Changing trends in smoking and alcohol consumption in patients with oral cancer treated at Memorial Sloan-Kettering Cancer Center from 1985 to 2009 Journal Article

  

Authors:	Montero, P. H.; Patel, P. D.; Palmer, F. L.; Patel, S. G.; Shah, J. P.; Hayes, R. B.; Ganly, I.
Article Title:	Changing trends in smoking and alcohol consumption in patients with oral cancer treated at Memorial Sloan-Kettering Cancer Center from 1985 to 2009
Abstract:	Objective: To describe smoking and alcohol consumption trends in patients with oral cavity cancer over the past 25 years. Design: Retrospective cohort study. Setting: Single-institution tertiary care cancer center. Patients: Patients with oral cancer treated primarily with surgery from 1985 to 2009. Patients with previous head and neck cancer were excluded. Main Outcome Measures: The medical records of 1617 patients were reviewed. Patient demographics and details on smoking and alcohol consumption were recorded. Patients were divided in 5 different cohorts according to the year of initial surgery. Results: There were no differences in sex, age, or stage of disease among cohorts. Oral tongue was the most common subsite (49%). There was a progressive decrease in tobacco use; 80% in cohort 1 vs 60% in cohort 5 (P < .001). A decrease in the daily amount of tobacco used was also found; 55% of patients in cohort 1 smoked more than 1 pack per day compared with 30% in cohort 5 (P < .001). Alcohol consumption decreased from 80% in cohort 1 to 67% in cohort 5 (P < .007). The percentage of patients who consumed more than 3 drinks per day decreased from 23% in cohort 1 to 9% in cohort 5 (P < .001). Conclusion: Over the past 25 years there has been a progressive decrease in the prevalence of tobacco and alcohol users in patients with oral cancer. ©2012 American Medical Association. All rights reserved.
Keywords:	adolescent; adult; aged; middle aged; cancer surgery; survival rate; retrospective studies; major clinical study; cancer localization; cancer patient; cohort studies; prevalence; cohort analysis; smoking cessation; attitude to health; smoking; retrospective study; groups by age; risk assessment; cancer center; disease severity; comorbidity; cancer care facilities; new york city; sex difference; age distribution; health knowledge, attitudes, practice; alcohol consumption; trend study; databases, factual; mouth neoplasms; mouth cancer; oral surgery; alcohol drinking; health education; sex distribution; medical history; academic medical centers
Journal Title:	Archives of Otolaryngology - Head & Neck Surgery
Volume:	138
Issue:	9
ISSN:	0886-4470
Publisher:	American Medical Association
Date Published:	2012-09-01
Start Page:	817
End Page:	822
Language:	English
DOI:	10.1001/archoto.2012.1792
PROVIDER:	scopus
PUBMED:	22986714
DOI/URL:	http://www.scopus.com/inward/record.url?eid=2-s2.0-84866875803&partnerID=40&md5=a18dc1d24fb0a26abb9bf9f1a8d1a4d0
Notes:	--- - "Export Date: 2 November 2012" - "CODEN: AONSE" - "Source: Scopus"

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