“…Some studies use job titles to infer exposure (60,63,67), one compares dry cleaning workers to laundry workers (59), others assess risk to subjects exposed to general classes of solvents (57,63), and still other studies ask about exposure to specific agents or used more sophisticated exposure characterizations ( Elevated odds ratios for kidney cancer are found for four different exposure classifications: degreasing agents (including TCE ) (60,61,66), solvents (61,63,65), the iron/ steel industry (likely including exposure to degreasing agents or solvents) (58,(62)(63)(64)(65), and dry cleaners/laundry workers (60,64,65). A few studies assesses TCE exposure specifically (66,68,84 (66), is hospitalbased using accident victims as controls. The study was conducted in an area of Germany containing a large number of metal-working shops using TCE for degreasing purposes.…”