The influence of prediagnostic demographic and lifestyle factors on esophageal squamous cell carcinoma survival

Adele Green, Aaron P. Thrift, Christina M. Nagle, Paul P. Fahey, Anne Russell, Bernard M. Smithers, David I. Watson, David C. Whiteman

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Demographic and lifestyle factors, in particular tobacco smoking and alcohol, are well established causes of esophageal squamous cell carcinoma (ESCC); however, little is known about the effect of these factors on survival. We included all 301 patients with incident ESCC, recruited into a population-based case-control study of esophageal cancer in Australia. Detailed information about demographic and lifestyle factors was obtained at diagnosis, and deaths were identified using the National Death Index. Median follow-up for all-cause mortality was 6.4 years. Hazard ratios (HRs) and 95% confidence intervals (95% CI) were calculated from Cox proportional hazards models, adjusted for age, sex, pretreatment AJCC tumor stage, treatment and presence of comorbidities. Two hundred and thirteen patients (71%) died during follow-up. High lifetime alcohol consumption was independently associated with poor survival. Relative to life-long nondrinkers and those consuming
    Original languageEnglish
    Pages (from-to)E759-E768
    JournalInternational Journal of Cancer
    Volume131
    Issue number5
    DOIs
    Publication statusPublished - 1 Sept 2012

    Keywords

    • Alcohol
    • Esophageal squamous cell carcinoma
    • Lifestyle factors
    • Survival
    • Tobacco smoking

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