Publications by authors named "Yuan-Chin A Lee"

Introduction: The relations between coffee and tea consumption and head and neck cancer (HNC) incidence are unclear. With increasing global HNC burden, this study aims to examine the association between coffee, tea, and HNC.

Methods: A pooled analysis of 9548 HNC cases and 15,783 controls from 14 individual-level case-control studies was conducted from the International Head and Neck Cancer Epidemiology consortium.

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Background: The risk of diabetes among Asian, Native Hawaiian, and Pacific Islander (ANHPI) women after breast cancer is unclear. This study estimated the risk of incident type II diabetes in older ANHPI and older non-Hispanic White (NHW) women with breast cancer from the US National Cancer Institute's Surveillance, Epidemiology, and End Results (SEER) Medicare linked claims.

Methods: A matched cohort of 7122 older ANHPI and 21 365 older NHW women with breast cancer were identified from SEER-Medicare between 2000 and 2017.

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Background: Cocaine is an illegal recreational drug used worldwide, yet little is known about whether cocaine inhalation (smoking/snorting) increases the risk of head and neck cancer (HNC).

Methods: The analyses were conducted by pooling data from three case-control studies with 1639 cases and 2506 controls from the International Head and Neck Cancer Epidemiology Consortium. Epidemiologic data, including cocaine use histories, were obtained in face-to-face interviews.

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Background: Aspirin intake might be inversely associated with head and neck cancer (HNC). Thus, we investigated this relationship within the International Head and Neck Cancer Epidemiology (INHANCE) consortium.

Methods: Four case-control studies within the INHANCE consortium were included (2024 cases, 4196 controls).

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Article Synopsis
  • The study investigates the risk of cardiovascular disease (CVD) among Asian, Native Hawaiian, and Pacific Islander (ANHPI) breast cancer survivors in the U.S., highlighting a gap in existing research on this demographic.
  • Results showed that ANHPI breast cancer survivors generally had lower risks of heart failure and ischemic heart disease compared to Non-Hispanic White (NHW) counterparts, but certain ANHPI subgroups, like Filipino and Native Hawaiian survivors, faced higher risks.
  • The study concludes that there is significant variability in CVD outcomes within ANHPI groups, indicating a need for further research to understand these disparities among breast cancer survivors.
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Background: Poor oral health has been identified as a prognostic factor potentially affecting the survival of patients with head and neck squamous cell carcinoma. However, evidence to date supporting this association has emanated from studies based on single cohorts with small-to-modest sample sizes.

Methods: Pooled analysis of 2449 head and neck squamous cell carcinoma participants from 4 studies of the International Head and Neck Cancer Epidemiology Consortium included data on periodontal disease, tooth brushing frequency, mouthwash use, numbers of natural teeth, and dental visits over the 10 years prior to diagnosis.

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Article Synopsis
  • The study analyzed data from the INHANCE consortium to compare the effects of cigarette smoking and alcohol consumption on head and neck cancer risk in less developed and more developed countries.
  • It found that the risk profiles associated with smoking and alcohol use vary between these country types, with specific cancers showing different patterns of risk.
  • The research highlights how factors like industrialization and economic development influence the relationship between lifestyle habits (smoking and drinking) and head and neck cancer incidence.
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Background: The association between socioeconomic disadvantage (low education and/or income) and head and neck cancer is well established, with smoking and alcohol consumption explaining up to three-quarters of the risk. We aimed to investigate the nature of and explanations for head and neck cancer risk associated with occupational socioeconomic prestige (a perceptual measure of psychosocial status), occupational socioeconomic position and manual-work experience, and to assess the potential explanatory role of occupational exposures.

Methods: Pooled analysis included 5818 patients with head and neck cancer (and 7326 control participants) from five studies in Europe and South America.

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Background: Alcohol is a well-established risk factor for head and neck cancer (HNC). This study aims to explore the effect of alcohol intensity and duration, as joint continuous exposures, on HNC risk.

Methods: Data from 26 case-control studies in the INHANCE Consortium were used, including never and current drinkers who drunk ≤10 drinks/day for ≤54 years (24234 controls, 4085 oral cavity, 3359 oropharyngeal, 983 hypopharyngeal and 3340 laryngeal cancers).

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Objective: To summarize the latest evidence on head and neck cancer epidemiology from the International Head and Neck Cancer Epidemiology (INHANCE) consortium.

Subjects And Methods: INHANCE was established in 2004 to elucidate the etiology of head and neck cancer through pooled analyses of individual-level data on a large scale. We summarize results from recent INHANCE-based publications updating our 2015 overview.

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Article Synopsis
  • * The analysis found a weak positive association between GI and overall HNC risk, with an odds ratio (OR) of 1.16, but no significant link between glycaemic load (GL) and HNC.
  • * Specifically, GI was strongly linked to laryngeal cancer (OR=1.60) and showed an inverse relationship with oropharyngeal cancer (OR=0.78), highlighting the varying impacts of GI on different cancer subsites.
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Although tobacco smoking, pan chewing and alcohol drinking are important risk factors for head and neck cancer (HNC), the HNC risks conferred by products available in Nepal for these habits are unknown. We assessed the associations of tobacco smoking, chewing habits, and alcohol drinking with HNC risk in Nepal. A case-control study was conducted in Nepal with 549 incident HNC cases and 601 controls.

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Head and neck cancer (HNC) risk prediction models based on risk factor profiles have not yet been developed. We took advantage of the large database of the International Head and Neck Cancer Epidemiology (INHANCE) Consortium, including 14 US studies from 1981-2010, to develop HNC risk prediction models. Seventy percent of the data were used to develop the risk prediction models; the remaining 30% were used to validate the models.

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Background: Tobacco use is a well-established risk factor for head and neck cancer (HNC). However, less is known about the potential impact of exposure to tobacco at an early age on HNC risk.

Methods: We analyzed individual-level data on ever tobacco smokers from 27 case-control studies (17,146 HNC cases and 17,449 controls) in the International Head and Neck Cancer Epidemiology (INHANCE) consortium.

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  • The study explores the relationship between occupational lung carcinogens and the risk of laryngeal cancer, addressing limitations of previous research such as small sample sizes and inaccurate exposure assessments.
  • Data from 2,256 laryngeal cancer cases and 7,857 controls were analyzed using a quantitative job exposure matrix to evaluate exposure to asbestos, silica, chromium-VI, and nickel.
  • Results indicate increased cancer risks associated with these exposures, particularly for males with higher cumulative exposure and longer duration, suggesting a significant link between occupational hazards and laryngeal cancer.
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Objective: To investigate the associations between head and neck cancer (HNC) risk and occupations.

Methods: We harmonized data on occupations in a pooled analysis of 8839 HNC cases and 13,730 controls in International Head and Neck Cancer Epidemiology (INHANCE) consortium. Logistic regression was used to estimate odds ratios (ORs) for associations of occupations and HNC risk.

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Objectives: This study aimed at re-evaluating the strength and shape of the dose-response relationship between the combined (or joint) effect of intensity and duration of cigarette smoking and the risk of head and neck cancer (HNC). We explored this issue considering bivariate spline models, where smoking intensity and duration were treated as interacting continuous exposures.

Materials And Methods: We pooled individual-level data from 33 case-control studies (18,260 HNC cases and 29,844 controls) participating in the International Head and Neck Cancer Epidemiology (INHANCE) consortium.

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Objective: To investigate potential associations between body mass index (BMI) and head and neck cancer (HNC) risk in an East Asian population.

Methods: We conducted a hospital-based multicenter case-control study in East Asia including 921 cases and 806 controls. We estimated the odds ratios (ORs) and 95% confidence intervals (95% CI) for HNC risks by using logistic regression, adjusting on potential confounders.

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Background: Although tobacco involuntary smoking is an established risk factor for lung cancer, the association with head and neck cancer (HNC) is not established. We aimed to investigate this potential association in an East Asian population.

Methods: We conducted a multicenter case-control study in East Asia including eight centers.

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Although the protective role of dietary fiber on cancer risk has been reported in several epidemiological studies, the association of fiber intake on head and neck cancer (HNC) risk is still unclear. We investigated the association between fiber intake and the risk of HNC using data from the Prostate, Lung, Colorectal and Ovarian (PLCO) cancer screening trial. Among 101,700 participants with complete dietary information, 186 participants developed HNC during follow-up (January 1998 to May 2011).

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Background: The smoking prevalence among men in China is high, but the head and neck cancer incidence rates are low. This study's purpose was to investigate the impact of tobacco, betel quid, and alcohol on head and neck cancer risk in East Asia.

Methods: A multicenter case-control study (921 patients with head and neck cancer and 806 controls) in East Asia was conducted.

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Article Synopsis
  • A pooled analysis of data from 21 case-control studies and one cohort study was conducted to examine the relationship between alcohol consumption and lung cancer risk, focusing on specific types of beverages.
  • Results indicated that low to moderate alcohol consumption showed an inverse association with overall lung cancer risk, particularly for squamous cell carcinoma, while a J-shaped curve was noted, suggesting varying levels of risk based on intake.
  • However, the positive association between higher beer consumption and risk of squamous cell carcinoma needs further investigation to understand underlying biological mechanisms and confirm these findings.
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Recurrence and second primary cancer (SPC) continue to represent major obstacles to long-term survival in head and neck cancer (HNC). Our aim was to evaluate whether established demographics, lifestyle-related risk factors for HNC and clinical data are associated with recurrence and SPC in HNC. We conducted a multicentre study by using data from five studies members of the International Head and Neck Cancer Epidemiology consortium-Milan, Rome, Western Europe, Sao Paulo, and Japan, totalling 4005 HNC cases with a median age of 59 (interquartile range 52-67).

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There have been few published studies on differences between Blacks and Whites in the estimated effects of alcohol and tobacco use on the incidence of head and neck cancer (HNC) in the United States. Previous studies have been limited by small numbers of Blacks. Using pooled data from 13 US case-control studies of oral, pharyngeal, and laryngeal cancers in the International Head and Neck Cancer Epidemiology Consortium, this study comprised a large number of Black HNC cases (n = 975).

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