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摘要:
BACKGROUND Little information has been published on the risks of cigar smoking.Since 1990 cigar smoking has become more prevalent in the United States.AIM To summarise the evidence from the United States relating exclusive cigar smoking to risk of the major smoking-related diseases.METHODS Literature searches detected studies carried out in the United States which estimated the risk of lung cancer,chronic obstructive pulmonary disease(COPD),heart disease,stroke or overall circulatory disease in exclusive cigar smokers as compared to those who had never smoked any tobacco product.Papers were identified from reviews and detailed searches on MEDLINE.For each study,data were extracted onto a study database and a linked relative risk database.Relative risks and 95%CIs were extracted,or estimated,relating to current,former or ever exclusive cigar smokers,and meta-analysed using standard methods.Sensitivity analyses were conducted including or excluding results from studies that did not quite fit the full selection criteria(for example,a paper presenting combined results from five studies,where 86%of the population were in the United States).RESULTS The literature searches identified 17 relevant publications for lung cancer,four for COPD and 12 for heart disease,stroke and circulatory disease.These related to 11 studies for lung cancer,to four studies for COPD and to eight studies for heart disease,stroke or overall circulatory disease.As some studies provided results for more than one disease,the total number of studies considered was 13,with results from four of these used in sensitivity analyses.There was evidence of significant heterogeneity in some of the meta-analyses so the random-effects estimates are summarized below.As the results from the sensitivity analyses were generally very similar to those from the main analyses,and involved more data,only the sensitivity results are summarized below.For lung cancer,relative risks(95%CI)for current,former and ever smokers were respectively,2.98(2.08 to 4.26),1.61(1.23 t
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篇名 Exclusive cigar smoking in the United States and smoking-related diseases: A systematic review
来源期刊 世界荟萃分析杂志 学科 医学
关键词 Tobacco products Cigar smoking Lung neoplasms Pulmonary disease Chronic obstructive Heart diseases STROKE Circulatory disease Systematic review Metaanalysis
年,卷(期) 2020,(3) 所属期刊栏目
研究方向 页码范围 245-264
页数 20页 分类号 R73
字数 语种
DOI
五维指标
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研究主题发展历程
节点文献
Tobacco
products
Cigar
smoking
Lung
neoplasms
Pulmonary
disease
Chronic
obstructive
Heart
diseases
STROKE
Circulatory
disease
Systematic
review
Metaanalysis
研究起点
研究来源
研究分支
研究去脉
引文网络交叉学科
相关学者/机构
期刊影响力
世界荟萃分析杂志
不定期
2308-3840
北京市朝阳区东四环中路62号楼远洋国际中
出版文献量(篇)
37
总下载数(次)
0
总被引数(次)
0
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