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Familial and environmental interactions in bladder cancer risk
Author(s) -
Kantor Arlene F.,
Hartge Patricia,
Hoover Robert N.,
Fraumeni Joseph F.
Publication year - 1985
Publication title -
international journal of cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.475
H-Index - 234
eISSN - 1097-0215
pISSN - 0020-7136
DOI - 10.1002/ijc.2910350602
Subject(s) - family history , bladder cancer , medicine , cancer , urinary system , population , risk factor , urinary bladder , relative risk , urinary bladder cancer , epidemiology , environmental health , gynecology , confidence interval
In a population‐based study of 2,982 bladder cancer patients and 5,782 controls in 10 geographic areas of the United States which was designed to assess the role of environmental risk factors, information was also obtained on the history of urinary tract cancer in first‐degree relatives. A family history of urinary tract cancer significantly elevated the risk of bladder cancer [relative risk (RR) = 1.45], with higher risks observed among patients under age 45. The risks of bladder cancer associated with positive family history were generally higher among persons with suspected environmental exposures, particularly heavy cigarette smoking (RR = 10.7 among those who smoked 3 or more packs per day). Further studies of bladder cancer should incorporate biochemical and genetic probes to assess mechanisms of familial susceptibility and interactions with environmental factors.