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Proceedings of the Consensus Conference on Smoking and Prostate Cancer
Brisbane
February 12 - 14, 1996

G. A. Colditz
Conference Chair and Editor of Proceedings

Consensus Statement on Smoking and Prostate Cancer
Does smoking cause Malignant Neoplasm of the Prostate?

After careful consideration of this question and the available data, the consensus conference concluded:

1. There is inadequate evidence that smoking is causally related to the occurrence of prostate cancer.

  1. There is limited evidence that smoking is associated with increased mortality attributed to prostate cancer.
  2. There is inadequate evidence that smoking is associated with prostate cancer incidence.

2. A plausible inference from these statements is that smoking may be associated with poorer survival.

Additional studies that may help interpret the possible association include those that:

  • quantify misclassification of prostate cancer on death certificates according to smoking status
  • quantify misclassification of smoking status in cohort studies
  • identify additional existing cohorts that may provide data
  • conduct meta-analysis of cohort data and exclude early data from US Veterans
  • study case survival for prostate cancer cases by smoking status (by staging at diagnosis)
  • more adequately determine screening status and its impact in cohort studies
  • through linkages and other approaches, better describe the relation between incidence and mortality from prostate cancer in any future case-control studies consider markers for subgroups that may be susceptible to smoking.

Delegates at the Consensus Conference from:

  • Repatriation Medical Authority, Australia
  • American Cancer Society, USA
  • American Health Foundation, USA
  • Anti-Cancer Council of Victoria, Australia
  • Department of Veterans’ Affairs, Australia
  • Finnish Cancer Registry, Finland
  • Harvard Medical School, USA
  • Menzies Centre for Population Health Research, Australia
  • Menzies School of Health Research, Australia
  • National Cancer Institute, USA
  • National HIV Centre, Australia
  • NSW Cancer Council, Australia
  • Specialist Medical Review Council, Australia
  • Tulane University Medical Centre, USA
  • University of Newcastle, Australia
  • University of Oxford, UK

Observers at the Consensus Conference from:

  • Australian Veterans and Defence Services Council
  • Legacy
  • Regular Defence Force Welfare Association
  • Returned and services League of Australia Limited
  • Vietnam Veterans’ Association of Australia
  • Vietnam Veterans’ Federation of Australia
  • War Widows’ Guild of Australia
  • Department of Veterans’ Affairs, Australia

ISBN 0 644 47623 0

This page last updated 22 March 2000.

     
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