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Article ; Online: Occupational lung cancer screening: A Collegium Ramazzini statement.

Markowitz, Steven / Ringen, Knut / Dement, John M / Straif, Kurt / Christine Oliver, L / Algranti, Eduardo / Nowak, Dennis / Ehrlich, Rodney / McDiarmid, Melissa A / Miller, Albert

American journal of industrial medicine

2024 Volume 67, Issue 4, Page(s) 289–303

MeSH term(s)	Humans ; Early Detection of Cancer ; Lung Neoplasms/diagnosis ; COVID-19 ; Asbestos ; Mass Screening
Chemical Substances	Asbestos (1332-21-4)
Language	English
Publishing date	2024-03-05
Publishing country	United States
Document type	Journal Article
ZDB-ID	604538-8
ISSN	1097-0274 ; 0271-3586
ISSN (online)	1097-0274
ISSN	0271-3586
DOI	10.1002/ajim.23572
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Article: Occupational prestige, social mobility and the association with lung cancer in men

Pohlabeln, Hermann / Ahrens, Wolfgang

BMC cancer, 16:395

2016

Abstract: ... prestige and lung cancer, they did not explain the association entirely. Traditional occupational ... and risk of lung cancer remains uncertain. Using data from the international pooled SYNERGY case ... control study, we studied the association between lung cancer and the level of time-weighted average ...

Institution	Leibniz-Institut für Präventionsforschung und Epidemiologie
Abstract	BACKGROUND: The nature of the association between occupational social prestige, social mobility, and risk of lung cancer remains uncertain. Using data from the international pooled SYNERGY case–control study, we studied the association between lung cancer and the level of time-weighted average occupational social prestige as well as its lifetime trajectory. METHODS: We included 11,433 male cases and 14,147 male control subjects. Each job was translated into an occupational social prestige score by applying Treiman’s Standard International Occupational Prestige Scale (SIOPS). SIOPS scores were categorized as low, medium, and high prestige (reference). We calculated odds ratios (OR) with 95 % confidence intervals (CI), adjusting for study center, age, smoking, ever employment in a job with known lung carcinogen exposure, and education. Trajectories in SIOPS categories from first to last and first to longest job were defined as consistent, downward, or upward. We conducted several subgroup and sensitivity analyses to assess the robustness of our results. RESULTS: We observed increased lung cancer risk estimates for men with medium (OR = 1.23; 95 % CI 1.13–1.33) and low occupational prestige (OR = 1.44; 95 % CI 1.32–1.57). Although adjustment for smoking and education reduced the associations between occupational prestige and lung cancer, they did not explain the association entirely. Traditional occupational exposures reduced the associations only slightly. We observed small associations with downward prestige trajectories, with ORs of 1.13, 95 % CI 0.88–1.46 for high to low, and 1.24; 95 % CI 1.08–1.41 for medium to low trajectories. CONCLUSIONS: Our results indicate that occupational prestige is independently associated with lung cancer among men. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12885-016-2432-9) contains supplementary material, which is available to authorized users.
Keywords	Occupational history ; Life course ; SYNERGY ; Socio-economic status ; Social prestige ; Transitions
Language	English
Document type	Article
Database	Repository for Life Sciences

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Article ; Online: Occupational Benzene Exposure: An Unrecognized Threat for Lung Cancer Development.

Steiling, Katrina / Kathuria, Hasmeena

American journal of respiratory and critical care medicine

2023 Volume 209, Issue 2, Page(s) 128–130

MeSH term(s)	Humans ; Lung Neoplasms/chemically induced ; Lung Neoplasms/epidemiology ; Benzene/toxicity ; Benzene/analysis ; Occupational Exposure/adverse effects ; Case-Control Studies ; Risk
Chemical Substances	Benzene (J64922108F)
Language	English
Publishing date	2023-11-02
Publishing country	United States
Document type	Editorial ; Comment
ZDB-ID	1180953-x
ISSN	1535-4970 ; 0003-0805 ; 1073-449X
ISSN (online)	1535-4970
ISSN	0003-0805 ; 1073-449X
DOI	10.1164/rccm.202311-2023ED
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Article ; Online: Occupational asbestos exposure and survival among lung cancer patients.

Noelle, Hugo / Pérol, Olivia / Pérol, Maurice / Avrillon, Virginie / Belladame, Elodie / Fayette, Jérôme / Fournié, Françoise / Swalduz, Aurélie / Dessemon, Juliette / Blay, Jean-Yves / Neidhardt, Eve-Marie / Saintigny, Pierre / Tabutin, Mayeul / Boussageon, Maxime / Praud, Delphine / Charbotel, Barbara / Fervers, Beatrice

Lung cancer (Amsterdam, Netherlands)

2023 Volume 179, Page(s) 107182

Abstract: ... from the questionnaire including job history, an occupational cancer consultation was carried out to detail carcinogen ... and survival in patients with histologically confirmed lung cancer (LC).: Methods: This monocentric ... Objective: This study investigated the association between occupational asbestos exposure (OAE ...

Abstract	Objective: This study investigated the association between occupational asbestos exposure (OAE) and survival in patients with histologically confirmed lung cancer (LC). Methods: This monocentric study was conducted in the Comprehensive Cancer Centre Léon Bérard, Lyon, France. A systematic screening has been in place since 2014 for occupational exposure to carcinogens using a self-assessment questionnaire sent to all patients newly diagnosed with histologically confirmed LC identified through the multidisciplinary LC board from 2014 to 2019. When the physician suspected a work-related exposure from the questionnaire including job history, an occupational cancer consultation was carried out to detail carcinogen exposures and assess if the LC was work-related. Demographics, clinical characteristics and survival data were extracted from medical records. The association between asbestos exposure and overall survival (hazard ratio and 95% confidence intervals) was estimated by Cox proportional hazards regression. Results: Overall, 702 patients were eligible to the present study, including 180 patients with OAE. In the crude analysis, LCs assessed as moderately or highly attributable to OAE were associated with decreased overall survival (HR = 1.32, 95 %CI 1.04-1.67) compared to LC without OAE or with a low degree of imputability to OAE (median follow-up 28.8 months). After adjustment for confounding (age at diagnosis, smoking status, stage, brain metastasis at diagnosis, and histology), the association of OAE with overall survival was no longer statistically significant (HR = 1.21, 95 %CI 0.94-1.56). Conclusion: Overall survival in occupationally asbestos exposed LC patients may be decreased in comparison with non-exposed LC patients, warranting further investigations in larger studies.
MeSH term(s)	Humans ; Lung Neoplasms/diagnosis ; Asbestos/adverse effects ; Carcinogens ; Occupational Exposure/adverse effects ; Smoking/adverse effects ; Occupational Diseases/diagnosis
Chemical Substances	Asbestos (1332-21-4) ; Carcinogens
Language	English
Publishing date	2023-03-23
Publishing country	Ireland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	632771-0
ISSN	1872-8332 ; 0169-5002
ISSN (online)	1872-8332
ISSN	0169-5002
DOI	10.1016/j.lungcan.2023.107182
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Article ; Online: Lung Cancer Risks Associated with Occupational Exposure to Pairs of Five Lung Carcinogens: Results from a Pooled Analysis of Case-Control Studies (SYNERGY).

Olsson, Ann / Bouaoun, Liacine / Schüz, Joachim / Vermeulen, Roel / Behrens, Thomas / Ge, Calvin / Kromhout, Hans / Siemiatycki, Jack / Gustavsson, Per / Boffetta, Paolo / Kendzia, Benjamin / Radoi, Loredana / Barul, Christine / Karrasch, Stefan / Wichmann, Heinz-Erich / Consonni, Dario / Landi, Maria Teresa / Caporaso, Neil E / Merletti, Franco /

Environmental health perspectives

2024 Volume 132, Issue 1, Page(s) 17005

Abstract: ... In the international 14-center SYNERGY project, occupational exposures were assigned to 16,901 lung cancer cases and 20 ... metals (i.e., nickel, chromium-VI), and polycyclic aromatic hydrocarbons (PAH) on lung cancer ... with an increased risk of lung cancer. However, asbestos/metals and metals/PAH resulted in less ...

Abstract	Background: While much research has been done to identify individual workplace lung carcinogens, little is known about joint effects on risk when workers are exposed to multiple agents. Objectives: We investigated the pairwise joint effects of occupational exposures to asbestos, respirable crystalline silica, metals (i.e., nickel, chromium-VI), and polycyclic aromatic hydrocarbons (PAH) on lung cancer risk, overall and by major histologic subtype, while accounting for cigarette smoking. Methods: In the international 14-center SYNERGY project, occupational exposures were assigned to 16,901 lung cancer cases and 20,965 control subjects using a quantitative job-exposure matrix (SYN-JEM). Odds ratios (ORs) and 95% confidence intervals (CIs) were computed for ever vs. never exposure using logistic regression models stratified by sex and adjusted for study center, age, and smoking habits. Joint effects among pairs of agents were assessed on multiplicative and additive scales, the latter by calculating the relative excess risk due to interaction (RERI). Results: All pairwise joint effects of lung carcinogens in men were associated with an increased risk of lung cancer. However, asbestos/metals and metals/PAH resulted in less than additive effects; while the chromium-VI/silica pair showed marginally synergistic effect in relation to adenocarcinoma (RERI: 0.24; CI: 0.02, 0.46; Discussion: Small or no deviation from additive or multiplicative effects was observed, but co-exposure to the selected lung carcinogens resulted generally in higher risk than exposure to individual agents, highlighting the importance to reduce and control exposure to carcinogens in workplaces and the general environment. https://doi.org/10.1289/EHP13380.
MeSH term(s)	Male ; Female ; Humans ; Lung Neoplasms/chemically induced ; Lung Neoplasms/epidemiology ; Carcinogens/toxicity ; Case-Control Studies ; Occupational Exposure ; Chromium/toxicity ; Polycyclic Aromatic Hydrocarbons/toxicity ; Silicon Dioxide/toxicity ; Lung ; Asbestos/toxicity
Chemical Substances	Carcinogens ; chromium hexavalent ion (18540-29-9) ; Chromium (0R0008Q3JB) ; Polycyclic Aromatic Hydrocarbons ; Silicon Dioxide (7631-86-9) ; Asbestos (1332-21-4)
Language	English
Publishing date	2024-01-18
Publishing country	United States
Document type	Meta-Analysis ; Journal Article
ZDB-ID	195189-0
ISSN	1552-9924 ; 0091-6765 ; 1078-0475
ISSN (online)	1552-9924
ISSN	0091-6765 ; 1078-0475
DOI	10.1289/EHP13380
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Article ; Online: A Multicenter Study to Assess a Systematic Screening of Occupational Exposures in Lung Cancer Patients.

Pérol, Olivia / Lepage, Nadège / Noelle, Hugo / Lebailly, Pierre / de Labrusse, Benoit / Clin, Bénédicte / Boulanger, Mathilde / Praud, Delphine / Fournié, Françoise / Galvaing, Géraud / Dutheil, Frédéric / Le Meur, Brigitte / Serin, Daniel / Dansin, Eric / Nisse, Catherine / Charbotel, Barbara / Fervers, Beatrice

International journal of environmental research and public health

2023 Volume 20, Issue 6

Abstract: Occupational lung cancer cases remain largely under-reported and under-compensated worldwide ... of occupational exposures in lung cancer patients in five sites in France by associating university hospitals with cancer ... of occupational exposures in lung cancer patients. ...

Abstract	Occupational lung cancer cases remain largely under-reported and under-compensated worldwide. In order to improve the detection and compensation of work-related lung cancers, we implemented a systematic screening of occupational exposures, combining a validated self-administered questionnaire to assess occupational exposures and a specialized occupational cancer consultation. After a pilot study, the present prospective, open-label, scale-up study aimed to assess this systematic screening of occupational exposures in lung cancer patients in five sites in France by associating university hospitals with cancer centers. Patients with lung cancer were sent a self-administered questionnaire to collect their job history and potential exposure to lung carcinogens. The questionnaire was assessed by a physician to determine if a specialized occupational cancer consultation was required. During the consultation, a physician assessed if the lung cancer was occupation-related and, if it was, delivered a medical certificate to claim for compensation. Patients were offered help from a social worker for the administrative procedure. Over 15 months, 1251 patients received the questionnaire and 462 returned it (37%). Among them, 176 patients (38.1%) were convened to the occupational cancer consultation and 150 patients attended the consultation. An exposure to occupational lung carcinogen was identified in 133 patients and a claim for compensation was judged possible for 90 patients. A medical certificate was delivered to 88 patients and 38 patients received compensation. Our national study demonstrated that a systematic screening of occupational exposures is feasible and will bring a significant contribution to improve the detection of occupational exposures in lung cancer patients.
MeSH term(s)	Humans ; Prospective Studies ; Pilot Projects ; Early Detection of Cancer ; Occupational Diseases/diagnosis ; Occupational Exposure/adverse effects ; Lung Neoplasms/diagnosis ; Lung Neoplasms/epidemiology
Language	English
Publishing date	2023-03-13
Publishing country	Switzerland
Document type	Multicenter Study ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph20065068
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Article ; Online: Estimating impacts of reducing acrylonitrile exposure on lung cancer mortality in an occupational cohort with the parametric g-formula.

Keil, Alexander / Haber, Gregory / Graubard, Barry / Stewart, Patricia A / Silverman, Debra / Koutros, Stella

Occupational and environmental medicine

2024

Abstract: ... the expected lung cancer mortality under different hypothetical occupational exposure limits on acrylonitrile ... associations between acrylonitrile exposures and lung cancer mortality in US workers with the objectives of (1 ... employment and lung cancer mortality, and exposure and leaving employment. Using the parametric g-formula ...

Abstract	Objectives: To inform the potential human carcinogenicity of acrylonitrile, we estimate associations between acrylonitrile exposures and lung cancer mortality in US workers with the objectives of (1) assessing potential for healthy worker survivor bias and (2) adjusting for this bias while assessing the expected lung cancer mortality under different hypothetical occupational exposure limits on acrylonitrile exposure using the parametric g-formula. Methods: We used data from a cohort of 25 460 workers at facilities making or using acrylonitrile in the USA. We estimated HRs to quantify associations between employment and lung cancer mortality, and exposure and leaving employment. Using the parametric g-formula, we estimated cumulative lung cancer mortality at hypothetical limits on acrylonitrile exposure. Results: Recent and current employment was associated with lung cancer, and exposure was associated with leaving employment, indicating potential for healthy worker survivor bias. Relative to no intervention, reducing the historical exposure under limits of 2.0, 1.0 and 0.45 parts per million would have been expected to reduce lung cancer mortality by age 90 by 4.46 (95% CI 0.78 to 8.15), 5.03 (95% CI 0.96 to 9.11) and 6.45 (95% CI 2.35 to 10.58) deaths per 1000 workers, respectively. A larger lung cancer mortality reduction would be expected under elimination of exposure: 7.21 (95% CI 2.72 to 11.70) deaths per 1000 workers. Conclusions: Healthy worker survivor bias likely led to underestimation of excess risk. Our results corroborate previous study findings of an excess hazard of lung cancer among the highest exposed workers.
Language	English
Publishing date	2024-05-20
Publishing country	England
Document type	Journal Article
ZDB-ID	1180733-7
ISSN	1470-7926 ; 1351-0711
ISSN (online)	1470-7926
ISSN	1351-0711
DOI	10.1136/oemed-2024-109532
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Article ; Online: Lung cancer risk and occupational pulmonary fibrosis: systematic review and meta-analysis.

Krabbe, Julia / Steffens, Katja Maria / Drießen, Sarah / Kraus, Thomas

European respiratory review : an official journal of the European Respiratory Society

2024 Volume 33, Issue 171

Abstract: ... in cancer pathogenesis, suggesting common pathways in the development of pulmonary fibrosis and lung cancer ... risk factor for lung cancer?: Study design and methods: A comprehensive search of PubMed, Embase, Web ... for lung cancer when investigating odds ratios for silicosis in autopsy studies (OR 1.47, 95% CI 1.13-1.90) and ...

Abstract	Background: Molecular pathways found to be important in pulmonary fibrosis are also involved in cancer pathogenesis, suggesting common pathways in the development of pulmonary fibrosis and lung cancer. Research question: Is pulmonary fibrosis from exposure to occupational carcinogens an independent risk factor for lung cancer? Study design and methods: A comprehensive search of PubMed, Embase, Web of Science and Cochrane databases with over 100 search terms regarding occupational hazards causing pulmonary fibrosis was conducted. After screening and extraction, quality of evidence and eligibility criteria for meta-analysis were assessed. Meta-analysis was performed using a random-effects model. Results: 52 studies were identified for systematic review. Meta-analysis of subgroups identified silicosis as a risk factor for lung cancer when investigating odds ratios for silicosis in autopsy studies (OR 1.47, 95% CI 1.13-1.90) and for lung cancer mortality in patients with silicosis (OR 3.21, 95% CI 2.67-3.87). Only considering studies with an adjustment for smoking as a confounder identified a significant increase in lung cancer risk (OR 1.58, 95% CI 1.34-1.87). However, due to a lack of studies including cumulative exposure, no adjustments could be included. In a qualitative review, no definitive conclusion could be reached for asbestosis and silicosis as independent risk factors for lung cancer, partly because the studies did not take cumulative exposure into account. Interpretation: This systematic review confirms the current knowledge regarding asbestosis and silicosis, indicating a higher risk of lung cancer in exposed individuals compared to exposed workers without fibrosis. These individuals should be monitored for lung cancer, especially when asbestosis or silicosis is present.
MeSH term(s)	Humans ; Silicon Dioxide/adverse effects ; Lung Neoplasms/epidemiology ; Lung Neoplasms/etiology ; Pulmonary Fibrosis/diagnosis ; Pulmonary Fibrosis/epidemiology ; Pulmonary Fibrosis/etiology ; Asbestosis/complications ; Silicosis/diagnosis ; Silicosis/epidemiology ; Silicosis/complications ; Occupational Exposure/adverse effects
Chemical Substances	Silicon Dioxide (7631-86-9)
Language	English
Publishing date	2024-02-14
Publishing country	England
Document type	Meta-Analysis ; Systematic Review ; Journal Article ; Review
ZDB-ID	1077620-5
ISSN	1600-0617 ; 0905-9180
ISSN (online)	1600-0617
ISSN	0905-9180
DOI	10.1183/16000617.0224-2023
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Article ; Online: Occupational exposure to endotoxins and small cell lung cancer: a systematic review with meta-analysis.

Mourino, Nerea / Varela-Lema, Leonor / Ruano-Ravina, Alberto / Peiteado, Cristina / Candal-Pedreira, Cristina / Rey-Brandariz, Julia / Torres-Cadavid, Eliana / García, Guadalupe / Pérez-Ríos, Mónica

Journal of toxicology and environmental health. Part B, Critical reviews

2024 Volume 27, Issue 3, Page(s) 91–105

Abstract: ... of lung cancer has not been established. Our objective was to conduct a systematic review with meta-analysis ... to assess the effect of exposure to endotoxins on the development of small cell lung cancer (SCLC ... The relationship of occupational exposure to endotoxins with different histologic subtypes ...

Abstract	The relationship of occupational exposure to endotoxins with different histologic subtypes of lung cancer has not been established. Our objective was to conduct a systematic review with meta-analysis to assess the effect of exposure to endotoxins on the development of small cell lung cancer (SCLC). A bibliographic search was conducted using MEDLINE, Embase, CENTRAL, and Web of Science databases until December 2022, including all cohort and/or case-control studies that examined occupational exposure to endotoxins and SCLC. Risk of bias was assessed using the U.S. Office of Health Assessment and Translation tool. A random effects model was applied, publication bias were assessed, and a sensitivity analysis was conducted. Four papers were selected for meta-analysis purposes. A total of 144 incident cases of SCLC and 897 population or hospital controls were included. Occupational exposure to endotoxins was considered for textile/leather industry and agricultural sector workers exposed to endotoxins originating from wool, cotton, or leather dust. Except for one study, all investigations were classified as having a low probability of risk of biases. The results of the meta-analysis were not statistically significant (pooled OR: 0.86; 95% CI:0.69-1.08). In addition, neither between-study heterogeneity (I
MeSH term(s)	Humans ; Small Cell Lung Carcinoma/chemically induced ; Small Cell Lung Carcinoma/epidemiology ; Lung Neoplasms/chemically induced ; Lung Neoplasms/epidemiology ; Endotoxins ; Textiles ; Occupational Exposure/adverse effects ; Dust ; Occupational Diseases/chemically induced ; Occupational Diseases/epidemiology
Chemical Substances	Endotoxins ; Dust
Language	English
Publishing date	2024-02-18
Publishing country	England
Document type	Meta-Analysis ; Systematic Review ; Journal Article ; Review
ZDB-ID	1415246-0
ISSN	1521-6950 ; 1093-7404
ISSN (online)	1521-6950
ISSN	1093-7404
DOI	10.1080/10937404.2024.2316151
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Article ; Online: Occupational Exposures and Lung Cancer.

Christiani, David C

American journal of respiratory and critical care medicine

2020 Volume 202, Issue 3, Page(s) 317–319

MeSH term(s)	Case-Control Studies ; Humans ; Lung Neoplasms/epidemiology ; Lung Neoplasms/etiology ; Occupational Exposure/adverse effects ; Silicon Dioxide ; Smoking
Chemical Substances	Silicon Dioxide (7631-86-9)
Language	English
Publishing date	2020-05-12
Publishing country	United States
Document type	Editorial ; Comment
ZDB-ID	1180953-x
ISSN	1535-4970 ; 0003-0805 ; 1073-449X
ISSN (online)	1535-4970
ISSN	0003-0805 ; 1073-449X
DOI	10.1164/rccm.202004-1404ED
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