Mortality from cancer and other causes among Italian chrysotile asbestos miners

Autor: Enrico Pira, Canzio Romano, Carlo La Vecchia, Claudio Pelucchi, Francesca De' Donato, Paolo Boffetta
Přispěvatelé: Pira, E. and Romano, C. and Donato, F. and Pelucchi, C. and Vecchia, C.L. and Boffetta, P.
Rok vydání: 2017
Předmět:
Male
Mesothelioma
Lung Neoplasms
very elderly
chrysotile
Aged

groups by age
pleural cancer
peritoneum cancer
pharynx cancer
Cumulative Exposure
asbestosi
medicine.disease_cause
lung tumor
Cohort Studies
Toxicology
violence
0302 clinical medicine
Cause of Death
Neoplasms
cancer mortality
Chrysotile
80 and over
Poisson Distribution
030212 general & internal medicine
Pleural Neoplasm
Aged
80 and over

sensitivity analysi
Middle Aged
030210 environmental & occupational health
cerebrovascular disease
Occupational Diseases
esophagus cancer
priority journal
Italy
employment
Cohort
Pleural Cancer
epidemiology
Public Health
Asbestos
chrysotile
lung cancer
mining
Aged
Asbestos
Serpentine

Chronic Disease
Environmental Monitoring
Humans
Mining
Mortality
Occupational Exposure
Pleural Neoplasms
Public Health
Environmental and Occupational Health

Human
cohort analysi
miner
Article
smoking
pleura tumor
03 medical and health sciences
adverse effect
medicine
follow up
tuberculosi
Lung cancer
liver cirrhosi
business.industry
Serpentine
Environmental and Occupational Health
Mesothelioma
Malignant

pleura cancer
larynx cancer
Cancer
accident
mouth cancer
medicine.disease
ischemic heart disease
major clinical study
chrysotile asbestos miner
Lung Neoplasm
Occupational Disease
Standardized mortality ratio
Neoplasm
Cohort Studie
business
chronic obstructive lung disease
Demography
Zdroj: Occupational and Environmental Medicine. 74:558-563
ISSN: 1470-7926
1351-0711
DOI: 10.1136/oemed-2016-103673
Popis: Objective To investigate the long-term mortality of a cohort of Italian asbestos miners. Methods The cohort included 1056 men employed in a chrysotile mine between 1930 and 1990, who were followed up during 1946-2014, for a total of 37 471 person-years of observation. Expected deaths and SMRs were computed using national and local (after 1980, when available) reference. Results A total of 294 (27.8%) subjects were alive and at the end of follow-up, 722 (68.4%) were dead and 40 (3.8%) were lost to follow-up. The SMR for overall mortality was 1.35 (95%CI 1.25 to 1.45). The SMR for pleural cancer, based on seven observed deaths, was 5.54 (95% CI 2.22 to 11.4) and related to time since first exposure, but not to duration of employment, cumulative exposure or time since last exposure. The SMR for lung cancer was 1.16 (95% CI 0.87 to 1.52; 53 observed deaths), with no excess among workers with cumulative exposure below 100 fibre/mL-years (SMR 0.82; 95% CI 0.44 to 1.40). Conclusions The update of the follow-up of this cohort confirmed an increased mortality from pleural cancer mortality in miners exposed to chrysotile and a lack of significant increase in lung cancer mortality. © Article author(s) 2017 (or their employer(s) unless otherwise stated in the text of the article). All rights reserved. No commercial use is permitted unless otherwise expressly granted.
Databáze: OpenAIRE