1. Family history and lung cancer risk: international multicentre case–control study in Eastern and Central Europe and meta-analyses
- Author
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Adrian Cassidy, Dana Mates, Rayjean Hung, Jolanta Lissowska, David Zaridze, Lenka Foretova, Paolo Boffetta, Neonila Szeszenia-Dabrowska, Vladimir Bencko, Peter Rudnai, Paul Brennan, Joanna Dabek, Eleonora Fabianova, Vladimir Janout, Lissowska, J., Foretova, L., Da¸bek, J., Zaridze, D., Szeszenia-Dabrowska, N., Rudnai, P., Fabianova, E., Cassidy, A., Mates, D., Bencko, V., Janout, V., Hung, R.J., Brennan, P., and Boffetta, P.
- Subjects
Adult ,Male ,Oncology ,Slovakia ,Cancer Research ,medicine.medical_specialty ,Lung Neoplasms ,Risk Assessment ,Russia ,multicentre case-control study ,Sex Factors ,Risk Factors ,Internal medicine ,Epidemiology of cancer ,Epidemiology ,Humans ,Medicine ,Family ,Family history ,Lung cancer ,Aged ,Czech Republic ,Family Health ,Hungary ,Romania ,business.industry ,Large cell ,Smoking ,Case-control study ,Cancer ,Odds ratio ,Middle Aged ,respiratory system ,medicine.disease ,United Kingdom ,respiratory tract diseases ,lung cancer ,meta-analyses ,Case-Control Studies ,Immunology ,Female ,Poland ,business - Abstract
Lung cancer is the most common neoplastic disease in Eastern and Central Europe. The role of hereditary factors in lung carcinogenesis is not fully understood. Family history (FH) of lung cancer and other tobaccorelated cancers might be a strong predictor of the lung cancer risk. We investigated family history of cancer among first-degree relatives of 2,861 patients with lung cancer and 3,118 controls from the Czech Republic, Hungary, Poland, Romania, Russia, Slovakia, and United Kingdom within the IARC Multicenter Case-Control Study. Odds ratios (ORs) and 95% CI were calculated using logistic regression, adjusting for age, gender, study center, education, tobacco smoking, and number of firstdegree relatives. In addition, we conducted a meta-analysis of 41 studies on FH of cancer and lung cancer risk. Positive FH of lung cancer increased risk of lung cancer with OR of 1.63 (95%CI: 1.31-2.01), and having two or more affected relatives with lung cancer further increased the risk of lung cancer with OR 3.60 (95%CI: 1.56-8.31). Among subjects aged less than 50, the OR for FH of lung cancer was 2.08 (95%CI: 1.18-3.63). The associations were generally stronger for squamous cell carcinoma and large cell carcinoma subtypes. Heterogeneity in results was not found with respect to smoking status and gender. A significant association was not observed for FH of other smokingrelated tumors. The results of meta-analysis were consistent with that of our study with regard to young onset, nonsmokers and histology. FH of lung cancer is a predictor of an increased risk of lung cancer, especially in subjects aged less than 50. © Springer Science+Business Media B.V. 2010.
- Published
- 2010