Review: the relationship of -shisha- (water pipe) smoking to the risk of head and neck cancer
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Universidade Federal de Minas Gerais
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Introduction: There has been a recent rise in popularity of waterpipe smoking (WPS)among younger people. While it is a tobacco-related product, research on the possi-ble deleterious effects on health and its relationship with cancer is sparse. In thispaper, we evaluated the existing literature and association of WPS with head andneck cancer.Materials and methods: PubMed, EMBASE, Scopus, Web of Science and grey litera-ture from January 1990 up to and including March 2017 were searched. Two inde-pendent reviewers performed the study selection according to eligibility criteria.Results: A total of seven studies that met the eligibility criteria were included. In fourstudies that evaluated the associated risk of oesophageal cancer, the odds ratio (OR)ranged from 1.69 (95% CI = 0.76-3.77) to 21.4 (95% CI = 11.6-39.5). The OR for theassociation of WPS with nasopharyngeal cancer and oral cancer was reported to be0.49 (95% CI = 0.20-1.43) and 4.20 (95% CI = 1.32-13.3), respectively. One study thatevaluated risk in different head and neck cancers reported 2-fold OR (2.73 [95%CI = 1.65-4.41]).Conclusion: On the basis of our evaluation, there is an association of WPS with headand neck cancer. However, larger studies with standardized methods are needed toidentify the possible detrimental health effects of WPS more fully.
Abstract
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Head and Neck neoplasms, Review, Smoking water pipes, Smoking, Tobacco use, Association, Nasopharyngeal neoplasms, Mouth neoplasms, Evaluation study
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Head and neck cancer, Review, Shisha, Smoking, Tobacco, Water pipe
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https://onlinelibrary.wiley.com/doi/10.1111/jop.12823