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Lung Cancer Among Firefighters: Smoking-Adjusted Risk Estimates in a Pooled Analysis of Case-Control Studies
C. Bigert, P. Gustavsson, K. Straif, D. Taeger, B. Pesch, B. Kendzia, J. Schüz, I. Stücker, F. Guida, I. Brüske, HE. Wichmann, AC. Pesatori, MT. Landi, N. Caporaso, LA. Tse, IT. Yu, J. Siemiatycki, J. Lavoué, L. Richiardi, D. Mirabelli, L....
Language English Country United States
Document type Journal Article
- MeSH
- Firefighters * MeSH
- Smoking MeSH
- Humans MeSH
- Lung Neoplasms epidemiology MeSH
- Occupational Diseases epidemiology MeSH
- Odds Ratio MeSH
- Occupational Exposure adverse effects MeSH
- Risk Factors MeSH
- Case-Control Studies MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Geographicals
- China MeSH
- Europe MeSH
- Canada MeSH
- New Zealand MeSH
OBJECTIVES: The aim of this study was to explore lung cancer risk among firefighters, with adjustment for smoking. METHODS: We used pooled information from the SYNERGY project including 14 case-control studies conducted in Europe, Canada, New Zealand, and China, with lifetime work histories and smoking habits for 14,748 cases of lung cancer and 17,543 controls. We estimated odds ratios by unconditional logistic regression with adjustment for smoking and having ever been employed in a job known to present an excess risk of lung cancer. RESULTS: There was no increased lung cancer risk overall or by specific cell type among firefighters (n = 190), neither before nor after smoking adjustment. We observed no significant exposure-response relationship in terms of work duration. CONCLUSIONS: We found no evidence of an excess lung cancer risk related to occupational exposure as a firefighter.
Cancer Epidemiology Unit Department of Medical Sciences University of Turin Turin Italy
Centre for Public Health Research Massey University Wellington New Zealand
CIBERESP University of Oviedo Oviedo Spain
Department of Environmental Medicine and Public Health University of Padua Padua Italy
Faculty of Medicine Ostrava University Ostrava Czech Republic
Helmholtz Center Munich Institute of Epidemiology I
Inserm Centre for Research in Epidemiology and Population Health
Institut für Epidemiologie 1 Deutsches Forschungszentrum für Gesundheit und Umwelt Neuherberg
Institute for Risk Assessment Sciences Utrecht the Netherlands
Institute of Hygiene and Epidemiology 1st Faculty of Medicine Charles University Prague
Institute of Medical Informatics Biometry and Epidemiology Ludwig Maximilians University
Institute of Medical Statistics and Epidemiology Technical University Munich Munich Germany
Institute of Public Health Bucharest Romania
International Agency for Research on Cancer Lyon France
Leibniz Institute for Prevention Research and Epidemiology BIPS Bremen Germany
Masaryk Memorial Cancer Institute Brno Czech Republic
National Cancer Institute Bethesda Maryland
National Public Health Center Budapest Hungary
Occupational Cancer Research Centre Cancer Care Ontario Ontario Toronto Canada
Palacky University Faculty of Medicine Olomouc
Regional Authority of Public Health Banska Bystrica Slovakia
Russian Cancer Research Centre Moscow Russia
The Institute of Environmental Medicine Karolinska Institutet Stockholm Sweden
The M Sklodowska Curie Cancer Center and Institute of Oncology Warsaw Poland
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- $a Bigert, Carolina $u The Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden (Drs Bigert, Gustavsson); International Agency for Research on Cancer, Lyon, France (Drs Straif, Schüz, Olsson); Institute for Prevention and Occupational Medicine of the German Social Accident Insurance - Institute of the Ruhr-Universität Bochum (IPA), Bochum, Germany (Drs Taeger, Pesch, Kendzia, Brüning); Inserm, Centre for Research in Epidemiology and Population Health (CESP), U1018, Environmental Epidemiology of Cancer Team (Drs Stücker, Guida); Université Paris-Sud, UMRS 1018, F-94807, Villejuif, France (Drs Stücker, Guida); Institut für Epidemiologie I, Deutsches Forschungszentrum für Gesundheit und Umwelt, Neuherberg (Dr Brüske); Institute of Medical Informatics, Biometry and Epidemiology, Ludwig Maximilians University (Dr Wichmann); Helmholtz Center Munich, Institute of Epidemiology I (Dr Wichmann); Institute of Medical Statistics and Epidemiology, Technical University Munich, Munich, Germany (Dr Wichmann); Department of Clinical Sciences and Community Health, Università degli Studi di Milano and IRCCS Ca' Granda Foundation, Milan, Italy (Dr Pesatori); National Cancer Institute, Bethesda, Maryland (Drs Landi, Caporaso); Division of Occupational and Environmental Health, School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China (Drs Tse, Yu); Research Centre of University of Montréal Hospital Centre, University of Montréal, Montréal, Quebec, Canada (Drs Siemiatycki, Lavoué); Cancer Epidemiology Unit, Department of Medical Sciences, University of Turin, Turin, Italy (Drs Richiardi, Mirabelli); Department of Environmental Medicine and Public Health, University of Padua, Padua, Italy (Dr Simonato); Institute for Medical Informatics, Biometry and Epidemiology, University of Duisburg-Essen, Essen, Germany (Dr Jöckel); Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany (Drs Ahrens, Pohlabeln); CIBERESP, University of Oviedo, Oviedo, Spain (Dr Tardón); Russian Cancer Research Centre, Moscow, Russia (Dr Zaridze); Roy Castle Lung Cancer Research Programme, Cancer Research Centre, University of Liverpool, Liverpool, UK (Dr Field); Centre for Public Health Research, Massey University, Wellington, New Zealand (Drs 't Mannetje, Pearce); Public Health Ontario, Toronto (Dr McLaughlin); Occupational Cancer Research Centre, Cancer Care Ontario, Ontario, Toronto, Canada (Dr Demers); The Nofer Institute of Occupational Medicine, Lodz (Dr Szeszenia-Dabrowska); The M Sklodowska-Curie Cancer Center and Institute of Oncology, Warsaw, Poland (Dr Lissowska); National Public Health Center, Budapest, Hungary (Dr Rudnai); Regional Authority of Public Health, Banska Bystrica, Slovakia (Dr Fabianova); Institute of Public Health, Bucharest, Romania (Dr Stanescu Dumitru); Institute of Hygiene and Epidemiology, 1st Faculty of Medicine, Charles University, Prague (Dr Bencko); Masaryk Memorial Cancer Institute, Brno, Czech Republic (Dr Foretova); Palacky University, Faculty of Medicine, Olomouc (Dr Janout); Faculty of Medicine, Ostrava University, Ostrava, Czech Republic (Dr Janout); The Tisch Cancer Institute and Institute for Translational Epidemiology, Icahn School of Medicine at Mount Sinai, New York, New York (Dr Boffetta); Institute for Risk Assessment Sciences, Utrecht, the Netherlands (Drs Peters, Vermeulen, Kromhout); and Occupational Respiratory Epidemiology, School of Population Health, University of Western Australia, Perth, Western Australia, Australia (Dr Peters).
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- $a Lung Cancer Among Firefighters: Smoking-Adjusted Risk Estimates in a Pooled Analysis of Case-Control Studies / $c C. Bigert, P. Gustavsson, K. Straif, D. Taeger, B. Pesch, B. Kendzia, J. Schüz, I. Stücker, F. Guida, I. Brüske, HE. Wichmann, AC. Pesatori, MT. Landi, N. Caporaso, LA. Tse, IT. Yu, J. Siemiatycki, J. Lavoué, L. Richiardi, D. Mirabelli, L. Simonato, KH. Jöckel, W. Ahrens, H. Pohlabeln, A. Tardón, D. Zaridze, JK. Field, A. 't Mannetje, N. Pearce, J. McLaughlin, P. Demers, N. Szeszenia-Dabrowska, J. Lissowska, P. Rudnai, E. Fabianova, R. Stanescu Dumitru, V. Bencko, L. Foretova, V. Janout, P. Boffetta, S. Peters, R. Vermeulen, H. Kromhout, T. Brüning, AC. Olsson,
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