Within the last two decades, reported incidence rates of adenocarcinomas of the esophagus and gastric cardia have been increasing rapidly in many Westernized countries including the United States. In contrast, the incidence of squamous cell carcinomas of the esophagus has remained stable, and for adenocarcinomas elsewhere in the stomach, incidence has declined during this same time period. Other than a descriptive characterization, little is known about the epidemiology of esophageal and gastric cardia adenocarcinomas. Thus, the purpose of the proposed population-based case-control study is to identify risk factors for adenocarcinomas of the esophagus and gastric cardia. For comparison, risk factors will also be identified for squamous cell carcinoma of the esophagus and adenocarcinomas in the more distal stomach. This study is to be part of a multi-center collaboration with the National Cancer Institute (NCI) and other institutions as determined by NCI. A common protocol will be developed in cooperation with the other collaborators. In New Jersey, cases will be men and women who are between the ages of 20 and 79 years, are residents of a 15-county area in New Jersey, and are newly diagnosed during a 20-month period with one of the four study cancers that has been histologically confirmed as a primary neoplasm. All biologic specimens and other diagnostic materials of cases will be reviewed by the study pathologist. For cases of adenocarcinoma of the esophagus and gastric cardia, controls will be selected among residents of the same 15-county area and frequency matched by five-year age groups and sex. Controls will be used for more than one cancer in the analysis. Controls between the ages of 20 to 64 years will be identified using random digit dialing (RDD), and those 65 years and over will be identified using Health Care and Finance Administration (HCFA) rosters. In-person subject and next-of-kin interviews will be conducted by trained interviewers. Information will be obtained on possible risk factors for the four study cancers including use of tobacco and alcohol, usual adult diet, consumption of coffee and tea, occupational history, ionizing radiation exposure, history of certain medical conditions, and family history of cancer. In New Jersey, completed interviews are expected for 248 controls, and 124 cases of adenocarcinomas of the esophagus, 124 adenocarcinomas of the gastric cardia, 124 squamous cell carcinomas of the esophagus, and 124 adenocarcinomas elsewhere in the stomach. Results will be combined with data obtained from the other collaborating field institutions. Analyses will include calculation of crude and adjusted odds ratios and corresponding confidence intervals using logistic regression techniques. To the extent possible, effect modification by anatomic and histologic type will be examined.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Project--Cooperative Agreements (U01)
Project #
5U01CA057983-02
Application #
3549928
Study Section
Special Emphasis Panel (SRC (56))
Project Start
1992-08-01
Project End
1995-07-31
Budget Start
1993-08-05
Budget End
1994-07-31
Support Year
2
Fiscal Year
1993
Total Cost
Indirect Cost
Name
Columbia University (N.Y.)
Department
Type
Schools of Public Health
DUNS #
064931884
City
New York
State
NY
Country
United States
Zip Code
10027
Dong, Jing; Levine, David M; Buas, Matthew F et al. (2018) Interactions Between Genetic Variants and Environmental Factors Affect Risk of Esophageal Adenocarcinoma and Barrett's Esophagus. Clin Gastroenterol Hepatol 16:1598-1606.e4
Ek, Weronica E; Lagergren, Katarina; Cook, Michael et al. (2016) Polymorphisms in genes in the androgen pathway and risk of Barrett's esophagus and esophageal adenocarcinoma. Int J Cancer 138:1146-52
Drahos, Jennifer; Xiao, Qian; Risch, Harvey A et al. (2016) Age-specific risk factor profiles of adenocarcinomas of the esophagus: A pooled analysis from the international BEACON consortium. Int J Cancer 138:55-64
Lagergren, Katarina; Ek, Weronica E; Levine, David et al. (2015) Polymorphisms in Genes of Relevance for Oestrogen and Oxytocin Pathways and Risk of Barrett's Oesophagus and Oesophageal Adenocarcinoma: A Pooled Analysis from the BEACON Consortium. PLoS One 10:e0138738
Petrick, J L; Steck, S E; Bradshaw, P T et al. (2015) Dietary intake of flavonoids and oesophageal and gastric cancer: incidence and survival in the United States of America (USA). Br J Cancer 112:1291-300
Thrift, Aaron P; Shaheen, Nicholas J; Gammon, Marilie D et al. (2014) Obesity and risk of esophageal adenocarcinoma and Barrett's esophagus: a Mendelian randomization study. J Natl Cancer Inst 106:
Thrift, Aaron P; Risch, Harvey A; Onstad, Lynn et al. (2014) Risk of esophageal adenocarcinoma decreases with height, based on consortium analysis and confirmed by Mendelian randomization. Clin Gastroenterol Hepatol 12:1667-76.e1
Cook, Michael B; Corley, Douglas A; Murray, Liam J et al. (2014) Gastroesophageal reflux in relation to adenocarcinomas of the esophagus: a pooled analysis from the Barrett's and Esophageal Adenocarcinoma Consortium (BEACON). PLoS One 9:e103508
Navarro Silvera, Stephanie A; Mayne, Susan T; Gammon, Marilie D et al. (2014) Diet and lifestyle factors and risk of subtypes of esophageal and gastric cancers: classification tree analysis. Ann Epidemiol 24:50-7
Levine, David M; Ek, Weronica E; Zhang, Rui et al. (2013) A genome-wide association study identifies new susceptibility loci for esophageal adenocarcinoma and Barrett's esophagus. Nat Genet 45:1487-93

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