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  1. Article ; Online: Evaluation of the updated SOCcer v2 algorithm for coding free-text job descriptions in three epidemiologic studies.

    Russ, Daniel E / Josse, Pabitra / Remen, Thomas / Hofmann, Jonathan N / Purdue, Mark P / Siemiatycki, Jack / Silverman, Debra T / Zhang, Yawei / Lavoué, Jerome / Friesen, Melissa C

    Annals of work exposures and health

    2023  Volume 67, Issue 6, Page(s) 772–783

    Abstract: Objectives: Computer-assisted coding of job descriptions to standardized occupational classification codes facilitates evaluating occupational risk factors in epidemiologic studies by reducing the number of jobs needing expert coding. We evaluated the ... ...

    Abstract Objectives: Computer-assisted coding of job descriptions to standardized occupational classification codes facilitates evaluating occupational risk factors in epidemiologic studies by reducing the number of jobs needing expert coding. We evaluated the performance of the 2nd version of SOCcer, a computerized algorithm designed to code free-text job descriptions to US SOC-2010 system based on free-text job titles and work tasks, to evaluate its accuracy.
    Methods: SOCcer v2 was updated by expanding the training data to include jobs from several epidemiologic studies and revising the algorithm to account for nonlinearity and incorporate interactions. We evaluated the agreement between codes assigned by experts and the highest scoring code (a measure of confidence in the algorithm-predicted assignment) from SOCcer v1 and v2 in 14,714 jobs from three epidemiology studies. We also linked exposure estimates for 258 agents in the job-exposure matrix CANJEM to the expert and SOCcer v2-assigned codes and compared those estimates using kappa and intraclass correlation coefficients. Analyses were stratified by SOCcer score, score distance between the top two scoring codes from SOCcer, and features from CANJEM.
    Results: SOCcer's v2 agreement at the 6-digit level was 50%, compared to 44% in v1, and was similar for the three studies (38%-45%). Overall agreement for v2 at the 2-, 3-, and 5-digit was 73%, 63%, and 56%, respectively. For v2, median ICCs for the probability and intensity metrics were 0.67 (IQR 0.59-0.74) and 0.56 (IQR 0.50-0.60), respectively. The agreement between the expert and SOCcer assigned codes linearly increased with SOCcer score. The agreement also improved when the top two scoring codes had larger differences in score.
    Conclusions: Overall agreement with SOCcer v2 applied to job descriptions from North American epidemiologic studies was similar to the agreement usually observed between two experts. SOCcer's score predicted agreement with experts and can be used to prioritize jobs for expert review.
    MeSH term(s) Humans ; Job Description ; Soccer ; Occupational Exposure/analysis ; Epidemiologic Studies ; Algorithms
    Language English
    Publishing date 2023-04-18
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Intramural
    ZDB-ID 2885096-8
    ISSN 2398-7316 ; 2398-7308
    ISSN (online) 2398-7316
    ISSN 2398-7308
    DOI 10.1093/annweh/wxad020
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Intake of Energy Drinks Before and During Pregnancy and Adverse Pregnancy Outcomes.

    Ding, Ming / Markon, Andre O / Jones-Dominic, Olivia E / Purdue-Smithe, Alexandra C / Rich-Edwards, Janet W / Wolpert, Beverly J / Chavarro, Jorge E

    JAMA network open

    2023  Volume 6, Issue 11, Page(s) e2344023

    Abstract: ... interaction was found between age and energy drink intake in relation to hypertensive disorders (P = .02 ... for interaction for gestational hypertension; P = .04 for interaction for any hypertensive disorders ...

    Abstract Importance: Consumption of energy drinks has increased drastically in recent years, particularly among young people. It is unknown whether intake of energy drinks is associated with health during pregnancy.
    Objective: To examine associations of energy drink intake before and during pregnancy with risk of adverse pregnancy outcomes (APOs).
    Design, setting, and participants: This prospective cohort study included data from women enrolled in the Nurses' Health Study 3 (NHS3) between June 1, 2010, and September 27, 2021, and the Growing Up Today Study (GUTS) who reported 1 or more singleton pregnancy from January 1, 2011, to June 1, 2019. Data were analyzed from October 1, 2021, to September 28, 2023.
    Exposure: Intake of energy drinks, assessed by food frequency questionnaire.
    Main outcomes and measures: The main outcomes were self-reported APOs, including pregnancy loss, gestational diabetes, gestational hypertension, preeclampsia, or preterm birth, and a composite APO, defined as development of any of the APOs. Risk of APOs was compared between consumers and nonconsumers of energy drinks.
    Results: This study included 7304 pregnancies in 4736 participants with information on prepregnancy energy drink intake and 4559 pregnancies in 4559 participants with information on energy drink intake during pregnancy. There were 1691 GUTS participants (mean [SD] age, 25.7 [2.9] years) and 3045 NHS3 participants (mean [SD] age, 30.2 [4.1] years). At baseline, 230 GUTS participants (14%) and 283 NHS3 participants (9%) reported any intake of energy drinks. While no associations were found for pregnancy loss (odds ratio [OR], 0.89; 95% CI, 0.71-1.11), preterm birth (OR, 1.07; 95% CI, 0.71-1.61), gestational diabetes (OR, 0.89; 95% CI, 0.58-1.35), preeclampsia (OR, 0.73; 95% CI, 0.41-1.30), or the composite APO (OR, 1.05; 95% CI, 0.87-1.26), prepregnancy energy drink use was associated with a higher risk of gestational hypertension (OR, 1.60; 95% CI, 1.12-2.29). A significant interaction was found between age and energy drink intake in relation to hypertensive disorders (P = .02 for interaction for gestational hypertension; P = .04 for interaction for any hypertensive disorders), with stronger associations for participants above the median age. No associations of energy drink intake during pregnancy with any of the APOs were found in NHS3 (eg, any APO: OR, 0.86; 95% CI, 0.41-1.79).
    Conclusions and relevance: In this study, energy drink intake before pregnancy was associated with an elevated risk of gestational hypertension. Given the low prevalence of energy drink intake and low consumption levels among users, the results should be interpreted cautiously.
    MeSH term(s) Infant, Newborn ; Pregnancy ; Female ; Humans ; Adolescent ; Adult ; Pregnancy Outcome/epidemiology ; Hypertension, Pregnancy-Induced/epidemiology ; Hypertension, Pregnancy-Induced/etiology ; Energy Drinks/adverse effects ; Premature Birth/epidemiology ; Pre-Eclampsia/epidemiology ; Pre-Eclampsia/etiology ; Diabetes, Gestational/epidemiology ; Prospective Studies ; Abortion, Spontaneous
    Language English
    Publishing date 2023-11-01
    Publishing country United States
    Document type Journal Article
    ISSN 2574-3805
    ISSN (online) 2574-3805
    DOI 10.1001/jamanetworkopen.2023.44023
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Coffee consumption and risk of renal cell carcinoma in the NIH-AARP Diet and Health Study.

    Rhee, Jongeun / Loftfield, Erikka / Freedman, Neal D / Liao, Linda M / Sinha, Rashmi / Purdue, Mark P

    International journal of epidemiology

    2021  Volume 50, Issue 5, Page(s) 1473–1481

    Abstract: Background: Coffee consumption has been associated with a reduced risk of some cancers, but the evidence for renal cell carcinoma (RCC) is inconclusive. We investigated the relationship between coffee and RCC within a large cohort.: Methods: Coffee ... ...

    Abstract Background: Coffee consumption has been associated with a reduced risk of some cancers, but the evidence for renal cell carcinoma (RCC) is inconclusive. We investigated the relationship between coffee and RCC within a large cohort.
    Methods: Coffee intake was assessed at baseline in the National Institutes of Health-American Association of Retired Persons Diet and Health Study. Among 420 118 participants eligible for analysis, 2674 incident cases were identified. We fitted Cox-regression models to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) for coffee consumption vs non-drinkers.
    Results: We observed HRs of 0.94 (95% CI 0.81, 1.09), 0.94 (0.81, 1.09), 0.80 (0.70, 0.92) and 0.77 (0.66, 0.90) for usual coffee intake of <1, 1, 2-3 and ≥4 cups/day, respectively (Ptrend = 0.00003). This relationship was observed among never-smokers (≥4 cups/day: HR 0.62, 95% CI 0.46, 0.83; Ptrend = 0.000003) but not ever-smokers (HR 0.85, 95% CI 0.70, 1.05; Ptrend = 0.35; Pinteraction = 0.0009) and remained in analyses restricted to cases diagnosed >10 years after baseline (HR 0.65, 95% CI 0.51, 0.82; Ptrend = 0.0005). Associations were similar between subgroups who drank predominately caffeinated or decaffeinated coffee (Pinteraction = 0.74).
    Conclusion: In this investigation of coffee and RCC, to our knowledge the largest to date, we observed a 20% reduced risk for intake of ≥2 cups/day vs not drinking. Our findings add RCC to the growing list of cancers for which coffee consumption may be protective.
    MeSH term(s) Caffeine ; Carcinoma, Renal Cell/epidemiology ; Coffee ; Diet ; Humans ; Kidney Neoplasms/epidemiology ; National Institutes of Health (U.S.) ; Prospective Studies ; Risk Factors ; United States/epidemiology
    Chemical Substances Coffee ; Caffeine (3G6A5W338E)
    Language English
    Publishing date 2021-02-23
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Intramural
    ZDB-ID 187909-1
    ISSN 1464-3685 ; 0300-5771
    ISSN (online) 1464-3685
    ISSN 0300-5771
    DOI 10.1093/ije/dyab011
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The association between anthropometric factors and anti-Müllerian hormone levels in premenopausal women.

    Grimes, Nydjie P / Whitcomb, Brian W / Reeves, Katherine W / Sievert, Lynnette L / Purdue-Smithe, Alexandra / Manson, JoAnn E / Hankinson, Susan E / Rosner, Bernard A / Bertone-Johnson, Elizabeth R

    Women & health

    2022  Volume 62, Issue 7, Page(s) 580–592

    Abstract: Adiposity has been associated with several health conditions as well as timing of menopause. Prior epidemiologic studies on the association of adiposity and anti-Müllerian hormone (AMH) have been inconsistent. We evaluated the relations of anthropometric ...

    Abstract Adiposity has been associated with several health conditions as well as timing of menopause. Prior epidemiologic studies on the association of adiposity and anti-Müllerian hormone (AMH) have been inconsistent. We evaluated the relations of anthropometric measures with AMH at two time periods in a subset of premenopausal participants in the Nurses' Health Study II. This prospective study included 795 women who provided a premenopausal sample in 1996-1999 and in 2010-2012. Current weight and height, and weight at age 18 were assessed in 1989 and weight again in 1996-1999. Waist and hip circumference were measured and reported in 1993. In linear regression models adjusted for smoking, reproductive events, and other factors, AMH was inversely related to BMI at age 18 (
    MeSH term(s) Adolescent ; Adult ; Anti-Mullerian Hormone ; Female ; Humans ; Menopause ; Obesity/complications ; Premenopause ; Prospective Studies ; Weight Gain
    Chemical Substances Anti-Mullerian Hormone (80497-65-0)
    Language English
    Publishing date 2022-07-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 603396-9
    ISSN 1541-0331 ; 0363-0242
    ISSN (online) 1541-0331
    ISSN 0363-0242
    DOI 10.1080/03630242.2022.2096747
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  5. Article ; Online: A metabolomic investigation of serum perfluorooctane sulfonate and perfluorooctanoate.

    Rhee, Jongeun / Loftfield, Erikka / Albanes, Demetrius / Layne, Tracy M / Stolzenberg-Solomon, Rachael / Liao, Linda M / Playdon, Mary C / Berndt, Sonja I / Sampson, Joshua N / Freedman, Neal D / Moore, Steven C / Purdue, Mark P

    Environment international

    2023  Volume 180, Page(s) 108198

    Abstract: Background: Exposures to perfluorooctane sulfonate (PFOS) and perfluorooctanoate (PFOA), environmentally persistent chemicals detectable in the blood of most Americans, have been associated with several health outcomes. To offer insight into their ... ...

    Abstract Background: Exposures to perfluorooctane sulfonate (PFOS) and perfluorooctanoate (PFOA), environmentally persistent chemicals detectable in the blood of most Americans, have been associated with several health outcomes. To offer insight into their possible biologic effects, we evaluated the metabolomic correlates of circulating PFOS and PFOA among 3,647 participants in eight nested case-control serum metabolomic profiling studies from the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial.
    Methods: Metabolomic profiling was conducted by Metabolon Inc., using ultra high-performance liquid chromatography/tandem accurate mass spectrometry. We conducted study-specific multivariable linear regression analyses estimating the associations of metabolite levels with levels of PFOS or PFOA. For metabolites measured in at least 3 of 8 nested case-control studies, random effects meta-analysis was used to summarize study-specific results (1,038 metabolites in PFOS analyses and 1,100 in PFOA analyses).
    Results: The meta-analysis identified 51 and 38 metabolites associated with PFOS and PFOA, respectively, at a Bonferroni-corrected significance level (4.8x10
    Conclusions: In this large metabolomic study, we observed robust positive associations with PFOS for several molecules. Further investigation of these metabolites may offer insight into PFOS-related biologic effects.
    Language English
    Publishing date 2023-09-09
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 554791-x
    ISSN 1873-6750 ; 0160-4120
    ISSN (online) 1873-6750
    ISSN 0160-4120
    DOI 10.1016/j.envint.2023.108198
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  6. Article ; Online: Elevated dietary carbohydrate and glycemic intake associate with an altered oral microbial ecosystem in two large U.S. cohorts.

    Monson, Kelsey R / Peters, Brandilyn A / Usyk, Mykhaylo / Um, Caroline Y / Oberstein, Paul E / McCullough, Marjorie L / Purdue, Mark P / Freedman, Neal D / Hayes, Richard B / Ahn, Jiyoung

    Cancer research communications

    2022  Volume 2, Issue 12, Page(s) 1558–1568

    Abstract: ... alcohol). A q-value (FDR-adjusted P-value) of <0.05 was considered significant. Oral bacterial α-diversity ... richness and Shannon diversity (p-trend=0.06 and 0.07). Greater carbohydrate intake was associated ...

    Abstract The human oral microbiome is associated with chronic diseases including cancer. However, our understanding of its relationship with diet is limited. We assessed the associations between carbohydrate and glycemic index (GI) with oral microbiome composition in 834 non-diabetic subjects from the NCI-PLCO and ACS-CPSII cohorts. The oral microbiome was characterized using 16Sv3-4 rRNA-sequencing from oral mouthwash samples. Daily carbohydrate and GI were assessed from food frequency questionnaires. We used linear regression, permutational MANOVA, and negative binomial Generalized Linear Models (GLM) to test associations of diet with α- and β-diversity and taxon abundance (adjusting for age, sex, cohort, BMI, smoking, caloric intake, and alcohol). A q-value (FDR-adjusted P-value) of <0.05 was considered significant. Oral bacterial α-diversity trended higher in participants in the highest quintiles of carbohydrate intake, with marginally increased richness and Shannon diversity (p-trend=0.06 and 0.07). Greater carbohydrate intake was associated with greater abundance of class Fusobacteriia (q=0.02) and genus
    MeSH term(s) Dietary Carbohydrates/adverse effects ; Glycemic Index ; Gastrointestinal Microbiome ; Mouth/microbiology ; Cohort Studies ; United States ; Glycemic Load ; Leptotrichia/classification ; Leptotrichia/isolation & purification ; Diet, Carbohydrate Loading/adverse effects ; Surveys and Questionnaires ; Actinomyces/classification ; Actinomyces/isolation & purification ; Gemella/classification ; Gemella/isolation & purification ; Neoplasms/epidemiology ; Neoplasms/microbiology ; Humans ; Male ; Female ; Middle Aged ; Aged
    Chemical Substances Dietary Carbohydrates
    Language English
    Publishing date 2022-12-05
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, N.I.H., Intramural
    ISSN 2767-9764
    ISSN (online) 2767-9764
    DOI 10.1158/2767-9764.crc-22-0323
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  7. Article ; Online: End-stage renal disease incidence in a cohort of US firefighters from San Francisco, Chicago, and Philadelphia.

    Pinkerton, Lynne E / Bertke, Stephen / Dahm, Matthew M / Kubale, Travis L / Siegel, Miriam R / Hales, Thomas R / Yiin, James H / Purdue, Mark P / Beaumont, James J / Daniels, Robert D

    American journal of industrial medicine

    2022  Volume 65, Issue 12, Page(s) 975–984

    Abstract: Background: Firefighters perform strenuous work in hot environments, which may increase their risk of chronic kidney disease. The purpose of this study was to evaluate the risk of end-stage renal disease (ESRD) and types of ESRD among a cohort of US ... ...

    Abstract Background: Firefighters perform strenuous work in hot environments, which may increase their risk of chronic kidney disease. The purpose of this study was to evaluate the risk of end-stage renal disease (ESRD) and types of ESRD among a cohort of US firefighters compared to the US general population, and to examine exposure-response relationships.
    Methods: ESRD from 1977 through 2014 was identified through linkage with Medicare data. ESRD incidence in the cohort compared to the US population was evaluated using life table analyses. Associations of all ESRD, systemic ESRD, hypertensive ESRD, and diabetic ESRD with exposure surrogates (exposed days, fire runs, and fire hours) were examined in Cox proportional hazards models adjusted for attained age (the time scale), race, birth date, fire department, and employment duration.
    Results: The incidence of all ESRD was less than expected (standardized incidence ratio (SIR) = 0.79; 95% confidence interval = 0.69-0.89, observed = 247). SIRs for ESRD types were not significantly increased. Positive associations of all ESRD, systemic ESRD, and hypertensive ESRD with exposed days were observed: however, 95% confidence intervals included one.
    Conclusions: We found little evidence of increased risk of ESRD among this cohort of firefighters. Limitations included the inability to evaluate exposure-response relationships for some ESRD types due to small observed numbers, the limitations of the surrogates of exposure, and the lack of information on more sensitive outcome measures for potential kidney effects.
    MeSH term(s) Humans ; Aged ; United States/epidemiology ; Firefighters ; Incidence ; Chicago/epidemiology ; Philadelphia/epidemiology ; San Francisco/epidemiology ; Medicare ; Kidney Failure, Chronic/epidemiology ; Kidney Failure, Chronic/etiology
    Language English
    Publishing date 2022-10-21
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Intramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 604538-8
    ISSN 1097-0274 ; 0271-3586
    ISSN (online) 1097-0274
    ISSN 0271-3586
    DOI 10.1002/ajim.23435
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  8. Article: Metabolomic Analysis of Renal Cell Carcinoma in the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial.

    McClain, Kathleen M / Sampson, Joshua N / Petrick, Jessica L / Mazzilli, Kaitlyn M / Gerszten, Robert E / Clish, Clary B / Purdue, Mark P / Lipworth, Loren / Moore, Steven C

    Metabolites

    2022  Volume 12, Issue 12

    Abstract: Background: In the US in 2021, 76,080 kidney cancers are expected and >80% are renal cell carcinomas (RCCs). Along with excess fat, metabolic dysfunction is implicated in RCC etiology. To identify RCC-associated metabolites, we conducted a 1:1 matched ... ...

    Abstract Background: In the US in 2021, 76,080 kidney cancers are expected and >80% are renal cell carcinomas (RCCs). Along with excess fat, metabolic dysfunction is implicated in RCC etiology. To identify RCC-associated metabolites, we conducted a 1:1 matched case−control study nested within the Prostate, Lung, Colorectal, and Ovarian (PLCO) Cancer Screening Trial. Methods: We measured 522 serum metabolites in 267 cases/control pairs. Cases were followed for a median 7.1 years from blood draw to diagnosis. Using conditional logistic regression, we computed adjusted odds ratios (ORs) and 95% confidence intervals (CIs) comparing risk between 90th and 10th percentiles of log metabolite intensity, with the significance threshold at a false discovery rate <0.20. Results: Four metabolites were inversely associated with risk of RCC during follow-up—C38:4 PI, C34:0 PC, C14:0 SM, and C16:1 SM (ORs ranging from 0.33−0.44). Two were positively associated with RCC risk—C3-DC-CH3 carnitine and C5 carnitine (ORs = 2.84 and 2.83, respectively). These results were robust when further adjusted for metabolic risk factors (body mass index (BMI), physical activity, diabetes/hypertension history). Metabolites associated with RCC had weak correlations (|r| < 0.2) with risk factors of BMI, physical activity, smoking, alcohol, and diabetes/hypertension history. In mutually adjusted models, three metabolites (C38:4 PI, C14:0 SM, and C3-DC-CH3 carnitine) were independently associated with RCC risk. Conclusions: Serum concentrations of six metabolites were associated with RCC risk, and three of these had independent associations from the mutually adjusted model. These metabolites may point toward new biological pathways of relevance to this malignancy.
    Language English
    Publishing date 2022-11-29
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662251-8
    ISSN 2218-1989
    ISSN 2218-1989
    DOI 10.3390/metabo12121189
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  9. Article ; Online: An approach for normalization and quality control for NanoString RNA expression data.

    Bhattacharya, Arjun / Hamilton, Alina M / Furberg, Helena / Pietzak, Eugene / Purdue, Mark P / Troester, Melissa A / Hoadley, Katherine A / Love, Michael I

    Briefings in bioinformatics

    2020  Volume 22, Issue 3

    Abstract: ... eliminates technical variation (e.g. from different study phases or sites) more reliably than the three ...

    Abstract The NanoString RNA counting assay for formalin-fixed paraffin embedded samples is unique in its sensitivity, technical reproducibility and robustness for analysis of clinical and archival samples. While commercial normalization methods are provided by NanoString, they are not optimal for all settings, particularly when samples exhibit strong technical or biological variation or where housekeeping genes have variable performance across the cohort. Here, we develop and evaluate a more comprehensive normalization procedure for NanoString data with steps for quality control, selection of housekeeping targets, normalization and iterative data visualization and biological validation. The approach was evaluated using a large cohort ($N=\kern0.5em 1649$) from the Carolina Breast Cancer Study, two cohorts of moderate sample size ($N=359$ and$130$) and a small published dataset ($N=12$). The iterative process developed here eliminates technical variation (e.g. from different study phases or sites) more reliably than the three other methods, including NanoString's commercial package, without diminishing biological variation, especially in long-term longitudinal multiphase or multisite cohorts. We also find that probe sets validated for nCounter, such as the PAM50 gene signature, are impervious to batch issues. This work emphasizes that systematic quality control, normalization and visualization of NanoString nCounter data are an imperative component of study design that influences results in downstream analyses.
    MeSH term(s) Breast Neoplasms/genetics ; Breast Neoplasms/metabolism ; Databases, Nucleic Acid ; Female ; Gene Expression Profiling ; Gene Expression Regulation, Neoplastic ; Humans ; RNA/biosynthesis ; RNA/genetics ; RNA, Neoplasm/biosynthesis ; RNA, Neoplasm/genetics
    Chemical Substances RNA, Neoplasm ; RNA (63231-63-0)
    Language English
    Publishing date 2020-08-22
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Validation Study
    ZDB-ID 2068142-2
    ISSN 1477-4054 ; 1467-5463
    ISSN (online) 1477-4054
    ISSN 1467-5463
    DOI 10.1093/bib/bbaa163
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  10. Article ; Online: A prospective study of alcohol consumption and renal cell carcinoma risk.

    Karami, Sara / Daugherty, Sarah E / Purdue, Mark P

    International journal of cancer

    2014  Volume 137, Issue 1, Page(s) 238–242

    Abstract: ... associated with reduced RCC risk compared to non-drinkers (>9.75 g day(-1) : HR, 0.67; 95%CI, 0.50 to 0.89; p ... apparent for ever smokers (HR, 0.51; 95%CI, 0.36 to 0.73; p trend<0.0001) but not among never smokers (HR ... 1.08; 95%CI, 0.66 to 1.76; P trend = 0.78; p interaction = 0.01). Our study findings offer further ...

    Abstract Recent epidemiological studies suggest that alcohol consumption may reduce renal cell carcinoma (RCC) risk, although inconsistent findings have been reported by sex and alcoholic beverage type. To better understand the relationship between alcohol consumption and RCC risk, we conducted an analysis within the Prostate, Lung, Colorectal and Ovarian Cancer Screening Trial. We followed up participants in the analytic cohort (N = 107,998) through 2010 for incident RCC (N = 408), and computed hazard ratios (HRs) and 95% confidence intervals (CIs) for alcohol intake using Cox regression with adjustment for age, sex, race, study center, hypertension, body mass index, and smoking status. In this study population increasing alcohol consumption was associated with reduced RCC risk compared to non-drinkers (>9.75 g day(-1) : HR, 0.67; 95%CI, 0.50 to 0.89; p trend = 0.002). We observed similar patterns of association for men and women as well as by alcohol beverage type. In analyses stratified by smoking status, the inverse association with consumption was apparent for ever smokers (HR, 0.51; 95%CI, 0.36 to 0.73; p trend<0.0001) but not among never smokers (HR, 1.08; 95%CI, 0.66 to 1.76; P trend = 0.78; p interaction = 0.01). Our study findings offer further support that alcohol consumption is associated with reduced RCC risk, regardless of sex or alcoholic beverage type. The finding of interaction with smoking is novel and requires confirmation.
    MeSH term(s) Aged ; Alcohol Drinking/epidemiology ; Alcoholic Beverages ; Body Mass Index ; Carcinoma, Renal Cell/epidemiology ; Female ; Humans ; Kidney Neoplasms/epidemiology ; Male ; Middle Aged ; Proportional Hazards Models ; Prospective Studies ; Risk Factors ; United States/epidemiology
    Language English
    Publishing date 2014-12-10
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, N.I.H., Intramural
    ZDB-ID 218257-9
    ISSN 1097-0215 ; 0020-7136
    ISSN (online) 1097-0215
    ISSN 0020-7136
    DOI 10.1002/ijc.29359
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