Evidence map›Paper›PMID 29524225›Full record

ArticleInternational journal of cancer2018

Lifetime and baseline alcohol intakes and risk of pancreatic cancer in the European Prospective Investigation into Cancer and Nutrition study.

Sabine Naudin, Kuanrong Li, Tristan Jaouen, Nada Assi, Cecilie Kyrø, Anne Tjønneland, Kim Overvad, Marie-Christine Boutron-Ruault, Vinciane Rebours, Anne-Laure Védié and 32 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in International journal of cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 71 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Pancreatic cancer.Nature reviews. Disease primers · 2026
    Review
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  14. Genome-Wide Analysis to Assess if Heavy Alcohol Consumption Modifies the Association between SNPs and Pancreatic Cancer Risk.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2024
    Article
  15. Pancreatic Cancer: A Review of Risk Factors.Life (Basel, Switzerland) · 2024
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

42 authors at 20 institutions in 12 countries.

Sabine NaudinNutritional Methodology and Biostatistics Group, International Agency for Research on Cancer, Lyon, France.ORCID 0000-0003-1049-6225
Kuanrong LiNutritional Methodology and Biostatistics Group, International Agency for Research on Cancer, Lyon, France.
Tristan JaouenNutritional Methodology and Biostatistics Group, International Agency for Research on Cancer, Lyon, France.
Nada AssiNutritional Methodology and Biostatistics Group, International Agency for Research on Cancer, Lyon, France.
Cecilie KyrøDanish Cancer Society Research Center, Copenhagen, Denmark.ORCID 0000-0002-9083-8960
Anne TjønnelandDanish Cancer Society Research Center, Copenhagen, Denmark.
Kim OvervadSection for Epidemiology, Department of Public Health, Aarhus University, Aarhus, Denmark.
Marie-Christine Boutron-RuaultCESP, INSERM U1018, University of Paris-Sud, UVSQ, University of Paris-Saclay, Villejuif, France.
Vinciane ReboursPancreatology Unit, Beaujon Hospital, Clichy, France.
Anne-Laure VédiéPancreatology Unit, Beaujon Hospital, Clichy, France.
Heiner BoeingDepartment of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke (DIfE), Potsdam, Germany.
Rudolf KaaksDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Verena KatzkeDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Christina BamiaHellenic Health Foundation, Athens, Greece.
Androniki NaskaHellenic Health Foundation, Athens, Greece.
Antonia TrichopoulouHellenic Health Foundation, Athens, Greece.
Franco BerrinoDepartment of Preventive & Predictive Medicine, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Giovanna TagliabueLombardy Cancer Registry Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Domenico PalliCancer Risk Factors and Life-Style Epidemiology Unit, Cancer Research and Prevention Institute (ISPO), Florence, Italy.ORCID 0000-0002-5558-2437
Salvatore PanicoDepartment of Clinical and Experimental Medicine, University Federico II, Naples, Italy.
Rosario TuminoCancer Registry and Histopathology Department, Civic M.P.Arezzo Hospital, Ragusa, Italy, Ragusa, Italy.
Carlotta SacerdoteUnit of Cancer Epidemiology, Hospital and Center for Cancer Prevention (CPO), Città della Salute e della Scienza University, Turin, Italy.ORCID 0000-0002-8008-5096
Petra H PeetersDepartment of Epidemiology, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands.
H B As Bueno-de-MesquitaDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom.
Elisabete WeiderpassDepartment of Community Medicine, Faculty of Health Sciences, University of Tromsø, The Arctic University of Norway, Tromsø, Norway.
Inger Torhild GramDepartment of Community Medicine, Faculty of Health Sciences, University of Tromsø, The Arctic University of Norway, Tromsø, Norway.
Guri SkeieDepartment of Community Medicine, Faculty of Health Sciences, University of Tromsø, The Arctic University of Norway, Tromsø, Norway.
Maria-Dolores ChirlaqueDepartment of Epidemiology, Regional Health Council, IMIB-Arrixaca, Murcia, Spain.
Miguel Rodríguez-BarrancoCIBER of Epidemiology and Public Health (CIBERESP), Madrid, Spain.
Aurelio BarricarteCIBER of Epidemiology and Public Health (CIBERESP), Madrid, Spain.
Jose Ramón QuirósPublic Health Directorate, Asturias, Spain.
Miren DorronsoroSubdirección de Salud Pública de Gipuzkoa, Gobierno Vasco, San Sebastian, Spain.
Ingegerd JohanssonDepartment of Odontology, Cariology, Umeå University, Umeå, Sweden.
Malin SundDepartment of Surgical and Perioperative Sciences, Umeå University, Umeå, Sweden.
Hanna SternbyDepartment of Surgery, Institution of Clinical Sciences Malmö, Lund University, Malmö, Sweden.
Kathryn E BradburyCancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom.ORCID 0000-0003-3345-7333
Nick WarehamMRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Cambridge Biomedical Campus, Cambridge, United Kingdom.
Elio RiboliSchool of Public Health, Imperial College London, London, United Kingdom.
Marc GunterNutrition and Epidemiology Group, International Agency for Research on Cancer, Lyon, France.
Paul BrennanGenetic Epidemiology Group, International Agency for Research on Cancer, Lyon, France.
Eric J DuellUnit of Nutrition and Cancer, Catalan Institute of Oncology (ICO-Idibell), Barcelona, Spain.ORCID 0000-0001-5256-0163
Pietro FerrariNutritional Methodology and Biostatistics Group, International Agency for Research on Cancer, Lyon, France.
Centre international de recherche sur le cancer · FRNational and Kapodistrian University of Athens · GRDanish Cancer Society · DKFondazione IRCCS Istituto Nazionale dei Tumori · ITGerman Cancer Research Center · DEInserm · FRPiedmont Reference Center for Epidemiology and Cancer Prevention · ITUiT The Arctic University of Norway · NOUmeå University · SEAarhus University · DKBasque Government · ESFederico II University Hospital · ITGerman Institute of Human Nutrition · DEGobierno del Principado de Asturias · ESImperial College London · GBInstitut Català d'Oncologia · ESInstituto de Salud Pública de Navarra · ESInstituto Murciano de Investigación Biosanitaria · ESKarolinska Institutet · SELund University · SE

Funding

British Heart FoundationCancer Research UK 14136Cancer Research UK 16491Department of HealthMedical Research Council 1000143Medical Research Council G1000143Medical Research Council MC_UU_12015/1Medical Research Council MR/M012190/1Wellcome TrustWorld Health Organization 001
6 · The paper itself

Abstract

Recent evidence suggested a weak relationship between alcohol consumption and pancreatic cancer (PC) risk. In our study, the association between lifetime and baseline alcohol intakes and the risk of PC was evaluated, including the type of alcoholic beverages and potential interaction with smoking. Within the European Prospective Investigation into Cancer and Nutrition (EPIC) study, 1,283 incident PC (57% women) were diagnosed from 476,106 cancer-free participants, followed up for 14 years. Amounts of lifetime and baseline alcohol were estimated through lifestyle and dietary questionnaires, respectively. Cox proportional hazard models with age as primary time variable were used to estimate PC hazard ratios (HR) and their 95% confidence interval (CI). Alcohol intake was positively associated with PC risk in men. Associations were mainly driven by extreme alcohol levels, with HRs comparing heavy drinkers (>60 g/day) to the reference category (0.1-4.9 g/day) equal to 1.77 (95% CI: 1.06, 2.95) and 1.63 (95% CI: 1.16, 2.29) for lifetime and baseline alcohol, respectively. Baseline alcohol intakes from beer (>40 g/day) and spirits/liquors (>10 g/day) showed HRs equal to 1.58 (95% CI: 1.07, 2.34) and 1.41 (95% CI: 1.03, 1.94), respectively, compared to the reference category (0.1-2.9 g/day). In women, HR estimates did not reach statistically significance. The alcohol and PC risk association was not modified by smoking status. Findings from a large prospective study suggest that baseline and lifetime alcohol intakes were positively associated with PC risk, with more apparent risk estimates for beer and spirits/liquors than wine intake.

Indexed as

AdultAlcohol DrinkingAlcoholic BeveragesAlcoholismConfounding Factors, EpidemiologicDietDose-Response Relationship, DrugEuropeFemaleHumansLife StyleMaleMiddle AgedPancreatic NeoplasmsProportional Hazards ModelsProspective Studies

Identifiers

PMID29524225
PMCPMC6481554
OpenAlexW2793176394

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.