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Table 1 Characteristics of studies on rheumatoid arthritis and pack-years

From: Cigarette smoking and risk of rheumatoid arthritis: a dose-response meta-analysis

Authors, year

Study population, country, follow-up period/study period

Cases/cohort size or controls

Range of exposure pack-years

Highest category

RR/OR* Highest vs. lowest category§(95% CI)

Controlled variables

NOQAS*

Cohort

       

Criswell et al., 2002 [20]

Iowa Women’s Health Study, USA, 1986 to 1997

Women 158/31,336

0 to 50a

≥40

Total 1.7 (1.0 to 3.0)

Age, body mass index, alcohol use, coffee consumption, marital status, occupation, age at menopause, use of oral contraceptives and hormone replacement therapy.

8

Costenbader et al., 2006 [4]

Nurses’ Health Study, USA, 1976 to 2002

Women 680/103,818

0 to 45a

>40

Total 1.86 (1.46 to 2.38) RF +* 2.22 (1.63 to 3.02) RF-* 1.43 (0.96 to 2.12)

Age, body mass index, alcohol intake, father’s occupation, age at menarche, menstrual regularity, duration of breastfeeding, postmenopausal hormone use.

8

Di Giuseppe et al., 2013 [5]

Swedish mammography cohort, 2003 to 2010

Women 219/34,101

0 to 28b

>22

Total 1.82 (1.19 to 2.79)

Age, menopause status, parity, alcohol use, educational level, and body mass index.

8

Case-control

       

Voigt et al., 1994 [16]

Population-based controls, USA, 1986 to 1991

Women 349/1,457

0-27a

>20

Total 1.49 (1.06 to 2.10)

Age, body mass index.

7

Hutchinson et al., 2001 [24]

Hospital-based controls, UK

Men + Women 239/239

0 to 55a

>50

Total 8.41 (2.45 to 28.84)

Matched for age, gender and social class.

7

Olsson et al., 2001 [21]

Population-based controls, Sweden, 1980 to 1995

Men 91/203 Women 154/222

0 to 27a

≥20

Total men 2.7 (1.2 to 5.8) Total Women 1.8 (0.7 to 4.6) RF + Men 3.4 (1.5 to 8.4) RF + Women 2.5 (0.9 to 6.7)

Age, economic status.

7

Stolt et al., 2003 [2]

Population-based controls, Sweden, 1996 to 2000

Men + Women 486/724

0 to 25a

≥20

RF + 2.7 (1.8 to 3..9)

Age, residential area and gender.

7

Pedersen et al., 2006 [22]

Population-based controls, Denmark, 1988 to 2003

Men 149/291 Women 366/478

0 to 25a

>20

Total men 2.00 (1.12 to 3.58) Total Women 2.07 (1.35 to 3.16)

Birth year, year of RA diagnosis, gender.

7

Mikuls et al., 2010 [14]

Population-based controls, US (African Americans)

Men + Women 605/255

0 to 15a

≥10

Total 2.37 (1.56 to 3.60) RF + 2.51 (1.63 to 3.87) RF- 1.93 (1.11 to 3.35)

Age, gender.

7

Yahya et al., 2012 [23]

Population-based controls, Malaysia, 2005 to 2009

Men + Women 1056/1416

0 to 25a

≥20

Total 2.3 (1.0 to 5.5)

Matched for age, gender and residential area. Additionally adjusted for formal education and ethnicity.

6

  1. aMidpoint in the lowest-highest category bMedian of the highest category.
  2. §The lowest category corresponded to never smokers in all study except the study of Navarro-Compàn et al., that used <20 pack/years as reference level.
  3. *CI, confidence interval; NOQAS, Newcastle-Ottawa Quality Assessment Scale (score from 0 as poor to 9 as excellent); OR, odds ratio; RF+, rheumatoid factor positive; RF-, rheumatoid factor negative; RR, relative risk.