A comparison of exposure assessment approaches: lung cancer and occupational asbestos exposure in a population-based case–control study

Hardt, Jill; Vermeulen, Roel; Peters, Susan; Kromhout, Hans; McLaughlin, John; Demers, Paul A.

doi:10.1136/oemed-2013-101735

Cited by 13 publications

(12 citation statements)

References 38 publications

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“…This present study found a significant association between the duration of asbestos exposure measured in years and the risk of lung cancer that supported the results from previous studies [19,23]. This association is slightly weaker as it does not take the intensity into account.…”

Section: Discussionsupporting

confidence: 91%

“…We observed that the chance of getting lung cancer more than doubled among exposed subjects compared with unexposed subjects and it was comparable to the findings of Hardt et al [19]. In their case-control study, those who were grouped as exposed subjects by DOM-JEM assessment had an odds ratio of 1.9 (95% CI = 1.3-2.7) compared to those with no exposure.…”

Section: Discussionsupporting

confidence: 89%

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Asbestos-Related Lung Cancer: A Hospital-Based Case-Control Study in Indonesia

Suraya¹,

Nowak

Sulistomo

et al. 2020

IJERPH

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Indonesia has limited data on asbestos-related diseases despite abundant use. This study investigated the risk of occupational asbestos exposure for lung cancer development, utilizing a hospital-based case-control study. Subjects were patients who received a thoracic CT scan at Persahabatan Hospital, Jakarta. The cases had primary lung cancer confirmed by histology, the controls were negative for lung cancer. The cumulative occupational asbestos exposure was calculated by multiplying the exposure intensity by the years of exposure. The exposure intensity was obtained by adopting the weighted arithmetic mean value of asbestos exposure from a job-exposure matrix developed in Korea. The primary data analysis was based on logistic regression. The study included 696 subjects, with 336 cases and 360 controls. The chance of lung cancer for subjects exposed to asbestos was doubled (OR = 2.04, 95% CI = 1.21–3.42) compared with unexposed, and subjects with a cumulative asbestos exposure of 10 fiber-years or more even showed an OR of 3.08 (95% CI = 1.01–9.46). The OR of the combined effect between smoking and asbestos was 8.7 (95% CI = 1.71–44.39); the interaction was consistent with an additive and multiplicative risk model. Asbestos exposure is associated with a higher chance of lung cancer. Improved policies are needed to protect the population from asbestos hazards.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 89%

Asbestos-Related Lung Cancer: A Hospital-Based Case-Control Study in Indonesia

Suraya¹,

Nowak

Sulistomo

et al. 2020

IJERPH

View full text Add to dashboard Cite

show abstract

“…Numerous ways were developed to estimate the occupational exposure (self assessment, job titles, lenghts of exposure, specific occupational task, job-exposure matrix) [5,6]. In our cases, exposure assessment was based on the documentation provided by the past employer and on expert evaluation of the job risk.…”

Section: Resultsmentioning

confidence: 99%

Inflammation Markers in the Evolution of Asbestosis

Oțelea¹,

Andrei²,

Dinu³

et al. 2019

Rev. Chim.

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Asbestos structure and composition contribute to the lung injury and to the inflammation induced by this natural fiber. The result of this study is that neutrophile to lymphocyte ratio correlates significantly to timing of progress of the radiological lesions in the evolution of patients with asbestosis, followed for 5 years. If confirmed in larger studies, this could become a cost-effective biomarker for the asbestosis evolution.

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“…However, we have no reason to believe that recall of jobs associated with exposure to mineral oils would have been biased in any way. Although job-exposure matrices in themselves have limitations, they remain the only feasible approach to exposure assessment for studies of this size, containing over 35 000 jobs 39. In this study, we used a job exposure matrix (INTEROCC JEM) that was based on the FINJEM.…”

Section: Discussionmentioning

confidence: 99%