Alcohol intake and pancreatic cancer: A pooled analysis from the pancreatic cancer cohort consortium (PanScan)

Dominique S. Michaud, Alina Vrieling, Li Jiao, Julie B. Mendelsohn, Emily Steplowski, Shannon M. Lynch, Jean Wactawski-Wende, Alan A. Arslan, H. Bas Bueno-De-Mesquita, Charles S. Fuchs, Myron Gross, Kathy Helzlsouer, Eric J. Jacobs, Andrea Lacroix, Gloria Petersen, Wei Zheng, Naomi Allen, Laufey Ammundadottir, Manuela M. Bergmann, Paolo BoffettaJulie E. Buring, Federico Canzian, Stephen J. Chanock, Françoise Clavel-Chapelon, Sandra Clipp, Matthew S. Freiberg, J. Michael Gaziano, Edward L. Giovannucci, Susan Hankinson, Patricia Hartge, Robert N. Hoover, F. Allan Hubbell, David J. Hunter, Amy Hutchinson, Kevin Jacobs, Charles Kooperberg, Peter Kraft, Jonas Manjer, Carmen Navarro, Petra H M Peeters, Xiao Ou Shu, Victoria Stevens, Gilles Thomas, Anne Tjønneland, Geoffrey S. Tobias, Dimitrios Trichopoulos, Rosario Tumino, Paolo Vineis, Jarmo Virtamo, Robert Wallace, Brian M. Wolpin, Kai Yu, Anne Zeleniuch-Jacquotte, Rachael Z. Stolzenberg-Solomon

Research output: Contribution to journalArticlepeer-review

92 Scopus citations


The literature has consistently reported no association between low to moderate alcohol consumption and pancreatic cancer; however, a few studies have shown that high levels of intake may increase risk. Most single studies have limited power to detect associations even in the highest alcohol intake categories or to examine associations by alcohol type. We analyzed these associations using 1,530 pancreatic cancer cases and 1,530 controls from the Pancreatic Cancer Cohort Consortium (PanScan) nested case-control study. Odds ratios (OR) and 95% confidence intervals (95% CI) were calculated using unconditional logistic regression, adjusting for potential confounders. We observed no significant overall association between total alcohol (ethanol) intake and pancreatic cancer risk (OR = 1.38, 95% CI = 0.86-2.23, for 60 or more g/day vs. >0 to <5 g/day). A statistically significant increase in risk was observed among men consuming 45 or more grams of alcohol from liquor per day (OR = 2.23, 95% CI = 1.02-4.87, compared to 0 g/day of alcohol from liquor, P-trend = 0.12), but not among women (OR = 1.35, 95% CI = 0.63-2.87, for 30 or more g/day of alcohol from liquor, compared to none). No associations were noted for wine or beer intake. Overall, no significant increase in risk was observed, but a small effect among heavy drinkers cannot be ruled out.

Original languageEnglish (US)
Pages (from-to)1213-1225
Number of pages13
JournalCancer Causes and Control
Issue number8
StatePublished - Aug 2010


  • Alcohol
  • Pancreatic cancer
  • Pooled analysis


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