Philip Morris
Ets Issues Binder Ets and Lung Cancer in Nonsmokersvolume I.
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- Miller
- Mizell, M.
- Mizuno, K.
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- Sobue, T.
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- Xu, Z.Y.
- Yamamoto, M.
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- Yu, S.F.
- Zaman, M.B.
- Zang
- Zhang, A.Y.
- Zhang, R.
- Zheng, W.
- Alderson, M.R.
- Master ID
- 2023382094/2668
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Document Images
ETS AND
LUNG CANC'ER'IN NONSMOKERS
VOLUME I

ETS
ISSUE BINDER.
ETS AND
LUNG CANCER
IN NONSMOKERS
VOLUME I

THIS ISSUE BINDER IS INTENDED TO PROVIDE' A BASIC,
COMPREHENSIVE REVIEW OF THE SCIENTIFIC LITERATURE
REGARDING A SPECIFIC TOPIC ON ETS AND THE HEALTH OF
NONSMOIUKRS.
PRIMARY STUDIES AND REVIEWS HAVE BEEN HIGHLIGHTED
TO IDENTIFY (1) IISEFDL OR HELPFUL INFORMATION (YELLOW
HIGHLIGHT ) AND (2) ADVERSE RESULTS OR OPINIONS ( BI,UE
HIGHLIGHT).

TABLE OF
CONTENTS
2023382097

20ti338210z

PRIMARY EPIDEMIOLOGIC STUDIES ON ETS AND LUNG CANCER
Introduction
Currently, 29 epidemiologic studies examining lung cancer
incidence and spousal smoking have been published'.1-29 Tables 1,
2 and 3 list the United States, Asian and European studies,
respectively. For purposes of comparison, the relative risks (point
estimates) given in the tables are the overall point estimates for
spousal smoking reported in the papers. In some cases, the risk
in the table was selected from numerous point estimates presented~
in the paper, based on different definitions of exposure, break-
down of the sample by histological type, etc.
Brief synopses and copies of the papers associated with
these studies follow this introduction, at Tabs 1 to 29, arranged
in chronological order. The copies are highlighted' in yellow for
useful information and in blue for negative statements.

United States Studies
Ten~ of these studies on spousal smoking and lung cancer
in nonsmokers (one cohort, nine case-control) were conducted in
the United States (Table 1),3,5,7-9,11r14,16,24,25 None of the
relative risks (RR)l for spousal smoking reported in these studies
is statistically significant. The most recently published paper,
that by Janerich, et al., is based~upon an unpublished dissertation
by Luis Varela.24 The Janerich, et al., paper discusses a subset
of Varela"s case-control study, and reports no statistically
significant increased risk for spousal smoking, workplace exposure,
or exposure in social settings. (It does, however, report a
statistically significant increased risk for exposure during
childhood (see below).) Overall, the Varela study is important
because of its large size and~appropriate study design.
- 2 -

TAB
Kabat, 1990 ......................................
Kalandidi, et al., 1990 ..........................
Sobue, et al., 1990 ..............................
Wu-Williams, et al., 1990 ........................
Liu, et al., 1991 ................................
ADDITIONAL STUDIES ON LUNG CANCER .........................
Introduction ..................... p. 1
References ....................... p. 6 25
26
27
28
29
B
Individual studies
Knoth, et al., 1983/Heller, 1983 ................. 1
Sandler, et al., 1985a, 1985b, 1985c/
Selected Criticisms ............................
2
Dalager, et al., 1986 ............................ 3
Lloyd, et al., 1986 .............................. 4
Katada, et al., 1988 ............................. 5
Lam and Cheng, 1988 .............................. 6
Chen, et al., 1990 ............................... 7
Miller, 1990 ..................................... 8
CRITICISMS................................................. C
General criticisms ...............
Criticisms of the Hirayama
study...........................
Criticisms of the Trichopoulos
study ...........................
References .......................
Selected critical publications
p. 1
6
p
p. 8
10
p
General criticisms ... .............................. 1-7
Re: Hirayama ................................... 8-20.
Re: Trichopoulos .... ............................... 21-23
CONFOUNDING FACTORS ..........................
Introduction...................... p. 1
.
(Table 1)
References ....................... p. 7
ii
D

TABLE OF CONTENTS
PRIMARY STUDIES ON LUNG CANCER .........................
Introduction .....................
United States studies ............
(Table 1),
p .. 1
P 2'
Asian studies .................... p. 3
(Table 2)
European studies .................
(Table 3)
Childhood exposure................
(Table 4)
Workplace exposure ...............
(Table 5)
References .......................
p. 4
p. 5
p. 7
p. 8
Individual studies, with summaries
.Hirayama, 1981, 1984a, 1984b .....................
Trichopoulos, et al., 1981, 1983 .................
Garfinkel, 1981 ..................................
Chan and Fung, 1982............ ...................
&Correa, et al., 1983......... .....................
Buffler, et al., 1984........ ......................
. Gillis, et al., 1984/Hole, et al., 1989...........
Kabat and Wynder, 1984... .........................
~ Garfinkel, et al., 1985.. .........................
Lam, W.K., 1985 ..................................
Wu, et al., 1985 .................................
Akiba, et al. 1986 ...............................
Lee, et al., 1986 ................................
Brownson, et al., 1987 ...........................
Gao, et al., 1987 ................................
Humble, et al., 1987.......... ....................
Koo, et al., 1987.............. ....................
.Lam, et al., 1987...................................
aPershagen, et al., 1987 ..........................
.Geng, et al., 1988......... .........................
rInoue and Hirayama, 1988............. .............
. Shimizu, et al., 1988 ............................
Svensson, et al., 1988 ...........................
. Janerich, et al., 1990/Varela, 1987 ..............
TAB
A
1

TAB
Arundel, et al., 1987 ........................... 3
Additional Criticisms of Repace and
Lowrey......................................... 4
Darby and Pike, 1988 ............................ 5
Criticism~of Darby and Pike ..................... 6
CANCER OF SITES OTHER THAN THE LUNG .......................
Introduction ...................... p. 1 G
References......................... p. 8
Individual studies
Miller, 1984 .................................... 1
Reynolds, 1987 .................................. 2
Sandler, et al., 1989/Holcomb, 1989 ............. 3
Sandler, et al., 1985a.......... ................. 4
Wells, 1991............ ........................... 5
Kabat, et al., 1986 ............................. 6
Burch, et al., 1989 ............................. 7
Sandler, et al., 1985b........ ................... 8
Slattery, et al., 1989/Zang, et al.,
1989/Slattery, 1989................. ............... 9
Grufferman, et al., 1982.. ....................... 10
John, et al., 1991........ ........................ 11
iv
