Skip to main content

Table 2 Case-control studies of smokeless tobacco and cancer

From: Systematic review of the relation between smokeless tobacco and cancer in Europe and North America

Study

Country

Study perioda

Controlsa

Sexb

Exposures studiedc

Cancers studied (cases)d

Broders 1920 [37]

USA

NA

Hospital

M+F

Chew, snuff, ST

Oral (537)

Doll and Hill 1952 [38]

UK

1948–1952

Hospital

M

Chew, snuff

Lung (1,209)

Moore et al. 1953 [39]

USA

1951–1952

Hospital

M

ST

Oral (112), face (93)

Wynder et al. 1957 [40]

Sweden

1952–1955

Hospital

M

Chew

Oral (166), oesophagus (39), larynx (60)

Wynder and Bross 1957 [41]

USA

NA

Hospital

M

Chew

Oral (543)

Peacock et al. 1960 [42]

USA

1952–1958

Hospital

M+F

ST

Oral (45)

Lockwood 1961 [43]

Denmark

1942–1956

Population

M+F

ST

Bladder (282)

Wynder and Bross 1961 [44]

USA

1956–1959

Hospital

M

Chew

Oesophagus (150)

Vogler et al. 1962 [36]

USA

1956–1957

Hospital

M+F

Chew, snuff

Oral (228)

Vincent and Marchetta 1963 [45]

USA

NA

Hospital

M

Snuff

Oral (66), larynx (23)

Wynder et al. 1963 [46]

USA

1957–1960

Hospital

M

Chew, snuff, ST

Bladder (300)

Bennington and Laubscher 1968 [47]

USA

1951–1956

Hospital

M

Chew

Kidney (88)

Dunham et al. 1968 [48]

USA

1958–1964

Hospital

M+F

ST

Bladder (493)

Martinez 1969 [49]

Puerto Rico

1966

Hospital, population

M+F

Chew

Oral (221), oesophagus (179)

Keller 1970 [50]

USA

1958–1962

Hospital

M

ST

Oral (314)

Cole et al. 1971 [51]

USA

1967–1968

Population

M+F

Chew, snuff

Bladder (470)

Bjelke et al. 1974 [52]

USA

NA

NA

NA

Chew

Colorectal (373), oesophagus (52), stomach (83)

 

Norway

NA

NA

NA

Chew

Colorectal (278), stomach (228)

Armstrong et al. 1976 [53]

UK

1972–1974

Hospital

M

ST

Kidney (96)

Browne et al. 1977 [54]

UK

1957–1971

Population

M+F

Chew

Oral (75)

Williams and Horm 1977 [55]

USA

1969–1971

Hospital

M+F

ST

Many types (7,518)e

Wynder and Stellman 1977 [56]

USA

1969–1975

Hospital

M

Chew, snuff, ST

Oral (593), bladder (589), larynx (387), lung (1,051), oesophagus (183)

Engzell et al. 1978 [57]

Sweden

1961–1971

Population

M

Snuff

Nose (36)

Howe et al. 1980 [58]

Canada

1974–1976

Population

M

Chew

Bladder (480)

Westbrook et al. 1980 [59]

USA

1955–1975

Hospital

F

Snuff

Oral (55)

Pottern et al. 1981 [60]

USA

1975–1977

Decedent

M

Chew, snuff

Oesophagus (120)

Winn et al. 1981 [61]

USA

1975–1978

Hospital

F

Snuff

Oral (255)

Mommsen and Aagaard 1983 [62]

Denmark

1977–1980

Population

M

Chew

Bladder (165)

Wynder et al. 1983 [63]

USA

1977–1980

Hospital

M

Chew, snuff, ST

Oral (414)

Brinton et al. 1984 [64]

USA

1970–1980

Hospital, decedent

M+F

Chew, snuff, ST

Nose (160)

McLaughlin et al. 1984 [65]

USA

1974–1979

Population

M

Chew, snuff, ST

Kidney (313)

Hartge et al. 1985 [66]

USA

1977–1978

Population

M

Chew, snuff, ST

Bladder (2,240)

Weinberg et al. 1985 [67]

USA

1978–1980

Decedent, population

M

Chew

Stomach (178)

Goodman et al. 1986 [68]

USA

1977–1983

Hospital

M+F

Chew

Kidney (267)

Kabat et al. 1986 [69]

USA

1976–1983

Hospital

F

Snuff

Bladder (152)

Stockwell and Lyman 1986 [70]

USA

1982

Population

M+F

ST

Oral (1,462), nose (92), larynx (161)

Young et al. 1986 [71]

USA

4 yr period

Hospital

M+F

ST

Oral (317), larynx (179)

Lindquist et al. 1987 [72]

Sweden

1980–1983

Population

M

Snuff

Leukaemia (76)

Asal et al. 1988 [73]

USA

1981–1984

Hospital, population

M

Snuff

Kidney (209)

Blot et al. 1988 [74]

USA

1984–1985

Population

M+F

ST

Oral (1,114)

Falk et al. 1988 [75]

USA

1979–1983

Hospital

M+F

Chew, snuff

Pancreas (363)

Morris Brown et al. 1988 [76]

USA

1982–1984

Population

M

ST

Oesophagus (207)

Slattery et al. 1988 [77]

USA

1977–1983

Population

M

Chew, snuff, ST

Bladder (332)

Spitz et al. 1988 [78]

USA

1985–1987

Hospital

M+F

Chew, snuff, ST

Oral (185)f

Burch et al. 1989 [79]

Canada

1979–1982

Population

M

Chew, snuff

Bladder (627)

Franco et al. 1989 [80]

Brazil

1986–1988

Hospital

M+F

ST

Oral (232)

Zahm et al. 1989 [81]

USA

1976–1982

Population

M

ST

Soft tissue sarcoma (133)

Farrow et al. 1990 [82]

USA

1982–1986

Population

M

Chew

Pancreas (148)

Blomqvist et al. 1991 [83]

Sweden

NA

Hospital

M+F

Snuff

Oral (61)

Ghadirian et al. 1991 [84]

Canada

1984–1988

Population

M+F

Chew

Pancreas (179)

Maden et al. 1992 [85]

USA

1985–1989

Population

M

ST

Oral (131)

Marshall et al. 1992 [86]

USA

1975–1983

Population

M+F

Chew

Oral (290)

Morris Brown et al. 1992 [87]

USA

1981–984

Population

M

ST

Leukaemia (578)

Morris Brown et al. 1992 [88]

USA

1981–1984

Population

M

ST

Non-Hodgkin's lymphoma (622)

Sterling et al. 1992 [89]

USA

1986

Population

M+F

Snuff, ST

All cancer (459,792), oral (6,976), all digestive (109,514)

Mashberg et al. 1993 [90]

USA

1972–1989

Hospital

M

Chew, snuff, ST

Oral (359)

Perry et al. 1993g

USA

About 1992

Hospital

M+F

ST

Oral (133)

Spitz et al. 1993 [92]

USA

1987–1991

Hospital

M+F

Chew

Oral (108)f

Chow et al. 1994 [93]

USA

1985–1997

Population

M

Chew

Bile duct (49)

Hansson et al. 1994 [94]

Sweden

1989–1992

Population

M+F

Chew, snuff

Stomach (338)

Hardell et al. 1994 [95]

Sweden

1974–1978

Population

M

Snuff

Non-Hodgkin's lymphoma (105)

Hayes et al. 1994 [96]

USA

1986–1989

Population

M

Chew, snuff, ST

Prostate (981)

Kabat et al. 1994 [97]

USA

1977–1990

Hospital

M+F

Chew, snuff

Oral (1,560)

Bundgaard et al. 1995 [98]

Denmark

1986–1990

Population

M+F

Chew

Oral (161)

McLaughlin et al. 1995 [99]

5 countriesh

1989–1991

Population

M+F

ST

Kidney (1,732)

Muscat et al. 1995 [100]

USA

1977–1993

Hospital

M

Chew

Kidney (543)

Muscat et al. 1997 [101]

USA

1985–1993

Hospital

M

Chew, snuff

Pancreas (290)

Lewin et al. 1998 [102]

Sweden

1980–1989

Population

M

Snuff

Oral (266), larynx (157), oesophagus (122)

Muscat and Wynder 1998 [103]

USA

1977–1980

Hospital

M+F

Chew, ST

Oral (128)

Schildt et al. 1998 [104]

Sweden

1980–1989

Population

M+F

Chew, snuff, ST

Oral (410)

Schwartz et al. 1998 [105]

USA

1990–1995

Population

M

ST

Oral (165)

Yuan et al. 1998 [106]

USA

1986–1994

Population

M+F

ST

Kidney (1,204)

Ye et al. 1999 [107]

Sweden

1989–1995

Population

M+F

Chew, snuff

Stomach (514)

Lagergren et al. 2000 [108]

Sweden

1995–1997

Population

M+F

Snuff

Oesophagus (189), stomach (429)

Zheng et al. 2001 [109]

USA

NA

Population

M+F

Chew, snuff

Brain (375)

Schroeder et al. 2002 [110]

USA

1980–1982

Population

M

Chew, snuff, ST

Non-Hodgkin's lymphoma (182)

Alguacil and Silverman 2004 [111]

USA

1986–1989

Population

M+F

ST

Pancreas (526)

Bracci and Holly 2005 [112]

USA

1988–1993

Population

M

ST

Non-Hodgkin's lymphoma (725)

Rosenquist et al. 2005 [113]

Sweden

2000–2004

Population

M+F

Snuff

Oral (132)

Hassan et al. 2007 [114]

USA

2000–2006

Hospital

M+F

Chew, snuff, ST

Pancreas (808)

  1. a NA = not available.
  2. b M = male, F = female, M+F = both sexes. Studies of both sexes with results reported only for males are shown as M.
  3. c Only exposures for which results are available are shown.
  4. d Oral (oropharyngeal) is defined as in Weitkunat et al. 2007 [4] to include any of the following sites: buccal mucosa, floor of mouth, gingival, gum/palate, lip, oral cavity/mouth, pharynx/alveolus, tongue, tonsils, salivary glands and oral unspecified. This reference also shows the actual sites included for most of the studies included here. For other cancers, more precise definitions of site or histology are given, where relevant, in the tables presenting the findings. Numbers of cases are totals for the sexes specified. Numbers of cases exposed to ST are shown in the tables presenting results by site.
  5. e Results were presented for the following 'known tobacco-related' sites: oral (298 cases), oesophagus (72), larynx (119), lung (931) and bladder (306), with comparisons made with all other 'non-related' sites. Results were also presented for various non-related sites: stomach (266), small intestine (19), colon (722), rectum (339), liver (45), gall bladder/bile duct (81), pancreas (224) breast (1,177), cervix (266), uterus (38), ovary (180), vulva (31), prostate (531), male genitalia (53), kidney (126), connective tissue (84), melanoma (99), nervous system (136), thyroid gland (94), lymphosarcoma (121), Hodgkin's disease (84), other lymphomas (33), multiple myeloma (86), leukaemia (172) and other or unknown primaries (385), with comparisons made with all other non-related sites combined.
  6. f Includes larynx cancer.
  7. g "Attributable oral cancer risk due to smokeless tobacco use based on a case-control study at Sinai Hospital in Detroit"; Perry et al., unpublished. Cited by Gross et al. 1995 [91].
  8. h Australia, Denmark, Germany, Sweden and USA.
  9. ST = smokeless tobacco.