The Association Between Smoking Status and Breast Cancer Recurrence: A Systematic Review

IF 2.2 4区医学 Q3 ONCOLOGY

Journal of Breast Cancer Pub Date : 2022-05-20 DOI:10.4048/jbc.2022.25.e23

Muna Alkhaifi, Adam Clayton, T. Kishibe, J. Simpson

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引用次数: 1

Abstract

Purpose To determine whether smoking status (active/passive) affects recurrence events after breast cancer (BC) diagnosis among women. Methods A comprehensive literature search of MEDLINE, Cochrane Central, EMBASE, and Web of Science databases on smoking status and BC outcomes retrieved 5,940 articles. After reviewing the inclusion and exclusion criteria, we selected 14 articles for a full review and synthesis. Results Five studies were cohort retrospective, 6 were case-control, 2 were prospective cohort studies, and 1 was a secondary analysis of a randomized control trial. Among the 8 articles that focused on active smoking, 6 showed an increased risk of BC recurrence, and 2 showed no evidence of such an association. Studies that examined former smokers found little evidence of an increased risk of BC recurrence. This association may be dose-dependent. Conclusion Given the current evidence, although limited, active smokers should quit smoking after BC diagnosis as trends indicate a positive association between active smoking and BC recurrence. More robust evidence is needed to assess such associations and examine the outcomes of quitting smoking in such patients.

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吸烟状况与乳腺癌复发之间的关系:一项系统综述

目的确定吸烟状态（主动/被动）是否影响女性癌症（BC）诊断后的复发事件。方法综合检索MEDLINE、Cochrane Central、EMBASE和Web of Science数据库中关于吸烟状况和BC结果的文献，检索5940篇文章。在审查了纳入和排除标准后，我们选择了14篇文章进行全面审查和综合。结果5项研究为队列回顾性研究，6项为病例对照研究，2项为前瞻性队列研究，1项为随机对照试验的二次分析。在8篇关注主动吸烟的文章中，6篇文章显示BC复发的风险增加，2篇文章没有显示这种关联的证据。对前吸烟者进行的研究发现，几乎没有证据表明BC复发的风险增加。这种关联可能是剂量依赖性的。结论鉴于目前的证据，尽管有限，但积极吸烟者应在诊断为BC后戒烟，因为趋势表明积极吸烟与BC复发呈正相关。需要更有力的证据来评估这种关联，并检查这些患者戒烟的结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Breast Cancer 医学-肿瘤学

CiteScore

3.80

自引率

4.20%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal of Breast Cancer (abbreviated as ''J Breast Cancer'') is the official journal of the Korean Breast Cancer Society, which is issued quarterly in the last day of March, June, September, and December each year since 1998. All the contents of the Journal is available online at the official journal website (http://ejbc.kr) under open access policy. The journal aims to provide a forum for the academic communication between medical doctors, basic science researchers, and health care professionals to be interested in breast cancer. To get this aim, we publish original investigations, review articles, brief communications including case reports, editorial opinions on the topics of importance to breast cancer, and welcome new research findings and epidemiological studies, especially when they contain a regional data to grab the international reader''s interest. Although the journal is mainly dealing with the issues of breast cancer, rare cases among benign breast diseases or evidence-based scientifically written articles providing useful information for clinical practice can be published as well.