Reversal of head and neck cancer risk after the cessation of use of smokeless tobacco and betel quid use: meta-analysis.

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Tác giả: Paolo Boffetta, Monireh Sadat Seyyedsalehi, Kriya Shah

Ngôn ngữ: eng

Ký hiệu phân loại: 346.072 *Sale

Thông tin xuất bản: United States : Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 198055

The use of smokeless tobacco and betel quid is a significant risk factor for head and neck cancer (HNC) posing a major global public health concern. This meta-analysis evaluates the impact of cessation of the use of these products on HNCs risk to guide interventions. Case-control and cohort studies were found through PubMed, Scopus, and Embase databases. Two independent reviewers screened studies and then extracted data. Relative risks (RRs) and 95% confidence interval (CI) for different products cessation was calculated from raw data and meta-analyzed by using random effects models. A total of 13 studies met the inclusion criteria. Findings were predominantly derived from Asian (n=9) studies where betel quid use is widespread. Results showed reduced HNC risk following cessation of betel quid use with RR=0.66 (95% CI: 0.54 - 0.81) or without tobacco RR=0.73 (95% CI: 0.56-0.95). However, other tobacco chewing products showed a RR of 1.07 (95% CI: 0.75-1.53). Long-term cessation (≥20 years) conferred substantial benefits RR 0.37, (95% CI: 0.22-0.61, risk estimates =4). The study highlights the importance of cessation programs and targeted interventions to encourage smokeless tobacco quitting. Future research includes conducting detailed subgroup analyses based on cancer subsites and smokeless tobacco product types.
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