2006
DOI: 10.1158/1055-9965.epi-06-0021
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Smoking and Bladder Cancer in Spain: Effects of Tobacco Type, Timing, Environmental Tobacco Smoke, and Gender

Abstract: We examined the effects of dose, type of tobacco, cessation, inhalation, and environmental tobacco smoke exposure on bladder cancer risk among 1,219 patients with newly diagnosed bladder cancer and 1,271 controls recruited from 18 hospitals in Spain. We used unconditional logistic regression to estimate odds ratios (OR) and 95% confidence intervals (95% CI) for the association between bladder cancer risk and various characteristics of cigarette smoking. Current smokers (men: OR, 7.4; 95% CI, 5.3-10.4; women: O… Show more

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Cited by 156 publications
(141 citation statements)
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“…In the Lebanese context, however, this finding is particularly important, given the alarming smoking epidemic, mainly water-pipe smoking, that is invading the country since the early 1990s (Saade et al, 2008;Nakkash et al, 2011). Our results show statistically significant differences in smoking severity in cases compared to controls, which is consistent with previous findings (Samanic et al, 2006;WilhelmBenartzi et al, 2011). Our results on occupational exposure to diesel fumes are also in agreement with the reported literature (Iyer et al, 1990).…”
Section: Discussionsupporting
confidence: 90%
“…In the Lebanese context, however, this finding is particularly important, given the alarming smoking epidemic, mainly water-pipe smoking, that is invading the country since the early 1990s (Saade et al, 2008;Nakkash et al, 2011). Our results show statistically significant differences in smoking severity in cases compared to controls, which is consistent with previous findings (Samanic et al, 2006;WilhelmBenartzi et al, 2011). Our results on occupational exposure to diesel fumes are also in agreement with the reported literature (Iyer et al, 1990).…”
Section: Discussionsupporting
confidence: 90%
“…Among these, polycyclic aromatic hydrocarbons (PAHs) and volatile N-nitrosamines are considered to be the main carcinogens (Shields, 2002;Alam et al, 2008;Lodovici and Bigagli, 2009). Smoking exposure-a welldocumented environmental factor-is a leading cause of many types of cancer such as lung, esophageal, gastric, bladder, liver and cervical cancers (Tredaniel et al, 1997;Kinjo et al, 1998;Gallus et al, 2001;Sobue et al, 2002 ;Settheetham-Ishida et al, 2004;Samanic et al, 2006;Settheetham-Ishida et al, 2006;Syrjanen et al, 2007;Pesch et al, 2011). An increased risk of cervical cancer associated with tobacco smoking has been found in many studies (Haverkos et al, 2003;SettheethamIshida et al, 2004;Garland et al, 2011;Yetimalar et al, 2011).…”
Section: Introductionmentioning
confidence: 99%
“…in men (Samanic et al 2006). Inorganic arsenic (As 3+ ) was associated with bladder cancer in certain regions of Taiwan and Chile where exposure to As 3+ in drinking water > 50 µg/L (Marshall et al 2007;Chen et al 2008).…”
Section: Metallothionein Sequestration and Cadmium's Long Half-lifementioning
confidence: 99%
“…Bladder cancer risk fell by 30% in the first 4 years after smoking cessation while a further 30% reduction occurred in 20 years later (Samanic et al 2006). Such decade-long carry over effects argue that the carcinogenic agents in tobacco such as benzo(a)pyrene, tobacco specific nitrosamines that undergo rapid clearance by cytochrome P450 enzymes (Alexandrov et al 2010) may not play a key role, but those like cadmium that are retained in bladder tissues over an extended period may be causative.…”
Section: Metallothionein Sequestration and Cadmium's Long Half-lifementioning
confidence: 99%