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    The association of smoking and prevalent adenomatous polyp characteristics

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    Author
    Reid, Mary Ellen, 1957-
    Issue Date
    1998
    Keywords
    Health Sciences, Public Health.
    Advisor
    Lebowitz, Michael
    
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    Publisher
    The University of Arizona.
    Rights
    Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
    Abstract
    We assessed the relationship of cigarette smoking to the location, size, and histology of prevalent adenomatous colorectal polyps detected among 1429 participants, all adenoma patients, in a randomized trial testing the effects of a high (13.5 g/day) versus low (2 g/day) wheat bran fiber intervention on adenoma recurrence. Participants had a complete qualifying colonoscopy with at least one histologically confirmed adenomatous polyp 3 mm or larger. Location, size and histology of the baseline adenoma(s) were recorded. Cigarette smoking was evaluated at baseline through a self-administered questionnaire. Among the study participants, 66% had a history of ever smoking and 14% were current smokers. Compared to never smokers, those in the upper tertile of pack-years of smoking had a lower, non-significant risk of having one or more of their adenomas in the proximal colon (OR = 0.79; 95% CI = 0.53-1.16) and a lower risk of having one or more of their adenomas of villous histology (OR = 0.63; 95% CI = 0.43-0.94). Individuals in the upper tertile of pack-years of smoking were more likely to have a large (>1 cm) adenoma (OR = 1.27; 95% CI = 0.91-1.76) but no dose-response was observed. These results suggest that among adenoma patients, those who are exposed to cigarette smoking are more likely to have distal adenomas versus adenomas found only in the proximal colon. Exposure to cigarette smoke is a predictor of non-villous as opposed to villous adenomas and is not associated with adenoma size. These data describe correlations of adenoma characteristics among adenoma patients; they do not refer to the probability of adenoma presence.
    Type
    text
    Dissertation-Reproduction (electronic)
    Degree Name
    Ph.D.
    Degree Level
    doctoral
    Degree Program
    Graduate College
    Epidemiology
    Degree Grantor
    University of Arizona
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