Evidence map›Paper›PMID 41436185›Full record

Observational studyBMJ global health2025

Association of alcohol and different types of alcoholic beverages on the risk of buccal mucosa cancer in Indian men: a multicentre case-control study.

Grace Sarah George, Aniket Patil, Romi Moirangthem, Pravin Narayanrao Doibale, Ankita Manjrekar, Shruti Vishwas Golapkar, Nandkumar Panse, Manigreeva Krishnatreya, Aseem Mishra, Arjun Singh and 9 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMJ global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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

19 authors.

Grace Sarah GeorgeDivision of Molecular Epidemiology and Population Genomics, Center for Cancer Epidemiology, Navi Mumbai, Maharashtra, India.ORCID 0009-0005-4874-488X
Aniket PatilDivision of Molecular Epidemiology and Population Genomics, Center for Cancer Epidemiology, Navi Mumbai, Maharashtra, India.
Romi MoirangthemDivision of Molecular Epidemiology and Population Genomics, Center for Cancer Epidemiology, Navi Mumbai, Maharashtra, India.ORCID 0009-0009-6754-0523
Pravin Narayanrao DoibaleDivision of Molecular Epidemiology and Population Genomics, Center for Cancer Epidemiology, Navi Mumbai, Maharashtra, India.
Ankita ManjrekarDivision of Molecular Epidemiology and Population Genomics, Center for Cancer Epidemiology, Navi Mumbai, Maharashtra, India.
Shruti Vishwas GolapkarDivision of Molecular Epidemiology and Population Genomics, Center for Cancer Epidemiology, Navi Mumbai, Maharashtra, India.ORCID 0009-0008-8994-4097
Nandkumar PanseNargis Dutt Memorial Cancer Hospital, Barshi, Maharashtra, India.
Manigreeva KrishnatreyaDr Bhubaneswar Borooah Cancer Institute, Guwahati, Assam, India.ORCID 0000-0002-9247-4814
Aseem MishraMahamana Pandit Madan Mohan Malaviya Cancer Centre, Varanasi, Uttar Pradesh, India.ORCID 0000-0001-7823-5334
Arjun SinghHomi Bhabha National Institute, Mumbai, Maharashtra, India.ORCID 0000-0002-8119-8439
Harriet RumgayCancer Surveillance Branch, International Agency for Research on Cancer, Lyon, France.ORCID 0000-0002-1862-9371
Bayan HosseiniEnvironment and Lifestyle Epidemiology Branch, International Agency for Research on Cancer, Lyon, France.
Anil ChaturvediDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland, USA.
Preetha RajaramanRadiation Effects Research Foundation, Hiroshima, Japan.ORCID 0000-0001-6649-999X
Ann OlssonEnvironment and Lifestyle Epidemiology Branch, International Agency for Research on Cancer, Lyon, France.ORCID 0000-0001-6498-2259
Isabelle SoerjomataramCancer Surveillance Branch, International Agency for Research on Cancer, Lyon, France.
Pankaj ChaturvediDepartment of Head and Neck Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, India.
Rajesh DikshitDivision of Molecular Epidemiology and Population Genomics, Center for Cancer Epidemiology, Navi Mumbai, Maharashtra, India.
Sharayu MhatreDivision of Molecular Epidemiology and Population Genomics, Center for Cancer Epidemiology, Navi Mumbai, Maharashtra, India mhatresharayu@gmail.com.

Funding

World Health Organization 001
6 · The paper itself

Abstract

introductionWhile a large proportion of buccal mucosa cancer (BMC) is attributed to tobacco use, the contribution of alcohol is little-known. In India, alcohols include internationally-recognised (IRL) and locally-brewed liquor (LBL) types, which might contribute differently to the risk of BMC. We conducted an observational study to evaluate the association of local and foreign alcoholic beverage use on the risk of developing BMC.

methodsData from 1803 BMC cases and 1903 visitor controls from a multicentric case-control study was analysed for 11 IRLs and 30 LBLs. Healthy visitor controls were randomly sampled from the source population of the study centres which enrolled the cases. Quantitative data on the amount, the number of times consumed per day or week, and the lifetime duration of consumption for each of the alcoholic beverages were collected using an interviewer administered standardised questionnaire, which was then used to estimate the grams per day consumption of alcohol. Odds ratios (OR) and 95% CI were estimated after adjustment for potential confounders, including tobacco use. The joint effect of tobacco and alcohol on BMC risk, the attributable fraction (AF) of cases and state-wise population attributable fraction (PAF) were estimated.

resultsAn increased risk of 1.68 (95% CI=1.44-1.97), 1.72 (95% CI=1.46-2.04), and 1.87 (95% CI=1.46-2.39) was observed for ever-users of any alcohol, IRLs and LBLs, respectively for BMC. The findings show 9 grams/day of alcohol increased the risk of BMC by approximately 50%, and 62% of cases could be attributed to alcohol drinking and chewing tobacco, with an overall PAF of 11.3% for India.

conclusionThis study shows that alcohol, even in low quantities, increases the risk for BMC. Prevention of consumption of tobacco and alcohol together could substantially reduce the incidence of BMC.

Indexed as

Alcohol DrinkingAlcoholic BeveragesMouth MucosaMouth NeoplasmsAdultCase-Control StudiesHumansIndiaMaleMiddle AgedRisk FactorsSurveys and QuestionnairesAlcoholsCancerEpidemiologyGlobal HealthPublic Health

Identifiers

PMID41436185
PMCPMC13059843

What OpenQuestion holds

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Registered trials

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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.