
Research on smoking and lung cancer: a landmark in the history of chronic disease epidemiology.
Abstract
This paper describes the history of the epidemiologic research on lung cancer prior to 1970 and its effect on chronic disease epidemiology. In the 1930s, epidemiology was largely concerned with acute infectious diseases. As the evidence grew that the incidence of lung cancer was increasing among men, however, epidemiologists undertook research into the etiology of the disease. In 1950, Doll and Hill, in England, and Wynder and Graham, in the United States, published substantial case-control studies that implicated the use of tobacco as a major risk factor for the disease. A controversy developed over the credibility of this finding and was increased in 1954 when a cohort study by Doll and Hill and another by Hammond and Horn each gave estimates that the risk of lung cancer was greatly increased among smokers relative to the risk among comparable non-smokers. An account is given of the disputes surrounding these and related studies. The controversy had a stimulating effect in fostering the developing discipline of chronic disease and epidemiology.
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Selected References
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- STEINER PE, BUTT EM, EDMONDSON HA. Pulmonary carcinoma revealed at necropsy, with reference to increasing incidence in the Los Angeles County Hospital. J Natl Cancer Inst. 1950 Dec;11(3):497–510. [PubMed]
- CLEMMESEN J. Bronchial carcinoma, a pandemic. Dan Med Bull. 1954 Apr;1(2):37–46. [PubMed]
- Doll R. CANCER OF THE LUNG. Br Med J. 1954 Dec 11;2(4901):b1402–1402. [PMC free article]
- Burch PR. Lung cancer and smoking: is there proof. Br Med J. 1976 Sep 11;2(6036):640–640. [PMC free article] [PubMed]
- Doll R. Landmark perspective: Smoking and death rates. JAMA. 1984 Jun 1;251(21):2854–2857. [PubMed]
- WYNDER EL, GRAHAM EA. Tobacco smoking as a possible etiologic factor in bronchiogenic carcinoma; a study of 684 proved cases. J Am Med Assoc. 1950 May 27;143(4):329–336. [PubMed]
- DOLL R, HILL AB. Smoking and carcinoma of the lung; preliminary report. Br Med J. 1950 Sep 30;2(4682):739–748. [PMC free article] [PubMed]
- DOLL R, HILL AB. A study of the aetiology of carcinoma of the lung. Br Med J. 1952 Dec 13;2(4797):1271–1286. [PMC free article] [PubMed]
- SCOTT RB. Some medical aspects of tobacco-smoking. Br Med J. 1952 Mar 29;1(4760):671–675. [PMC free article] [PubMed]
- Shera A Geoffrey. “The Slandered Fragrant Weed” Br Med J. 1953 Feb 07;1(4805):b338–338. [PMC free article]
- E. CLIFFORD BEALE. Br Med J. 1953 Feb 7;1(4805):339–339. [PMC free article] [PubMed]
- SADOWSKY DA, GILLIAM AG, CORNFIELD J. The statistical association between smoking and carcinoma of the lung. J Natl Cancer Inst. 1953 Apr;13(5):1237–1258. [PubMed]
- HAMMOND EC. Smoking in relation to lung cancer. Conn State Med J. 1954 Jan;18(1):3–9. [PubMed]
- Frost WH. Risk of Persons in Familial Contact with Pulmonary Tuberculosis. Am J Public Health Nations Health. 1933 May;23(5):426–432. [PMC free article] [PubMed]
- CORNFIELD J. A method of estimating comparative rates from clinical data; applications to cancer of the lung, breast, and cervix. J Natl Cancer Inst. 1951 Jun;11(6):1269–1275. [PubMed]
- DOLL R, HILL AB. The mortality of doctors in relation to their smoking habits; a preliminary report. Br Med J. 1954 Jun 26;1(4877):1451–1455. [PMC free article] [PubMed]
- DOLL R, HILL AB. Lung cancer and other causes of death in relation to smoking; a second report on the mortality of British doctors. Br Med J. 1956 Nov 10;2(5001):1071–1081. [PMC free article] [PubMed]
- HAMMOND EC, HORN D. The relationship between human smoking habits and death rates: a follow-up study of 187,766 men. J Am Med Assoc. 1954 Aug 7;155(15):1316–1328. [PubMed]
- HAMMOND EC, HORN D. Smoking and death rates; report on forty-four months of follow-up of 187,783 men. I. Total mortality. J Am Med Assoc. 1958 Mar 8;166(10):1159–1172. [PubMed]
- CASE RA, HOSKER ME, McDONALD DB, PEARSON JT. Tumours of the urinary bladder in workmen engaged in the manufacture and use of certain dyestuff intermediates in the British chemical industry. I. The role of aniline, benzidine, alpha-naphthylamine, and beta-naphthylamine. Br J Ind Med. 1954 Apr;11(2):75–104. [PMC free article] [PubMed]
- DAWBER TR, MOORE FE, MANN GV. Coronary heart disease in the Framingham study. Am J Public Health Nations Health. 1957 Apr;47(4 Pt 2):4–24. [PMC free article] [PubMed]
- DAWBER TR, KANNEL WB, REVOTSKIE N, STOKES J, 3rd, KAGAN A, GORDON T. Some factors associated with the development of coronary heart disease: six years' follow-up experience in the Framingham study. Am J Public Health Nations Health. 1959 Oct;49:1349–1356. [PMC free article] [PubMed]
- DOYLE JT, DAWBER TR, KANNEL WB, HESLIN AS, KAHN HA. Cigarette smoking and coronary heart disease. Combined experience of the Albany and Framingham studies. N Engl J Med. 1962 Apr 19;266:796–801. [PubMed]
- DORN HF. Tobacco consumption and mortality from cancer and other diseases. Public Health Rep. 1959 Jul;74(7):581–593. [PMC free article] [PubMed]
- HILL AB, DOLL R. Lung cancer and tobacco; the B.M.J.'s questions answered. Br Med J. 1956 May 19;1(4976):1160–1163. [PMC free article] [PubMed]
- WYNDER EL. An appraisal of the smoking-lung-cancer issue. N Engl J Med. 1961 Jun 15;264:1235–1240. [PubMed]
- LITTLE CC. Some phases of the problem of smoking and lung cancer. N Engl J Med. 1961 Jun 15;264:1241–1245. [PubMed]
- BURNEY LE. Smoking and lung cancer: a statement of the Public Health Service. J Am Med Assoc. 1959 Nov 28;171:1829–1837. [PubMed]
- BERKSON J. Smoking and cancer of the lung. Proc Staff Meet Mayo Clin. 1960 Jun 22;35:367–385. [PubMed]
- BERKSON J. The statistical study of association between smoking and lung cancer. Proc Staff Meet Mayo Clin. 1955 Jul 27;30(15):319–348. [PubMed]
- CORNFIELD J, HAENSZEL W, HAMMOND EC, LILIENFELD AM, SHIMKIN MB, WYNDER EL. Smoking and lung cancer: recent evidence and a discussion of some questions. J Natl Cancer Inst. 1959 Jan;22(1):173–203. [PubMed]
- Wald NJ, Idle M, Boreham J, Bailey A. Inhaling and lung cancer: an anomaly explained. Br Med J (Clin Res Ed) 1983 Oct 29;287(6401):1273–1275. [PMC free article] [PubMed]
- Fisher Ronald A. Dangers of Cigarette-smoking. Br Med J. 1957 Aug 03;2(5039):c297–298. [PMC free article]
- FISHER RA. Cancer and smoking. Nature. 1958 Aug 30;182(4635):596–596. [PubMed]
- LILIENFELD AM. On the methodology of investigations of etiologic factors in chronic diseases: some comments. J Chronic Dis. 1959 Jul;10(1):41–46. [PubMed]
- SARTWELL PE. "On the methodology of investigations of etiologic factors in chronic diseases"--further comments. J Chronic Dis. 1960 Jan;11:61–63. [PubMed]
- YERUSHALMY J, PALMER CE. On the methodology of investigations of etiologic factors in chronic diseases. J Chronic Dis. 1959 Jul;10(1):27–40. [PubMed]
- Cairns J. The origin of human cancers. Nature. 1981 Jan 29;289(5796):353–357. [PubMed]
- MANTEL N, HAENSZEL W. Statistical aspects of the analysis of data from retrospective studies of disease. J Natl Cancer Inst. 1959 Apr;22(4):719–748. [PubMed]
- Vandenbroucke JP. Those who were wrong. Am J Epidemiol. 1989 Jul;130(1):3–5. [PubMed]