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Occupational exposure to nickel and hexavalent chromium and the risk of lung cancer in a pooled analysis of case-control studies (SYNERGY)
T. Behrens, C. Ge, R. Vermeulen, B. Kendzia, A. Olsson, J. Schüz, H. Kromhout, B. Pesch, S. Peters, L. Portengen, P. Gustavsson, D. Mirabelli, P. Guénel, D. Luce, D. Consonni, NE. Caporaso, MT. Landi, JK. Field, S. Karrasch, HE. Wichmann, J....
Jazyk angličtina Země Spojené státy americké
Typ dokumentu metaanalýza, časopisecké články
PubMed
36054442
DOI
10.1002/ijc.34272
Knihovny.cz E-zdroje
- MeSH
- chrom toxicita analýza MeSH
- lidé MeSH
- nádory plic * chemicky indukované epidemiologie MeSH
- nikl toxicita analýza MeSH
- pracovní expozice * škodlivé účinky analýza MeSH
- studie případů a kontrol MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- metaanalýza MeSH
There is limited evidence regarding the exposure-effect relationship between lung-cancer risk and hexavalent chromium (Cr(VI)) or nickel. We estimated lung-cancer risks in relation to quantitative indices of occupational exposure to Cr(VI) and nickel and their interaction with smoking habits. We pooled 14 case-control studies from Europe and Canada, including 16 901 lung-cancer cases and 20 965 control subjects. A measurement-based job-exposure-matrix estimated job-year-region specific exposure levels to Cr(VI) and nickel, which were linked to the subjects' occupational histories. Odds ratios (OR) and associated 95% confidence intervals (CI) were calculated by unconditional logistic regression, adjusting for study, age group, smoking habits and exposure to other occupational lung carcinogens. Due to their high correlation, we refrained from mutually adjusting for Cr(VI) and nickel independently. In men, ORs for the highest quartile of cumulative exposure to CR(VI) were 1.32 (95% CI 1.19-1.47) and 1.29 (95% CI 1.15-1.45) in relation to nickel. Analogous results among women were: 1.04 (95% CI 0.48-2.24) and 1.29 (95% CI 0.60-2.86), respectively. In men, excess lung-cancer risks due to occupational Cr(VI) and nickel exposure were also observed in each stratum of never, former and current smokers. Joint effects of Cr(VI) and nickel with smoking were in general greater than additive, but not different from multiplicative. In summary, relatively low cumulative levels of occupational exposure to Cr(VI) and nickel were associated with increased ORs for lung cancer, particularly in men. However, we cannot rule out a combined classical measurement and Berkson-type of error structure, which may cause differential bias of risk estimates.
Boston College Chestnut Hill Massachusetts USA
Cancer Epidemiology Unit Department of Medical Sciences University of Turin Turin Italy
Comprehensive Pneumology Center Munich Munich Germany
Dalla Lana School of Public Health University of Toronto Toronto Canada
Department of Cardiovascular Sciences and Public Health University of Padova Padova Italy
Department of Medical and Surgical Sciences University of Bologna Bologna Italy
Epidemiology Unit Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Milan Italy
Faculty of Health Sciences Palacky University Olomouc Czech Republic
Health Research Institute of Asturias University of Oviedo ISPA and CIBERESP Spain
Institute for Risk Assessment Sciences Utrecht University Utrecht The Netherlands
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 USA
National Institute of Public Health Bucharest Romania
National Public Health Center Budapest Hungary
Occupational Cancer Research Centre Ontario Health Toronto Canada
Regional Authority of Public Health Banska Bystrica Slovakia
Stony Brook Cancer Center Stony Brook University Stony Brook New York USA
The Institute of Environmental Medicine Karolinska Institutet Stockholm Sweden
The Nofer Institute of Occupational Medicine Lodz Poland
Univ Rennes Inserm EHESP Irset UMR_S 1085 Pointe à Pitre France
University of Montreal Hospital Research Center Montreal Canada
Citace poskytuje Crossref.org
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- $a There is limited evidence regarding the exposure-effect relationship between lung-cancer risk and hexavalent chromium (Cr(VI)) or nickel. We estimated lung-cancer risks in relation to quantitative indices of occupational exposure to Cr(VI) and nickel and their interaction with smoking habits. We pooled 14 case-control studies from Europe and Canada, including 16 901 lung-cancer cases and 20 965 control subjects. A measurement-based job-exposure-matrix estimated job-year-region specific exposure levels to Cr(VI) and nickel, which were linked to the subjects' occupational histories. Odds ratios (OR) and associated 95% confidence intervals (CI) were calculated by unconditional logistic regression, adjusting for study, age group, smoking habits and exposure to other occupational lung carcinogens. Due to their high correlation, we refrained from mutually adjusting for Cr(VI) and nickel independently. In men, ORs for the highest quartile of cumulative exposure to CR(VI) were 1.32 (95% CI 1.19-1.47) and 1.29 (95% CI 1.15-1.45) in relation to nickel. Analogous results among women were: 1.04 (95% CI 0.48-2.24) and 1.29 (95% CI 0.60-2.86), respectively. In men, excess lung-cancer risks due to occupational Cr(VI) and nickel exposure were also observed in each stratum of never, former and current smokers. Joint effects of Cr(VI) and nickel with smoking were in general greater than additive, but not different from multiplicative. In summary, relatively low cumulative levels of occupational exposure to Cr(VI) and nickel were associated with increased ORs for lung cancer, particularly in men. However, we cannot rule out a combined classical measurement and Berkson-type of error structure, which may cause differential bias of risk estimates.
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