Effects of smoking behavior change on diabetes incidence after cancer development: A nationwide cohort study
Authors' conclusion
Compared with never smokers, cancer survivors who engaged smoking at any point before or after cancer diagnosis showed an increased risk of DM incidence after cancer diagnosis. Cancer survivors should be advised to quit smoking promptly and to maintain abstinence throughout cancer survivorship.
Study context
- Population
- Patients with newly diagnosed cancers between 2010 and 2016, Korean National Health Insurance System database
- Participants
- 263,940 cancer survivors
- Exposure
- Smoking behavior change after cancer diagnosis: ex-smokers, quitters, smoking starters and persistent smokers vs never smokers
- Outcome
- DM incidence after cancer diagnosis
- Follow-up
- Mean 4.0 years
Methodological detailsnationwide, Korean National Health Insurance System database
- Nationwide
- Korean National Health Insurance System database
Main finding
As reported in the abstract
DM incidence
Each group vs never smokerAdjusted hazard ratio (95 % CI)
Ex-smoker
1.06(1.00–1.13)
Quitter
1.45(1.35–1.54)
Smoking starter
1.46(1.25–1.71)
Persistent smoker
1.57(1.45–1.69)
- Patients diagnosed with diabetes mellitus (DM) after cancer development
- 12,175
Observational data: associations, not effects.
Original publication
Effects of smoking behavior change on diabetes incidence after cancer development: A nationwide cohort study. Diabetes Metab. Published 19 December 2024. doi:10. 1016/ j. diabet. 2024. 101604
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