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    Tar, nicotine and carbon monoxide yield of UK cigarettes and the risk of non-muscle-invasive and muscle-invasive bladder cancer.

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    Authors
    van Osch, Frits H M
    Pauwels, Charlotte G G M
    Jochems, Sylvia H J
    Fayokun, Ranti
    James, Nicholas D
    Wallace, D Michael A
    Cheng, Kar-Keung
    Bryan, Richard T
    van Schooten, Frederik J
    Zeegers, Maurice P
    Type
    Article
    Language
    en
    
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    Title
    Tar, nicotine and carbon monoxide yield of UK cigarettes and the risk of non-muscle-invasive and muscle-invasive bladder cancer.
    Published in
    Eur J Cancer Prev 2017, advance online publication (ahead of print)
    Publiekssamenvatting
    Cigarette smoking is a major risk factor for bladder cancer (BC); however, the impact of cigarette content remains unclear. This study aims to investigate tar, nicotine and carbon monoxide (TNCO) yields of different filtered cigarettes in relation to BC risk. From the Bladder Cancer Prognosis Programme 575 non-muscle-invasive bladder cancer (NMIBC) cases, 139 muscle-invasive bladder cancer (MIBC) cases and 130 BC-free controls with retrospective data on smoking behaviour and cigarette brand were identified. Independently measured TNCO yields of cigarettes sold in the UK were obtained through the UK Department of Health and merged with the Bladder Cancer Prognosis Programme dataset to estimate the daily intake of TNCO. BC risk increased by TNCO intake category for NMIBC cases (P <0.050 in all multivariate models), but only for the daily intake of tar for MIBC cases (P=0.046) in multivariate models. No difference in risk was observed between smokers of low-tar/low-nicotine and high-tar/high-nicotine cigarettes compared with never smokers, either for NMIBC (P=0.544) or MIBC (P=0.449). High daily intake of TNCO additionally increases the risk of both NMIBC and MIBC compared with low daily intake. However, as there is no difference in BC risk between low-tar/low-nicotine and high-tar/high-nicotine cigarette smokers, it remains unclear whether smoking behaviour or TNCO yield of cigarettes explains this association.
    DOI
    10.1097/CEJ.0000000000000404
    PMID
    28683008
    URI
    http://hdl.handle.net/10029/620988
    ae974a485f413a2113503eed53cd6c53
    10.1097/CEJ.0000000000000404
    Scopus Count
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