© 2000 by Oxford University Press
Journal of the National Cancer Institute, Vol. 92, No. 14, 1178-1181,
July 19, 2000
© 2000 Oxford University Press
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Lifetime Cigarette Smoking and Colorectal Cancer Incidence in the Physicians' Health Study I
Affiliations of authors: T. Stürmer, Division of Preventive Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Harvard School of Public Health, Boston, and Department of Epidemiology, University of Ulm, Germany; R. J. Glynn, I-M. Lee, Division of Preventive Medicine, Brigham and Women's Hospital, Harvard Medical School, and Harvard School of Public Health; W. G. Christen, Division of Preventive Medicine, Brigham and Women's Hospital, Harvard Medical School; C. H. Hennekens, Departments of Medicine and Epidemiology and Public Health, University of Miami School of Public Health, Miami, FL.
Correspondence to: Robert J. Glynn, Sc.D., Ph.D., Division of Preventive Medicine, Brigham and Women's Hospital, 900 Commonwealth Ave. East, Boston, MA 022151204 (e-mail: rglynn@rics.bwh.harvard.edu).
Colorectal cancer ranks fourth in incidence and second in cause of death from cancer in the United States (1). Although virtually every study has reported a positive association between cigarette smoking and adenomatous polyps, the evidence regarding smoking and colorectal cancer is less clear, probably because of a long induction period (2). We, therefore, examined lifetime smoking history and incidence of colorectal cancer in a large cohort of men followed for more than 12 years.
In 1982, a total of 22 071 U.S. male physicians, 4084 years of age, who did not have a history of myocardial infarction, stroke, cancer, liver or renal disease, gout, peptic ulcer, or contraindications to aspirin were randomly assigned in the
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