Pancreatitis

Yadav, Dhiraj; Eigenbrodt, Marsha L.; Briggs, Margaret J.; Williams, D Keith; Wiseman, Eve J.

doi:10.1097/mpa.0b013e318040b332

Cited by 80 publications

(34 citation statements)

References 29 publications

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“…The summary RRs of the five studies for ever ( versus never) smokers was 1.73 (95% CI: 1.18, 2.54), and the heterogeneity was not significant (Q = 6.58, P = 0.16, I 2 = 39.2%). The pooling of four studies [6,14,16,26] that evaluated current ( versus never) smokers also revealed a correlation between current smoking and pancreatitis (RR = 1.67, 95% CI: 1.03, 2.68). There was no significant heterogeneity among studies (Q = 5.66, P = 0.129, I 2 = 47.0%).…”

Section: Resultsmentioning

confidence: 89%

“…Five studies, which included 660 patients, investigated the correlation between smoking and the development of pancreatitis (Fig 4) [6,7,14,16,26]. Study data were collected from 1982 to 2014.…”

Section: Resultsmentioning

confidence: 99%

“…However, the reported correlations between smoking and pancreatitis risk are inconsistent [6–27]: some studies showed a positive correlation [6–8,11–15,17,19–24,27], whereas others failed to demonstrate such an association [9,10,16,18,25,26]. This lack of consistency across studies may be due to differences in study populations, differences in methodology or exposure definitions, variations in the quantity of cigarettes consumed, or a shortage of data on confounding factors.…”

Section: Introductionmentioning

confidence: 99%

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Impact of Smoking on the Risk of Pancreatitis: A Systematic Review and Meta-Analysis

Huai

et al. 2015

PLoS ONE

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Background and objectiveCigarette smoking may increase the risk of developing pancreatic cancer, although its impact on pancreatitis has only been discerned in recent years. However, the results of previous studies differ. We performed a meta-analysis to provide a quantitative pooled risk estimate of the association of cigarette smoking with pancreatitis.MethodA literature search of the MEDLINE and Embase databases was conducted, and studies were selected that investigated the association of cigarette smoking with pancreatitis. Summary relative risks (RRs) with 95% confidence intervals (CIs) were pooled using a random-effects model.ResultsTwenty-two studies were included. The summary RRs (95% CI) associated with ever, current and former smokers for acute and chronic pancreatitis (AP/CP) were as follows: 1.51 (1.10, 2.07)/3.00 (1.46, 6.17), 1.42 (1.08, 1.87)/2.72 (1.74, 4.24), and 1.22 (0.99, 1.52)/1.27 (1.00, 1.62), respectively. Moreover, studies that analyzed both AP and CP were also summarized: 1.73 (1.18, 2.54) for ever smokers, 1.67 (1.03, 2.68) for current smokers and 1.56 (1.16, 2.11) for former smokers, respectively. There was no evidence of publication bias across the studies.ConclusionThe evidence suggests a positive association of cigarette smoking with the development of pancreatitis. It is possible that smoking cessation may be a useful strategy for the management of pancreatitis.

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Section: Resultsmentioning

confidence: 89%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Impact of Smoking on the Risk of Pancreatitis: A Systematic Review and Meta-Analysis

Huai

et al. 2015

PLoS ONE

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“…Data in Table 1 show that smoking tends to be higher in methadone maintenance samples compared with outpatient. The 2007 sample (Yadav, Eigenbrodt, Briggs, Williams, & Wiseman, 2007) involves veterans seeking outpatient detoxification, and smoking in this sample (87.2%) may be atypical when compared with other outpatient samples in the data.…”

Section: Resultsmentioning

confidence: 99%

Smoking Prevalence in Addiction Treatment: A Review

Guydish

Passalacqua

Tajima

et al. 2011

Nicotine & Tobacco Research

191

163

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[CDC], 2009a; Department of Health Education and Welfare, 1964). The benefits of this achievement are not spread evenly, however, as people living in poverty, those with lower education, and persons with mental health diagnoses continue to smoke at high rates. As smoking prevalence decreases in the general population but remains high in subgroups, these subgroups bear a disproportionate burden of smoking-related illness and also frame new targets for both smoking cessation intervention and tobacco control.One population with elevated smoking prevalence includes those with substance use disorders. A developed literature indicates that smokers with other addictions smoke more heavily (Hays et al., 1999;J. Hughes, 2002;J. R. Hughes, 1996;Kozlowski, Jelinek, & Pope, 1986;Marks, Hill, Pomerleau, Mudd, & Blow, 1997;Sobell, 2002), are less successful in their attempts to quit smoking (Bobo, Gilchrist, Schilling, Noach, & Schinke, 1987;Drobes, 2002;Joseph, Nichol, & Anderson, 1993;Kozlowski, Skinner, Kent, & Pope, 1989;Sobell, 2002;Zimmerman, Warheit, Ulbrich, & Auth, 1990), and are more likely to die from smoking-related causes than from other substance-related causes (Hser, McCarthy, & Anglin, 1994;Hurt et al., 1996).The National Comorbidity Study (NCS) was a national sample (n = 8,098) of noninstitutionalized U.S. persons aged 15-54 years, designed to estimate national prevalence of mental illness. NCS data reported smoking prevalence of 56.1% among persons with past-month alcohol disorders and 67.9% among those with substance use disorders (Lasser et al., 2000). The National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) is a general population survey (N = 43,093) including noninstitutionalized U.S adults and weighted to be representative of the larger U.S population. NESARC data show that smoking prevalence is 34.5% among those with alcohol disorders and 52.4% among those with substance use disorders (Grant, Hasin, Chou, Stinson, & Dawson, 2004).Smoking prevalence may be even higher among those who seek treatment for their alcohol or other drug addiction. Current literature cites smoking prevalence among addiction treatment clients as ranging between 49% and 98% (Schroeder, AbstractIntroduction: This review explores whether smoking prevalence in addiction treatment samples exceeds that shown in epidemiological data for persons with alcohol or other drug use disorders and whether smoking may have decreased over time in the addiction treatment population as it has done in the general population.Methods: English language papers published between 1987 and 2009 were searched electronically. Forty papers reporting smoking prevalence for addiction treatment samples in the United States were identified, and key predictor variables were abstracted. Random logistic models were used to assess relationships between each individual predictor (year, treatment modality, primary drug treated, government status, and public/ private funding status) and smoking prevalence. Results:The lowest smoking prevalence aggre...

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“…We evaluated incident hospitalizations rather than incident diagnosis of CP in unique patients, so we may have missed patients who were not hospitalized or did not have symptoms. There are limited data on the validation of CP diagnosis codes [28,29]. Because we could not validate diagnostic codes, we may have overestimated true CP cases, which to some extent would offset the underestimation of cases managed as outpatients or who are asymptomatic.…”

Section: Discussionmentioning

confidence: 99%

Hospitalizations for Chronic Pancreatitis in Allegheny County, Pennsylvania, USA

2011

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Background/Aims: Population-based estimates for chronic pancreatitis (CP) are scarce. We determined incident CP hospitalization rates and the risk of pancreatitis-related readmissions in Allegheny County, Pennsylvania, USA. Methods: We used Pennsylvania Health Care Cost Containment Council (PHC4) dataset to identify all unique White and Black Allegheny County residents with incident hospitalization for CP from years 1996–2005. We noted presence of alcoholism codes (from one year before index hospitalization until last contact) and pancreatitis-related readmissions until the third quarter of 2007. Age-, sex-, and race-adjusted (to US 2000 population) rates/100,000 were calculated. Results: 988 unique County residents with incident hospitalization for CP were identified. Of these, 37.6% also received alcoholism codes. Overall hospitalization rate was 7.75/100,000 (95% CI 7.26–8.24), which remained stable throughout the study period. Patients with alcoholism codes were significantly younger (47.2 vs. 58.0 years), more likely to be male (71.4 vs. 36.6%), and Black (38.5 vs. 17.7%). Hospitalization rates were significantly higher (2.4-fold) in Blacks (vs. Whites), particularly for those with alcoholism codes. During follow-up (median 45 months), pancreatitis-related readmissions were common, significantly more so for patients with alcoholism codes. Conclusions: CP hospitalization rates over a one-decade period were stable. Readmissions were highest among patients with a diagnosis of alcoholism.

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Pancreatitis

Abstract: In this high-risk population of heavy drinkers, the prevalence of pancreatitis is at least 3%. Our study provides preliminary data regarding potential cofactors for pancreatitis in heavy drinkers.

Cited by 80 publications

References 29 publications

Impact of Smoking on the Risk of Pancreatitis: A Systematic Review and Meta-Analysis

Impact of Smoking on the Risk of Pancreatitis: A Systematic Review and Meta-Analysis

Smoking Prevalence in Addiction Treatment: A Review

Hospitalizations for Chronic Pancreatitis in Allegheny County, Pennsylvania, USA

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