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Tobacco Smoking: A Factor of Early Onset of Colorectal Cancer

  • Published:
Diseases of the Colon & Rectum

Purpose

Tobacco smoking is associated with a higher risk of developing colorectal cancer. This study was designed to assess the role of smoking in early onset of colorectal pathology.

Methods

This was a prospective cross-sectional study of 997 patients with colorectal cancer. Age of colorectal cancer diagnosis was studied in two groups of patients, i.e., smokers (>10 pack-years) and nonsmokers. Confounding factors, such as alcohol drinking, obesity, and gender, also were studied using a correlation analysis and multivariate logistic regression analysis.

Results

Of the 997 patients, 852 had sufficient data for analysis and were included. Baseline analysis showed that excluded patients had similar demographic characteristics. Smokers (n = 108) reported symptoms related to colorectal cancer at an earlier mean age (64.1 (standard deviation, 11.7) years) than nonsmokers (69.6 (standard deviation, 12.6) years; mean difference, 5.5 (standard deviation, 1.2 years); P < 0.001). Impact of smoking according to the bowel segment involved was significant for slow-transit segments (transverse and sigmoid colon and rectum). Multivariate analysis revealed that tobacco smoking was the only independent risk factor of early onset of colorectal cancers.

Conclusions

Tobacco smoking could be a factor of early onset of colorectal cancers especially for slow-transit bowel segments. If these findings are confirmed in larger studies, screening for colorectal cancer should not involve a simple sigmoidoscopy but also an exploration of transverse colon in smokers.

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Authors and Affiliations

  1. Department of General and Digestive Surgery, Hôtel-Dieu, Boulevard Leon Malfreyt, F-63058, Clermont-Ferrand, France

    Emmanuel Buc M.D. & Karem Slim M.D.

  2. Department of Statistics, Centre Jean Perrin, Clermont-Ferrand, France

    Fabrice Kwiatkowski Ph.D.

  3. Department of Digestive Surgery, Hôpital Lariboisière, Paris, France

    Arnaud Alves M.D. & Yves Panis M.D., Ph.D.

  4. Department of Digestive Surgery, Hôpital Jean Minjoz, Besançon, France

    Georges Mantion M.D., Ph.D.

Authors
  1. Emmanuel Buc M.D.
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  2. Fabrice Kwiatkowski Ph.D.
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  3. Arnaud Alves M.D.
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  4. Yves Panis M.D., Ph.D.
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  5. Georges Mantion M.D., Ph.D.
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  6. Karem Slim M.D.
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Corresponding author

Correspondence to Karem Slim M.D..

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Cite this article

Buc, E., Kwiatkowski, F., Alves, A. et al. Tobacco Smoking: A Factor of Early Onset of Colorectal Cancer. Dis Colon Rectum 49, 1893–1896 (2006). https://doi.org/10.1007/s10350-006-0704-1

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  • DOI: https://doi.org/10.1007/s10350-006-0704-1

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