Alcohol Drinking - adverse effects</subject><subject>Behavior</subject><subject>Cancer</subject><subject>Colorectal cancer</subject><subject>Female</subject><subject>Gastrointestinal cancer</subject><subject>Gastrointestinal Neoplasms - etiology</subject><subject>Gastrointestinal Neoplasms - mortality</subject><subject>Gastrointestinal Neoplasms - pathology</subject><subject>Health risk assessment</subject><subject>Humans</subject><subject>Influence</subject><subject>Lifestyles</subject><subject>Liver cancer</subject><subject>Male</subject><subject>Medical prognosis</subject><subject>Medical research</subject><subject>Obesity</subject><subject>Pancreatic cancer</subject><subject>Prognosis</subject><subject>Risk Factors</subject><subject>Smoking</subject><subject>Smoking - adverse effects</subject><subject>Smoking cessation</subject><subject>Studies</subject><subject>Survival</subject><subject>Survival Analysis</subject><issn>1521-6918</issn><issn>1532-1916</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kLtOxDAQRS0E4v0BNCgSDU2Cx_EjFgVCvCUkGqgt23HASzZe7M1K_D2OFigoqGaKc69mDkJHgCvAwM9mlVm8VgSDqLCsMLANtAusJiVI4JvTTqDkEpodtJfSDOMcknIb7RAJknEhdtHFdSjSPLz74bXQQ1vo3oa30BfGvemVD2NMhR-6fnSDdcXdQ2F1XmKRxrjyK91fHKCtTvfJHX7PffRye_N8dV8-Pt09XF0-lpYSuixZYykWnBHJbQfUNgbLznRaMGlMbaAhDXQUrOwopdpgVtct05QIwbkkDav30em6dxHDx-jSUs19sq7v9eDCmBRIkX9jgkBGT_6gs_zHkK-bqBow41RmCtaUjSGl6Dq1iH6u46cCrCa7aqayXTXZVViqbDdnjr-bRzN37W_iR2cGzteAyypW3kWVrJ_UtT46u1Rt8P_UfwHkU4e5</recordid><startdate>201710</startdate><enddate>201710</enddate><creator>McMenamin, Úna C.</creator><creator>McCain, Stephen</creator><creator>Kunzmann, Andrew T.</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201710</creationdate><title>Do smoking and alcohol behaviours influence GI cancer survival?</title><author>McMenamin, Úna C. ; McCain, Stephen ; Kunzmann, Andrew T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c424t-58c40765296cf14c8b09fbfa759bb3b18281f41c9f444ab0533d5a42776692853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Alcohol</topic><topic>Alcohol Drinking - adverse effects</topic><topic>Behavior</topic><topic>Cancer</topic><topic>Colorectal cancer</topic><topic>Female</topic><topic>Gastrointestinal cancer</topic><topic>Gastrointestinal Neoplasms - etiology</topic><topic>Gastrointestinal Neoplasms - mortality</topic><topic>Gastrointestinal Neoplasms - pathology</topic><topic>Health risk assessment</topic><topic>Humans</topic><topic>Influence</topic><topic>Lifestyles</topic><topic>Liver cancer</topic><topic>Male</topic><topic>Medical prognosis</topic><topic>Medical research</topic><topic>Obesity</topic><topic>Pancreatic cancer</topic><topic>Prognosis</topic><topic>Risk Factors</topic><topic>Smoking</topic><topic>Smoking - adverse effects</topic><topic>Smoking cessation</topic><topic>Studies</topic><topic>Survival</topic><topic>Survival Analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>McMenamin, Úna C.</creatorcontrib><creatorcontrib>McCain, Stephen</creatorcontrib><creatorcontrib>Kunzmann, Andrew T.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Baillière's best practice & research. 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| fulltext | fulltext |
| identifier | ISSN: 1521-6918 |
| ispartof | Baillière's best practice & research. Clinical gastroenterology, 2017-10, Vol.31 (5), p.569-577 |
| issn | 1521-6918 1532-1916 |
| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Alcohol Alcohol Drinking - adverse effects Behavior Cancer Colorectal cancer Female Gastrointestinal cancer Gastrointestinal Neoplasms - etiology Gastrointestinal Neoplasms - mortality Gastrointestinal Neoplasms - pathology Health risk assessment Humans Influence Lifestyles Liver cancer Male Medical prognosis Medical research Obesity Pancreatic cancer Prognosis Risk Factors Smoking Smoking - adverse effects Smoking cessation Studies Survival Survival Analysis |
| title | Do smoking and alcohol behaviours influence GI cancer survival? |
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