Evidence map›Paper›PMID 38859742›Full record

SynthesisJournal of Korean medical science2024

The Combined Effects of Alcohol Consumption and Smoking on Cancer Risk by Exposure Level: A Systematic Review and Meta-Analysis.

Seunghee Jun, Hyunjin Park, Ui-Jeong Kim, Hye Ah Lee, Bomi Park, Soon Young Lee, Sun Ha Jee, Hyesook Park

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of Korean medical science, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

29 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Trends in ischemic heart disease mortality among older adults with co-existing colorectal cancer in the US (1999-2023): a 25-Year retrospective study.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2025
    Article
  17. Article
  18. Article
  19. Article
  20. Article
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

8 authors.

Seunghee JunDepartment of Preventive Medicine, College of Medicine, Ewha Womans University, Seoul, Korea.ORCID https://orcid.org/0000-0002-0530-8720
Hyunjin ParkDepartment of Preventive Medicine, College of Medicine, Ewha Womans University, Seoul, Korea.ORCID https://orcid.org/0000-0001-6536-8787
Ui-Jeong KimDepartment of Preventive Medicine, College of Medicine, Ewha Womans University, Seoul, Korea.ORCID https://orcid.org/0000-0001-8362-2232
Hye Ah LeeClinical Trial Center, Ewha Womans University Mokdong Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-4051-0350
Bomi ParkDepartment of Preventive Medicine, College of Medicine, Chung-Ang University, Seoul, Korea.ORCID https://orcid.org/0000-0001-5834-9975
Soon Young LeeDepartment of Preventive Medicine and Public Health, Ajou University School of Medicine, Suwon, Korea.ORCID https://orcid.org/0000-0002-3160-577X
Sun Ha JeeInstitute for Health Promotion, Department of Epidemiology and Health Promotion, Graduate School of Public Health, Yonsei University, Seoul, Korea.ORCID https://orcid.org/0000-0001-9519-3068
Hyesook ParkDepartment of Preventive Medicine, College of Medicine, Ewha Womans University, Seoul, Korea.ORCID https://orcid.org/0000-0002-9359-6522

Funding

Ministry of Health and Welfare HA21C0142
6 · The paper itself

Abstract

backgroundAlcohol consumption is a major risk factor for cancer, and when combined with smoking, the risk increases. Nevertheless, few studies have comprehensively evaluated the combined effects of alcohol consumption and smoking on the risk of various cancer types. Therefore, to assess these effects, we conducted a systematic review and meta-analysis.

methodsWe performed a systematic search of five literature databases, focusing on cohort and case-control studies. Considering exposure levels, we quantified the combined effects of alcohol consumption and smoking on cancer risk and assessed multiplicative interaction effects.

resultsOf 4,452 studies identified, 24 (4 cohort studies and 20 case-control studies) were included in the meta-analysis. We detected interaction effect of light alcohol and moderate smoking on head and neck cancer risk (relative risk [RR], 4.26; 95% confidence interval [CI], 2.50-7.26;

conclusionOur study provided a comprehensive summary of the combined effects of alcohol consumption and smoking on cancers. As their consumption increased, the synergy effect became more pronounced, and the synergy effect was evident especially for head and neck cancer. These findings provide additional evidence for the combined effect of alcohol and smoking in alcohol guidelines for cancer prevention.

Indexed as

Alcohol DrinkingNeoplasmsSmokingDatabases, FactualHead and Neck NeoplasmsHumansOdds RatioRisk FactorsAlcohol DrinkingMeta-AnalysisNeoplasmsSmokingSystematic Review

Identifiers

PMID38859742
PMCPMC11164648

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.