Alcohol consumption, cigarette smoking, and the risk of recurrent acute and chronic pancreatitis

Dhiraj Yadav, Robert H. Hawes, Randall E. Brand, Michelle A. Anderson, Mary E. Money, Peter A. Banks, Michele D. Bishop, John Baillie, Stuart Sherman, James DiSario, Frank R. Burton, Timothy B. Gardner, Stephen T. Amann, Andres Gelrud, Christopher Lawrence, Beth Elinoff, Julia B. Greer, Michael O'Connell, M. Michael Barmada, Adam SlivkaDavid C. Whitcomb

Research output: Contribution to journalArticle

244 Citations (Scopus)

Abstract

Background: Recurrent acute pancreatitis (RAP) and chronic pancreatitis (CP) are associated with alcohol consumption and cigarette smoking. The etiology of RAP and CP is complex, and effects of alcohol and smoking may be limited to specific patient subsets. We examined the current prevalence of alcohol use and smoking and their association with RAP and CP in patients evaluated at US referral centers. Methods: The North American Pancreatitis Study 2, a multicenter consortium of 20 US centers, prospectively enrolled 540 patients with CP, 460 patients with RAP, and 695 controls from 2000 to 2006. Using selfreported monthly alcohol consumption during the maximum lifetime drinking period, we classified subjects by drinking status: abstainer, light drinker (≤0.5 drink per day), moderate drinker (women,>0.5 to 1 drink per day; men, >0.5 to 2 drinks per day), heavy drinker (women, >1 to <5 drinks per day; men, >2 to <5 drinks per day), or very heavy drinker (≥5 drinks per day for both sexes). Smoking was classified as never, past, or current and was quantified (packs per day and pack-years). Results: Overall, participants' mean (SD) age was 49.7 (15.4) years; 87.5% were white, and 56.5% were women. Approximately one-fourth of both controls and patients were lifetime abstainers. The prevalence of very heavy drinking among men and women was 38.4% and 11.0% for CP, 16.9% and 5.5% for RAP, and 10.0% and 3.6% for controls. Compared with abstaining and light drinking, very heavy drinking was significantly associated with CP (odds ratio, 3.10; 95% confidence interval, 1.87-5.14) after controlling for age, sex, smoking status, and body mass index. Cigarette smoking was an independent, dose-dependent risk factor for CP and RAP. Conclusions: Very heavy alcohol consumption and smoking are independent risks for CP. A minority of patients with pancreatitis currently seen at US referral centers report very heavy drinking.

Original languageEnglish
Pages (from-to)1035-1045
Number of pages11
JournalArchives of Internal Medicine
Volume169
Issue number11
DOIs
StatePublished - Jun 8 2009

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Chronic Pancreatitis
Alcohol Drinking
Pancreatitis
Smoking
Drinking
Referral and Consultation
Alcohols
Body Mass Index
Odds Ratio
Confidence Intervals
Light

ASJC Scopus subject areas

  • Internal Medicine

Cite this

Yadav, D., Hawes, R. H., Brand, R. E., Anderson, M. A., Money, M. E., Banks, P. A., ... Whitcomb, D. C. (2009). Alcohol consumption, cigarette smoking, and the risk of recurrent acute and chronic pancreatitis. Archives of Internal Medicine, 169(11), 1035-1045. https://doi.org/10.1001/archinternmed.2009.125

Alcohol consumption, cigarette smoking, and the risk of recurrent acute and chronic pancreatitis. / Yadav, Dhiraj; Hawes, Robert H.; Brand, Randall E.; Anderson, Michelle A.; Money, Mary E.; Banks, Peter A.; Bishop, Michele D.; Baillie, John; Sherman, Stuart; DiSario, James; Burton, Frank R.; Gardner, Timothy B.; Amann, Stephen T.; Gelrud, Andres; Lawrence, Christopher; Elinoff, Beth; Greer, Julia B.; O'Connell, Michael; Barmada, M. Michael; Slivka, Adam; Whitcomb, David C.

In: Archives of Internal Medicine, Vol. 169, No. 11, 08.06.2009, p. 1035-1045.

Research output: Contribution to journalArticle

Yadav, D, Hawes, RH, Brand, RE, Anderson, MA, Money, ME, Banks, PA, Bishop, MD, Baillie, J, Sherman, S, DiSario, J, Burton, FR, Gardner, TB, Amann, ST, Gelrud, A, Lawrence, C, Elinoff, B, Greer, JB, O'Connell, M, Barmada, MM, Slivka, A & Whitcomb, DC 2009, 'Alcohol consumption, cigarette smoking, and the risk of recurrent acute and chronic pancreatitis', Archives of Internal Medicine, vol. 169, no. 11, pp. 1035-1045. https://doi.org/10.1001/archinternmed.2009.125
Yadav, Dhiraj ; Hawes, Robert H. ; Brand, Randall E. ; Anderson, Michelle A. ; Money, Mary E. ; Banks, Peter A. ; Bishop, Michele D. ; Baillie, John ; Sherman, Stuart ; DiSario, James ; Burton, Frank R. ; Gardner, Timothy B. ; Amann, Stephen T. ; Gelrud, Andres ; Lawrence, Christopher ; Elinoff, Beth ; Greer, Julia B. ; O'Connell, Michael ; Barmada, M. Michael ; Slivka, Adam ; Whitcomb, David C. / Alcohol consumption, cigarette smoking, and the risk of recurrent acute and chronic pancreatitis. In: Archives of Internal Medicine. 2009 ; Vol. 169, No. 11. pp. 1035-1045.
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abstract = "Background: Recurrent acute pancreatitis (RAP) and chronic pancreatitis (CP) are associated with alcohol consumption and cigarette smoking. The etiology of RAP and CP is complex, and effects of alcohol and smoking may be limited to specific patient subsets. We examined the current prevalence of alcohol use and smoking and their association with RAP and CP in patients evaluated at US referral centers. Methods: The North American Pancreatitis Study 2, a multicenter consortium of 20 US centers, prospectively enrolled 540 patients with CP, 460 patients with RAP, and 695 controls from 2000 to 2006. Using selfreported monthly alcohol consumption during the maximum lifetime drinking period, we classified subjects by drinking status: abstainer, light drinker (≤0.5 drink per day), moderate drinker (women,>0.5 to 1 drink per day; men, >0.5 to 2 drinks per day), heavy drinker (women, >1 to <5 drinks per day; men, >2 to <5 drinks per day), or very heavy drinker (≥5 drinks per day for both sexes). Smoking was classified as never, past, or current and was quantified (packs per day and pack-years). Results: Overall, participants' mean (SD) age was 49.7 (15.4) years; 87.5{\%} were white, and 56.5{\%} were women. Approximately one-fourth of both controls and patients were lifetime abstainers. The prevalence of very heavy drinking among men and women was 38.4{\%} and 11.0{\%} for CP, 16.9{\%} and 5.5{\%} for RAP, and 10.0{\%} and 3.6{\%} for controls. Compared with abstaining and light drinking, very heavy drinking was significantly associated with CP (odds ratio, 3.10; 95{\%} confidence interval, 1.87-5.14) after controlling for age, sex, smoking status, and body mass index. Cigarette smoking was an independent, dose-dependent risk factor for CP and RAP. Conclusions: Very heavy alcohol consumption and smoking are independent risks for CP. A minority of patients with pancreatitis currently seen at US referral centers report very heavy drinking.",
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AU - Yadav, Dhiraj

AU - Hawes, Robert H.

AU - Brand, Randall E.

AU - Anderson, Michelle A.

AU - Money, Mary E.

AU - Banks, Peter A.

AU - Bishop, Michele D.

AU - Baillie, John

AU - Sherman, Stuart

AU - DiSario, James

AU - Burton, Frank R.

AU - Gardner, Timothy B.

AU - Amann, Stephen T.

AU - Gelrud, Andres

AU - Lawrence, Christopher

AU - Elinoff, Beth

AU - Greer, Julia B.

AU - O'Connell, Michael

AU - Barmada, M. Michael

AU - Slivka, Adam

AU - Whitcomb, David C.

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N2 - Background: Recurrent acute pancreatitis (RAP) and chronic pancreatitis (CP) are associated with alcohol consumption and cigarette smoking. The etiology of RAP and CP is complex, and effects of alcohol and smoking may be limited to specific patient subsets. We examined the current prevalence of alcohol use and smoking and their association with RAP and CP in patients evaluated at US referral centers. Methods: The North American Pancreatitis Study 2, a multicenter consortium of 20 US centers, prospectively enrolled 540 patients with CP, 460 patients with RAP, and 695 controls from 2000 to 2006. Using selfreported monthly alcohol consumption during the maximum lifetime drinking period, we classified subjects by drinking status: abstainer, light drinker (≤0.5 drink per day), moderate drinker (women,>0.5 to 1 drink per day; men, >0.5 to 2 drinks per day), heavy drinker (women, >1 to <5 drinks per day; men, >2 to <5 drinks per day), or very heavy drinker (≥5 drinks per day for both sexes). Smoking was classified as never, past, or current and was quantified (packs per day and pack-years). Results: Overall, participants' mean (SD) age was 49.7 (15.4) years; 87.5% were white, and 56.5% were women. Approximately one-fourth of both controls and patients were lifetime abstainers. The prevalence of very heavy drinking among men and women was 38.4% and 11.0% for CP, 16.9% and 5.5% for RAP, and 10.0% and 3.6% for controls. Compared with abstaining and light drinking, very heavy drinking was significantly associated with CP (odds ratio, 3.10; 95% confidence interval, 1.87-5.14) after controlling for age, sex, smoking status, and body mass index. Cigarette smoking was an independent, dose-dependent risk factor for CP and RAP. Conclusions: Very heavy alcohol consumption and smoking are independent risks for CP. A minority of patients with pancreatitis currently seen at US referral centers report very heavy drinking.

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