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Exposure-Response Analyses of Asbestos and Lung Cancer Subtypes in a Pooled Analysis of Case-Control Studies
AC. Olsson, R. Vermeulen, J. Schüz, H. Kromhout, B. Pesch, S. Peters, T. Behrens, L. Portengen, D. Mirabelli, P. Gustavsson, B. Kendzia, J. Almansa, V. Luzon, J. Vlaanderen, I. Stücker, F. Guida, D. Consonni, N. Caporaso, MT. Landi, J. Field, I....
Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články
Odkazy
PubMed
28141674
DOI
10.1097/ede.0000000000000604
Knihovny.cz E-zdroje
- MeSH
- azbest * MeSH
- dospělí MeSH
- kouření epidemiologie MeSH
- lidé středního věku MeSH
- lidé MeSH
- logistické modely MeSH
- malobuněčný karcinom plic epidemiologie MeSH
- nádory plic epidemiologie MeSH
- odds ratio MeSH
- pracovní expozice statistika a číselné údaje MeSH
- senioři MeSH
- spinocelulární karcinom epidemiologie MeSH
- studie případů a kontrol MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Evropa epidemiologie MeSH
- Kanada epidemiologie MeSH
BACKGROUND: Evidence is limited regarding risk and the shape of the exposure-response curve at low asbestos exposure levels. We estimated the exposure-response for occupational asbestos exposure and assessed the joint effect of asbestos exposure and smoking by sex and lung cancer subtype in general population studies. METHODS: We pooled 14 case-control studies conducted in 1985-2010 in Europe and Canada, including 17,705 lung cancer cases and 21,813 controls with detailed information on tobacco habits and lifetime occupations. We developed a quantitative job-exposure-matrix to estimate job-, time period-, and region-specific exposure levels. Fiber-years (ff/ml-years) were calculated for each subject by linking the matrix with individual occupational histories. We fit unconditional logistic regression models to estimate odds ratios (ORs), 95% confidence intervals (CIs), and trends. RESULTS: The fully adjusted OR for ever-exposure to asbestos was 1.24 (95% CI, 1.18, 1.31) in men and 1.12 (95% CI, 0.95, 1.31) in women. In men, increasing lung cancer risk was observed with increasing exposure in all smoking categories and for all three major lung cancer subtypes. In women, lung cancer risk for all subtypes was increased in current smokers (ORs ~two-fold). The joint effect of asbestos exposure and smoking did not deviate from multiplicativity among men, and was more than additive among women. CONCLUSIONS: Our results in men showed an excess risk of lung cancer and its subtypes at low cumulative exposure levels, with a steeper exposure-response slope in this exposure range than at higher, previously studied levels. (See video abstract at, http://links.lww.com/EDE/B161.).
bbFaculty of Medicine Palacky University Olomouc Czech Republic
bThe Institute of Environmental Medicine Karolinska Institutet Stockholm Sweden
cInstitute for Risk Assessment Sciences Utrecht The Netherlands
eeDepartment of Epidemiology ASL RomaE Rome Italy
From the aInternational Agency for Research on Cancer Lyon France
hUniversité Paris Sud UMRS 1018 Villejuif France
iEpidemiology Unit Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Milan Italy
INRS Institut Armand Frappier Université du Québec Laval Québec Canada
jNational Cancer Institute Bethesda MD
lInstitut für Epidemiologie Deutsches Forschungszentrum fur Gesundheit und Umwelt Neuherberg Germany
mUniversity of Montreal Hospital Research Center Montreal Canada
National Institute for Public Health and the Environment Bilthoven The Netherlands
pLeibniz Institute for Prevention Research and Epidemiology BIPS Bremen Germany
rRussian Cancer Research Centre Moscow Russia
sPublic Health Ontario Toronto Canada
tOccupational Cancer Research Centre Cancer Care Ontario Toronto Canada
uThe Nofer Institute of Occupational Medicine Lodz Poland
vThe M Sklodowska Curie Cancer Center and Institute of Oncology Warsaw Poland
wNational Centre for Public Health Budapest Hungary
xRegional Authority of Public Health Banska Bystrica Slovakia
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- $a Olsson, Ann C $u From the aInternational Agency for Research on Cancer, Lyon, France; bThe Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden; cInstitute for Risk Assessment Sciences, Utrecht, The Netherlands; dInstitute for Prevention and Occupational Medicine of the German Social Accident Insurance - Institute of the Ruhr-Universität Bochum (IPA), Bochum, Germany; eOccupational Respiratory Epidemiology, School of Population Health, University of Western Australia, Perth, Australia; fCancer Epidemiology Unit, Department of Medical Sciences, University of Turin and CPO Piemonte, Turin, Italy; gINSERM, Centre for research in Epidemiology and Population Health (CESP), U1018, Environmental epidemiology of cancer Team, Villejuif, France; hUniversité Paris-Sud, UMRS 1018, Villejuif, France; iEpidemiology Unit, Fondazione IRCCS Ca' Granda-Ospedale Maggiore Policlinico, Milan, Italy; jNational Cancer Institute, Bethesda, MD; kRoy Castle Lung Cancer Research Programme, The University of Liverpool Cancer Research Centre, Department of Molecular and Clinical Cancer Medicine, Institute of Translational Medicine, Liverpool, United Kingdom; lInstitut für Epidemiologie, Deutsches Forschungszentrum fur Gesundheit und Umwelt, Neuherberg, Germany; mUniversity of Montreal Hospital Research Center (CRCHUM), Montreal, Canada; nINRS-Institut Armand-Frappier, Université du Québec, Laval, Québec, Canada; oInstitute for Medical Informatics, Biometry and Epidemiology, University of Duisburg-Essen, Essen, Germany; pLeibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany; qThe Biomedical Research Centre Network for Epidemiology and Public Health (CIBERESP), University of Oviedo, Oviedo, Spain; rRussian Cancer Research Centre, Moscow, Russia; sPublic Health Ontario, Toronto, Canada; tOccupational Cancer Research Centre, Cancer Care Ontario, Toronto, Canada; uThe Nofer Institute of Occupational Medicine, Lodz, Poland; vThe M Sklodowska-Curie Cancer Center and Institute of Oncology, Warsaw, Poland; wNational Centre for Public Health, Budapest, Hungary; xRegional Authority of Public Health, Banska Bystrica, Slovakia; yInstitute of Public Health, Bucharest, Romania; zInstitute of Hygiene and Epidemiology, 1st Faculty of Medicine, Charles University, Prague, Czech Republic; aaMasaryk Memorial Cancer Institute and Medical Faculty of Masaryk University, Department of Cancer Epidemiology & Genetics, Brno, Czech Republic; bbFaculty of Medicine, Palacky University, Olomouc, Czech Republic; ccThe Tisch Cancer Institute and Institute for Translational Epidemiology, Icahn School of Medicine at Mount Sinai, New York, NY; ddNational Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands; and eeDepartment of Epidemiology, ASL RomaE, Rome, Italy.
- 245 10
- $a Exposure-Response Analyses of Asbestos and Lung Cancer Subtypes in a Pooled Analysis of Case-Control Studies / $c AC. Olsson, R. Vermeulen, J. Schüz, H. Kromhout, B. Pesch, S. Peters, T. Behrens, L. Portengen, D. Mirabelli, P. Gustavsson, B. Kendzia, J. Almansa, V. Luzon, J. Vlaanderen, I. Stücker, F. Guida, D. Consonni, N. Caporaso, MT. Landi, J. Field, I. Brüske, HE. Wichmann, J. Siemiatycki, ME. Parent, L. Richiardi, F. Merletti, KH. Jöckel, W. Ahrens, H. Pohlabeln, N. Plato, A. Tardón, D. Zaridze, J. McLaughlin, P. Demers, N. Szeszenia-Dabrowska, J. Lissowska, P. Rudnai, E. Fabianova, R. Stanescu Dumitru, V. Bencko, L. Foretova, V. Janout, P. Boffetta, B. Bueno-de-Mesquita, F. Forastiere, T. Brüning, K. Straif,
- 520 9_
- $a BACKGROUND: Evidence is limited regarding risk and the shape of the exposure-response curve at low asbestos exposure levels. We estimated the exposure-response for occupational asbestos exposure and assessed the joint effect of asbestos exposure and smoking by sex and lung cancer subtype in general population studies. METHODS: We pooled 14 case-control studies conducted in 1985-2010 in Europe and Canada, including 17,705 lung cancer cases and 21,813 controls with detailed information on tobacco habits and lifetime occupations. We developed a quantitative job-exposure-matrix to estimate job-, time period-, and region-specific exposure levels. Fiber-years (ff/ml-years) were calculated for each subject by linking the matrix with individual occupational histories. We fit unconditional logistic regression models to estimate odds ratios (ORs), 95% confidence intervals (CIs), and trends. RESULTS: The fully adjusted OR for ever-exposure to asbestos was 1.24 (95% CI, 1.18, 1.31) in men and 1.12 (95% CI, 0.95, 1.31) in women. In men, increasing lung cancer risk was observed with increasing exposure in all smoking categories and for all three major lung cancer subtypes. In women, lung cancer risk for all subtypes was increased in current smokers (ORs ~two-fold). The joint effect of asbestos exposure and smoking did not deviate from multiplicativity among men, and was more than additive among women. CONCLUSIONS: Our results in men showed an excess risk of lung cancer and its subtypes at low cumulative exposure levels, with a steeper exposure-response slope in this exposure range than at higher, previously studied levels. (See video abstract at, http://links.lww.com/EDE/B161.).
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