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01.06.2010

Alcohol consumption and non-Hodgkin lymphoma survival

verfasst von: Xuesong Han, Tongzhang Zheng, Francine M. Foss, Shuangge Ma, Theodore R. Holford, Peter Boyle, Brian Leaderer, Ping Zhao, Min Dai, Yawei Zhang

Erschienen in: Journal of Cancer Survivorship | Ausgabe 2/2010

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Abstract

Introduction

Epidemiological studies have shown that moderate alcohol drinkers have a lower death rate for all causes. Alcohol drinking has also been associated with reduced risk of non-Hodgkin lymphoma (NHL). Here, we examined the role of alcohol consumption on NHL survival by type of alcohol consumed and NHL subtype.

Methods

A cohort of 575 female NHL incident cases diagnosed during 1996–2000 in Connecticut was followed-up for a median of 7.75 years. Demographic, clinical, and lifestyle information was collected at diagnosis. Survival analyses were conducted with Kaplan-Meier methods, and hazard ratios (HR) were estimated from Cox Proportional Hazards models.

Results

Compared to never drinkers, wine drinkers experienced better overall survival (75% vs. 69% five-year survival rates, p-value for log-rank test = 0.030) and better disease free survival (70% vs. 67% five-year disease-free survival rates, p-value for log-rank test = 0.049). Analysis by NHL subtype shows that the favorable effect of wine consumption was mainly seen for patients diagnosed with diffuse large B-cell lymphoma (DLBCL) (wine drinkers for more than 25 years vs. never drinkers: HR = 0.36, 95% CI 0.14–0.94 for overall survival; HR = 0.38, 95% CI 0.16–0.94 for disease-free survival), and the adverse effect of liquor consumption was also observed among DLBCL patients (liquor drinkers vs. never drinkers: HR=2.49, 95% CI 1.26–4.93 for disease-free survival).

Conclusions

Our results suggest a moderate relationship between pre-diagnostic alcohol consumption and NHL survival, particularly for DLBCL. The results need to be replicated in larger studies.

Implications for cancer survivors

Pre-diagnostic behaviors might impact the prognosis and survival of NHL patients.

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Titel: Alcohol consumption and non-Hodgkin lymphoma survival
verfasst von: Xuesong Han
Tongzhang Zheng
Francine M. Foss
Shuangge Ma
Theodore R. Holford
Peter Boyle
Brian Leaderer
Ping Zhao
Min Dai
Yawei Zhang
Publikationsdatum: 01.06.2010
Verlag: Springer US
Erschienen in: Journal of Cancer Survivorship / Ausgabe 2/2010
Print ISSN: 1932-2259
Elektronische ISSN: 1932-2267
DOI: https://doi.org/10.1007/s11764-009-0111-4

Springer Medizin

Alcohol consumption and non-Hodgkin lymphoma survival