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Alcohol intake and pancreatic cancer: a pooled analysis from the pancreatic cancer cohort consortium (PanScan)

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Abstract

The literature has consistently reported no association between low to moderate alcohol consumption and pancreatic cancer; however, a few studies have shown that high levels of intake may increase risk. Most single studies have limited power to detect associations even in the highest alcohol intake categories or to examine associations by alcohol type. We analyzed these associations using 1,530 pancreatic cancer cases and 1,530 controls from the Pancreatic Cancer Cohort Consortium (PanScan) nested case–control study. Odds ratios (OR) and 95% confidence intervals (95% CI) were calculated using unconditional logistic regression, adjusting for potential confounders. We observed no significant overall association between total alcohol (ethanol) intake and pancreatic cancer risk (OR = 1.38, 95% CI = 0.86–2.23, for 60 or more g/day vs. >0 to <5 g/day). A statistically significant increase in risk was observed among men consuming 45 or more grams of alcohol from liquor per day (OR = 2.23, 95% CI = 1.02–4.87, compared to 0 g/day of alcohol from liquor, P-trend = 0.12), but not among women (OR = 1.35, 95% CI = 0.63–2.87, for 30 or more g/day of alcohol from liquor, compared to none). No associations were noted for wine or beer intake. Overall, no significant increase in risk was observed, but a small effect among heavy drinkers cannot be ruled out.

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Author information

Authors and Affiliations

  1. Division of Epidemiology, Public Health and Primary Care, Imperial College London, London, UK

    Dominique S. Michaud, Petra H. M. Peeters & Paolo Vineis

  2. Department of Epidemiology, Harvard School of Public Health, Boston, MA

    Dominique S. Michaud, Edward L. Giovannucci, Susan Hankinson, David J. Hunter, Peter Kraft & Dimitrios Trichopoulos

  3. National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands

    Alina Vrieling & H. Bas Bueno-de-Mesquita

  4. Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA

    Li Jiao, Julie B. Mendelsohn, Laufey Ammundadottir, Stephen J. Chanock, Patricia Hartge, Robert N. Hoover, Amy Hutchinson, Kevin Jacobs, Gilles Thomas, Geoffrey S. Tobias, Kai Yu & Rachael Z. Stolzenberg-Solomon

  5. Information Management Services, Silver Spring, MD, USA

    Emily Steplowski

  6. Division of Cancer Control and Population Science, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA

    Shannon M. Lynch

  7. Department of Social and Preventive Medicine, University at Buffalo, Suny, Buffalo, NY, USA

    Jean Wactawski-Wende

  8. Department of Obstetrics and Gynecology, New York University School of Medicine, New York, NY, USA

    Alan A. Arslan

  9. Department of Environmental Medicine, New York University School of Medicine, New York, NY, USA

    Alan A. Arslan & Anne Zeleniuch-Jacquotte

  10. NYU Cancer Institute, New York, NY, USA

    Alan A. Arslan & Anne Zeleniuch-Jacquotte

  11. Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA

    Charles S. Fuchs & Brian M. Wolpin

  12. Channing Laboratory, Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA

    Charles S. Fuchs, Edward L. Giovannucci, Susan Hankinson, David J. Hunter & Brian M. Wolpin

  13. Department of Laboratory Medicine/Pathology, School of Medicine, University of Minnesota, Minneapolis, MN, USA

    Myron Gross

  14. Prevention and Research Center, Mercy Medical Center, Baltimore, MD, USA

    Kathy Helzlsouer

  15. Department of Epidemiology, American Cancer Society, Atlanta, GA, USA

    Eric J. Jacobs & Victoria Stevens

  16. Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA, USA

    Andrea LaCroix & Charles Kooperberg

  17. Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA

    Gloria Petersen

  18. Department of Medicine and Vanderbilt-Ingram Cancer Center, Vanderbilt University, Nashville, TN, USA

    Wei Zheng & Xiao-Ou Shu

  19. Cancer Epidemiology Unit, University of Oxford, Oxford, UK

    Naomi Allen

  20. Laboratory of Translational Genomics, Division of Cancer Epidemiology and Genetics, Department of Health and Human Services, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA

    Laufey Ammundadottir & Stephen J. Chanock

  21. Department of Epidemiology, German Institute of Human Nutrition, Potsdam-Rehbrücke, Germany

    Manuela M. Bergmann

  22. International Agency for Research on Cancer, Lyon, France

    Paolo Boffetta

  23. The Tisch Cancer Institute, Mount Sinai School of Medicine, New York, NY, USA

    Paolo Boffetta

  24. Divisions of Preventive Medicine and Aging, Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA, USA

    Julie E. Buring & J. Michael Gaziano

  25. Department of Ambulatory Care and Prevention, Harvard Medical School, Boston, MA, USA

    Julie E. Buring

  26. Division of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany

    Federico Canzian

  27. Inserm (Institut National de la Santé et de la Recherche Médicale) and Institut Gustave Roussy, Villejuif, France

    Françoise Clavel-Chapelon

  28. Johns Hopkins Bloomberg School of Public Health, George W. Comstock Center for Public Health Research and Prevention, Hagerstown, MD, USA

    Sandra Clipp

  29. Center for Research on Health Care, University of Pittsburgh, Pittsburgh, PA, USA

    Matthew S. Freiberg

  30. Massachusetts Veterans Epidemiology Research and Information Center, Veterans Affairs Boston Healthcare System, Boston, MA, USA

    J. Michael Gaziano

  31. Department of Nutrition, Harvard School of Public Health, Boston, MA, USA

    Edward L. Giovannucci

  32. School of Medicine, University of California, Irvine, CA, USA

    F. Allan Hubbell

  33. Core Genotyping Facility, Advanced Technology Program, SAIC-Frederick Inc., NCI-Frederick, Frederick, MD, USA

    Amy Hutchinson & Kevin Jacobs

  34. Bioinformed Consulting Services, Gaithersburg, MD, USA

    Kevin Jacobs

  35. Department of Surgery, Malmö University Hospital, Malmö, Sweden

    Jonas Manjer

  36. Department of Epidemiology, Murcia Regional Health Council, Murcia, Spain

    Carmen Navarro

  37. CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain

    Carmen Navarro

  38. Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands

    Petra H. M. Peeters

  39. Department of Diet, Cancer and Health, Institute of Cancer Epidemiology, Danish Cancer Society, Copenhagen, Denmark

    Anne Tjønneland

  40. Department of Hygiene and Epidemiology, University of Athens Medical School, Athens, Greece

    Dimitrios Trichopoulos

  41. Cancer Registry and Histopathology Department, “Civile-M.P.Arezzo” Hospital, Ragusa, Italy

    Rosario Tumino

  42. Department of Chronic Disease Prevention, National Institute for Health and Welfare, Helsinki, Finland

    Jarmo Virtamo

  43. Departments of Epidemiology and Internal Medicine, University of Iowa Colleges of Public Health and Medicine, Iowa City, IA, USA

    Robert Wallace

Authors
  1. Dominique S. Michaud
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  2. Alina Vrieling
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  3. Li Jiao
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  4. Julie B. Mendelsohn
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  7. Jean Wactawski-Wende
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  10. Charles S. Fuchs
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  11. Myron Gross
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  12. Kathy Helzlsouer
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  13. Eric J. Jacobs
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  14. Andrea LaCroix
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  15. Gloria Petersen
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  16. Wei Zheng
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  17. Naomi Allen
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  18. Laufey Ammundadottir
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  19. Manuela M. Bergmann
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  20. Paolo Boffetta
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  21. Julie E. Buring
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  22. Federico Canzian
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  23. Stephen J. Chanock
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  24. Françoise Clavel-Chapelon
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  25. Sandra Clipp
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  27. J. Michael Gaziano
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  28. Edward L. Giovannucci
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  29. Susan Hankinson
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  30. Patricia Hartge
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  31. Robert N. Hoover
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  33. David J. Hunter
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  34. Amy Hutchinson
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  35. Kevin Jacobs
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  36. Charles Kooperberg
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  37. Peter Kraft
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  38. Jonas Manjer
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  39. Carmen Navarro
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  40. Petra H. M. Peeters
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  41. Xiao-Ou Shu
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  42. Victoria Stevens
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  43. Gilles Thomas
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  44. Anne Tjønneland
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  45. Geoffrey S. Tobias
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  46. Dimitrios Trichopoulos
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  47. Rosario Tumino
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  48. Paolo Vineis
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  49. Jarmo Virtamo
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  50. Robert Wallace
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  51. Brian M. Wolpin
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  52. Kai Yu
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  53. Anne Zeleniuch-Jacquotte
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  54. Rachael Z. Stolzenberg-Solomon
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Corresponding author

Correspondence to Dominique S. Michaud.

Additional information

The authors Dominique S. Michaud, Alina Vrieling, Li Jiao, Julie B. Mendelsohn, Emily Steplowski, Shannon M. Lynch, Jean Wactawski-Wende, and Rachael Z. Stolzenberg-Solomon are writing committee members.

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Michaud, D.S., Vrieling, A., Jiao, L. et al. Alcohol intake and pancreatic cancer: a pooled analysis from the pancreatic cancer cohort consortium (PanScan). Cancer Causes Control 21, 1213–1225 (2010). https://doi.org/10.1007/s10552-010-9548-z

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