Allergies and the Risk of Pancreatic Cancer: A Meta-analysis with Review of Epidemiology and Biological Mechanisms

Previous reports suggest that allergic disorders may protect against various types of cancer, but the association between history of allergy and pancreatic cancer risk has not been well studied. We did a systematic review and meta-analysis of published studies to evaluate the association of any type...

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Veröffentlicht in:Cancer epidemiology, biomarkers & prevention biomarkers & prevention, 2005-08, Vol.14 (8), p.1908-1916
Hauptverfasser: GANDINI, Sara, LOWENFELS, Albert B, JAFFEE, Elizabeth M, ARMSTRONG, Todd D, MAISONNEUVE, Patrick
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container_end_page 1916
container_issue 8
container_start_page 1908
container_title Cancer epidemiology, biomarkers & prevention
container_volume 14
creator GANDINI, Sara
LOWENFELS, Albert B
JAFFEE, Elizabeth M
ARMSTRONG, Todd D
MAISONNEUVE, Patrick
description Previous reports suggest that allergic disorders may protect against various types of cancer, but the association between history of allergy and pancreatic cancer risk has not been well studied. We did a systematic review and meta-analysis of published studies to evaluate the association of any type, and specific types, of allergy and the risk of pancreatic cancer. We did a comprehensive literature search using MEDLINE, PUBMED, and the ISI Web of Science databases to identify potential relevant case-control and cohort studies. Pooled relative risks (RR) and 95% confidence intervals (95% CI) were calculated using the fixed- and random-effects model. Fourteen population-based studies (4 cohort and 10 case-control studies) with a total of 3,040 pancreatic cancer cases fulfilled our inclusion criteria. A history of allergy was associated with a reduced risk of pancreatic cancer (RR, 0.82; 95% CI, 0.68-0.99). The risk reduction was stronger for allergies related to atopy (RR, 0.71; 95% CI, 0.64-0.80), but not for asthma (RR, 1.01; 95% CI, 0.77-1.31). There was no association between allergies related to food or drugs and pancreatic cancer (RR, 1.08; 95% CI, 0.74-1.58). Overall, there was no evidence of publication bias. Allergies, in particular those related to atopy, seem to be associated with a decreased risk of pancreatic cancer. The hyperactive immune system of allergic individuals may, therefore, in some way lead to increased surveillance and protect against pancreatic cancer development.
doi_str_mv 10.1158/1055-9965.EPI-05-0119
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We did a systematic review and meta-analysis of published studies to evaluate the association of any type, and specific types, of allergy and the risk of pancreatic cancer. We did a comprehensive literature search using MEDLINE, PUBMED, and the ISI Web of Science databases to identify potential relevant case-control and cohort studies. Pooled relative risks (RR) and 95% confidence intervals (95% CI) were calculated using the fixed- and random-effects model. Fourteen population-based studies (4 cohort and 10 case-control studies) with a total of 3,040 pancreatic cancer cases fulfilled our inclusion criteria. A history of allergy was associated with a reduced risk of pancreatic cancer (RR, 0.82; 95% CI, 0.68-0.99). The risk reduction was stronger for allergies related to atopy (RR, 0.71; 95% CI, 0.64-0.80), but not for asthma (RR, 1.01; 95% CI, 0.77-1.31). There was no association between allergies related to food or drugs and pancreatic cancer (RR, 1.08; 95% CI, 0.74-1.58). 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Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Hypersensitivity - complications</topic><topic>Hypersensitivity - immunology</topic><topic>immunosurveillance</topic><topic>Liver. Biliary tract. Portal circulation. Exocrine pancreas</topic><topic>Male</topic><topic>Medical sciences</topic><topic>meta-analysis</topic><topic>Pancreas cancer</topic><topic>Pancreatic Neoplasms - etiology</topic><topic>Pancreatic Neoplasms - immunology</topic><topic>Risk</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>GANDINI, Sara</creatorcontrib><creatorcontrib>LOWENFELS, Albert B</creatorcontrib><creatorcontrib>JAFFEE, Elizabeth M</creatorcontrib><creatorcontrib>ARMSTRONG, Todd D</creatorcontrib><creatorcontrib>MAISONNEUVE, Patrick</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Cancer epidemiology, biomarkers &amp; prevention</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>GANDINI, Sara</au><au>LOWENFELS, Albert B</au><au>JAFFEE, Elizabeth M</au><au>ARMSTRONG, Todd D</au><au>MAISONNEUVE, Patrick</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Allergies and the Risk of Pancreatic Cancer: A Meta-analysis with Review of Epidemiology and Biological Mechanisms</atitle><jtitle>Cancer epidemiology, biomarkers &amp; prevention</jtitle><addtitle>Cancer Epidemiol Biomarkers Prev</addtitle><date>2005-08-01</date><risdate>2005</risdate><volume>14</volume><issue>8</issue><spage>1908</spage><epage>1916</epage><pages>1908-1916</pages><issn>1055-9965</issn><eissn>1538-7755</eissn><abstract>Previous reports suggest that allergic disorders may protect against various types of cancer, but the association between history of allergy and pancreatic cancer risk has not been well studied. 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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; American Association for Cancer Research
subjects allergy
atopy
Biological and medical sciences
Female
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Hypersensitivity - complications
Hypersensitivity - immunology
immunosurveillance
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Male
Medical sciences
meta-analysis
Pancreas cancer
Pancreatic Neoplasms - etiology
Pancreatic Neoplasms - immunology
Risk
Tumors
title Allergies and the Risk of Pancreatic Cancer: A Meta-analysis with Review of Epidemiology and Biological Mechanisms
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