TY - JOUR
T1 - History of diabetes and risk of head and neck cancer
T2 - A pooled analysis from the international head and neck cancer epidemiology consortium
AU - Stott-Miller, Marni
AU - Chen, Chu
AU - Chuang, Shu Chun
AU - Lee, Yuan Chin Amy
AU - Boccia, Stefania
AU - Brenner, Hermann
AU - Cadoni, Gabriela
AU - Dal Maso, Luigino
AU - La Vecchia, Carlo
AU - Lazarus, Philip
AU - Levi, Fabio
AU - Matsuo, Keitaro
AU - Morgenstern, Hal
AU - Müller, Heiko
AU - Muscat, Joshua
AU - Olshan, Andrew F.
AU - Purdue, Mark P.
AU - Serraino, Diego
AU - Vaughan, Thomas L.
AU - Zhang, Zuo Feng
AU - Boffetta, Paolo
AU - Hashibe, Mia
AU - Schwartz, Stephen M.
PY - 2012/2
Y1 - 2012/2
N2 - Background: A history of diabetes is associated with an increased risk of several types of cancers. Whether diabetes is a risk factor for head and neck cancer (HNC) has received little attention. Methods: We pooled data from 12 case-control studies including 6,448 cases and 13,747 controls, and estimatedORand 95%CI for the associations between diabetes andHNC,adjusted for age, education level, sex, race/ethnicity, study center, cigarette smoking, alcohol use, and body mass index. Results: We observed a weak association between diabetes and the incidence ofHNCoverall (OR, 1.09; 95% CI: 0.95-1.24). However, we observed a modest association among never smokers (OR, 1.59; 95% CI: 1.22-2.07), and no association among ever smokers (OR, 0.96; 95% CI: 0.83-1.11); likelihood ratio test for interaction P = 0.001. Conclusion: A history of diabetes was weakly associated with HNC overall, but we observed evidence of effect modification by smoking status, with a positive association among those who never smoked cigarettes. Impact: This study suggests that glucose metabolism abnormalities may be a HNC risk factor in subgroups of the population. Prospective studies incorporating biomarkers are needed to improve our understanding of the relationship between diabetes and HNC risk, possibly providing new strategies in the prevention of HNC.
AB - Background: A history of diabetes is associated with an increased risk of several types of cancers. Whether diabetes is a risk factor for head and neck cancer (HNC) has received little attention. Methods: We pooled data from 12 case-control studies including 6,448 cases and 13,747 controls, and estimatedORand 95%CI for the associations between diabetes andHNC,adjusted for age, education level, sex, race/ethnicity, study center, cigarette smoking, alcohol use, and body mass index. Results: We observed a weak association between diabetes and the incidence ofHNCoverall (OR, 1.09; 95% CI: 0.95-1.24). However, we observed a modest association among never smokers (OR, 1.59; 95% CI: 1.22-2.07), and no association among ever smokers (OR, 0.96; 95% CI: 0.83-1.11); likelihood ratio test for interaction P = 0.001. Conclusion: A history of diabetes was weakly associated with HNC overall, but we observed evidence of effect modification by smoking status, with a positive association among those who never smoked cigarettes. Impact: This study suggests that glucose metabolism abnormalities may be a HNC risk factor in subgroups of the population. Prospective studies incorporating biomarkers are needed to improve our understanding of the relationship between diabetes and HNC risk, possibly providing new strategies in the prevention of HNC.
UR - https://www.scopus.com/pages/publications/84863116769
U2 - 10.1158/1055-9965.EPI-11-0590
DO - 10.1158/1055-9965.EPI-11-0590
M3 - Article
C2 - 22144496
AN - SCOPUS:84863116769
SN - 1055-9965
VL - 21
SP - 294
EP - 304
JO - Cancer Epidemiology Biomarkers and Prevention
JF - Cancer Epidemiology Biomarkers and Prevention
IS - 2
ER -