Evidence map›Paper›PMID 41542791›Full record

ReviewMolecular oncology2026

European Code Against Cancer, 5th edition - tobacco and nicotine containing products, second-hand smoke, alcohol and cancer.

Ariadna Feliu, Annie S Anderson, Linda Bauld, Esteve Fernández, Michael Leitzmann, Sherry Morris, Bernard Srour, Constantine Vardavas, Ioana Vlad, Sabine Vuik and 10 more

Abstract readReview
In one paragraph

Review in Molecular oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Review
  6. Review
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

20 authors.

Ariadna FeliuEnvironmental and Lifestyle Epidemiology Branch, International Agency for Research on Cancer, Lyon, France.ORCID 0000-0002-0033-9026
Annie S AndersonDivision of Population Health & Genomics, Ninewells Medical School, University of Dundee, Dundee, UK.
Linda BauldUsher Institute and Behavioural Research UK, University of Edinburgh, Edinburgh, UK.
Esteve FernándezTobacco Control Unit, WHO Collaborating Centre for Tobacco Control, Catalan Institute of Oncology (ICO), L'Hospitalet de Llobregat, Spain.
Michael LeitzmannDepartment of Epidemiology and Preventive Medicine, University of Regensburg, Regensburg, Germany.ORCID 0000-0002-0371-2789
Sherry MorrisImperial College London, London, United Kingdom.
Bernard SrourUniversité Sorbonne Paris Nord and Université Paris Cité, INSERM, INRAE, CNAM, Center of Research in Epidemiology and StatisticS (CRESS), Nutritional Epidemiology Research Team (EREN), Bobigny, France.ORCID 0000-0002-1277-3380
Constantine VardavasDepartment of Hygiene, Epidemiology and Medical Statistics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Ioana VladDepartment of Policy and Public Affairs, World Cancer Research Fund International, London, UK.
Sabine VuikOrganisation for Economic Co-operation and Development, Paris, France.
Matty WeijenbergDepartment of Epidemiology, GROW Research Institute for Oncology and Reproduction, Maastricht University, Maastricht, The Netherlands.
Rosa Alvarado-VillacortaDepartment of Clinical Epidemiology and Public Health, Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau, Barcelona, Spain.
Carlos Canelo-AybarDepartment of Clinical Epidemiology and Public Health, Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau, Barcelona, Spain.
Hajo ZeebLeibniz-Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany.
Joachim SchüzEnvironmental and Lifestyle Epidemiology Branch, International Agency for Research on Cancer, Lyon, France.ORCID 0000-0001-9687-2134
Erica D'SouzaEnvironmental and Lifestyle Epidemiology Branch, International Agency for Research on Cancer, Lyon, France.ORCID 0000-0002-0744-665X
David RitchieEnvironmental and Lifestyle Epidemiology Branch, International Agency for Research on Cancer, Lyon, France.ORCID 0000-0003-4816-113X
Carolina EspinaEnvironmental and Lifestyle Epidemiology Branch, International Agency for Research on Cancer, Lyon, France.ORCID 0000-0001-6848-4687
Ioanna BakogianniJoint Research Centre - European Commission, Ispra, Italy.
Elio RiboliCancer Epidemiology and Prevention Research Unit, Imperial College London, London, UK.

Funding

European Commission 101075240World Health Organization 001
6 · The paper itself

Abstract

Tobacco use, second-hand tobacco smoke (SHS) exposure and alcohol consumption are well-established carcinogens and major public health concerns. In the European Union (EU), tobacco and alcohol use are the leading preventable causes of cancer and four other major noncommunicable diseases (NCDs), significantly contributing to NCD-related morbidity and mortality. Despite declining prevalence, consumption of these substances is still high in the region, especially among the most deprived. There is strong evidence that quitting smoking, minimising exposure to SHS and eliminating or reducing alcohol intake substantially lowers the risk of cancer. Comprehensive public health strategies at both the individual and population level are crucial to prevent cancer and other NCDs. Scientific evidence leads to two recommendations for individual action on tobacco in the European Code Against Cancer, 5th edition: (1) 'Do not smoke. Do not use any form of tobacco, or vaping products. If you smoke, you should quit'; and (2) 'Keep your home and car free of tobacco smoke'; and one on alcohol: (3) 'Avoid alcoholic drinks'.

Indexed as

Alcohol DrinkingNeoplasmsNicotineTobacco ProductsTobacco Smoke PollutionHumansNicotineTobacco Smoke Pollutionalcohol consumptioncancer preventionEuropean Code Against Cancerevidence‐based recommendationssecond‐hand smoketobacco use

Identifiers

PMID41542791
PMCPMC12809474

What OpenQuestion holds

Textmetadata
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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.