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Time characteristics of the effect of alcohol cessation on the risk of stomach cancer a meta-analysis

Jarl, Johan LU orcid ; Heckley, Gawain LU orcid ; Brummer, Julie and Gerdtham, Ulf LU orcid (2013) In BMC Public Health 13.
Abstract
Background: In the Bagnardi et al. (2001) meta-analysis, it was found that alcohol consumption increases the risk of stomach cancer (OR = 1.32 for heavy drinkers). However, it is unknown if drinking cessation reverses this alcohol-elevated risk. Methods: A systematic literature review was performed to provide the information for a meta-analysis where the dose-risk trend was estimated for years since drinking cessation and the risk of stomach cancer. A random effect generalised least squares model for trend estimation was used, employing study characteristics to control for heterogeneity. Results: Nineteen observational studies were identified in the literature review, of which five studies quantified duration of cessation and risk of... (More)
Background: In the Bagnardi et al. (2001) meta-analysis, it was found that alcohol consumption increases the risk of stomach cancer (OR = 1.32 for heavy drinkers). However, it is unknown if drinking cessation reverses this alcohol-elevated risk. Methods: A systematic literature review was performed to provide the information for a meta-analysis where the dose-risk trend was estimated for years since drinking cessation and the risk of stomach cancer. A random effect generalised least squares model for trend estimation was used, employing study characteristics to control for heterogeneity. Results: Nineteen observational studies were identified in the literature review, of which five studies quantified duration of cessation and risk of stomach cancer, giving a total of 1947 cancer cases. No significant effect of drinking cessation on the risk of stomach cancer could be found (OR = 0.99 CI: 0.97-1.02). Conclusions: This result should be interpreted with caution due to the limited number of studies in this area. Recent findings suggest a link between heavy drinking and stomach cancer, especially gastric noncardia, but not for moderate drinking. Since all but one of the included studies in this meta-analysis failed to control for consumption level, the current study could not test if the risk decline following drinking cessation differs between moderate and high consumers. (Less)
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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Alcohol cessation, Stomach cancer, Meta-analysis
in
BMC Public Health
volume
13
article number
600
publisher
BioMed Central (BMC)
external identifiers
  • wos:000321044200001
  • scopus:84879080250
ISSN
1471-2458
DOI
10.1186/1471-2458-13-600
language
English
LU publication?
yes
id
d2521de9-655f-467e-97f9-768a9f4ae17d (old id 3980153)
date added to LUP
2016-04-01 13:37:38
date last changed
2024-01-09 16:18:44
@article{d2521de9-655f-467e-97f9-768a9f4ae17d,
  abstract     = {{Background: In the Bagnardi et al. (2001) meta-analysis, it was found that alcohol consumption increases the risk of stomach cancer (OR = 1.32 for heavy drinkers). However, it is unknown if drinking cessation reverses this alcohol-elevated risk. Methods: A systematic literature review was performed to provide the information for a meta-analysis where the dose-risk trend was estimated for years since drinking cessation and the risk of stomach cancer. A random effect generalised least squares model for trend estimation was used, employing study characteristics to control for heterogeneity. Results: Nineteen observational studies were identified in the literature review, of which five studies quantified duration of cessation and risk of stomach cancer, giving a total of 1947 cancer cases. No significant effect of drinking cessation on the risk of stomach cancer could be found (OR = 0.99 CI: 0.97-1.02). Conclusions: This result should be interpreted with caution due to the limited number of studies in this area. Recent findings suggest a link between heavy drinking and stomach cancer, especially gastric noncardia, but not for moderate drinking. Since all but one of the included studies in this meta-analysis failed to control for consumption level, the current study could not test if the risk decline following drinking cessation differs between moderate and high consumers.}},
  author       = {{Jarl, Johan and Heckley, Gawain and Brummer, Julie and Gerdtham, Ulf}},
  issn         = {{1471-2458}},
  keywords     = {{Alcohol cessation; Stomach cancer; Meta-analysis}},
  language     = {{eng}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{BMC Public Health}},
  title        = {{Time characteristics of the effect of alcohol cessation on the risk of stomach cancer a meta-analysis}},
  url          = {{https://lup.lub.lu.se/search/files/3484860/4362370.pdf}},
  doi          = {{10.1186/1471-2458-13-600}},
  volume       = {{13}},
  year         = {{2013}},
}