Occupation and risk of cancer of the renal pelvis in Nordic countries

Michałek, Irmina Maria; Martinsen, Jan Ivar; Weiderpass, Elisabete; Kjærheim, Kristina; Lynge, Elsebeth; Sparén, Pär; Tryggvadóttír, Laufey; Pukkala, Eero

doi:10.1111/bju.14533

Cited by 9 publications

(13 citation statements)

References 15 publications

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“…Seven studies reported on UTUC incidence according to occupation [ 24 , 27 , 48 – 52 ]. Five of these studies were based on the national cancer registries and censuses of Nordic countries [ 27 , 48 , 50 – 52 ]. A total of 54 occupational categories are included in the comprehensive study by Michalek and colleagues [ 27 ] on five Nordic countries (Denmark, Iceland, Finland, Norway and Sweden) between 1961 and 2005.…”

Section: Resultsmentioning

confidence: 99%

“…Five of these studies were based on the national cancer registries and censuses of Nordic countries [ 27 , 48 , 50 – 52 ]. A total of 54 occupational categories are included in the comprehensive study by Michalek and colleagues [ 27 ] on five Nordic countries (Denmark, Iceland, Finland, Norway and Sweden) between 1961 and 2005. The occupation categories with the highest SIR were seamen (1.51 [95% CI 1.23–1.82]), printers (1.39 [1.11–1.71]), and welders (1.37 [1.03–1.78]).…”

Section: Resultsmentioning

confidence: 99%

“…The relatively high incidence of UTUC reported in seamen has been proposed to be due to increased exposure to asbestos fibres in ships [ 27 ]. The association between occupational exposure and other urological cancers has been studied, with a high incidence of bladder cancer in seamen reported in a study on the Nordic Occupational Cancer cohort [ 56 ].…”

Section: Discussionmentioning

confidence: 99%

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The incidence and prevalence of upper tract urothelial carcinoma: a systematic review

et al. 2021

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Background Upper tract urothelial carcinoma (UTUC) is a rare urological cancer that is still an important public health concern in many areas around the world. Although UTUC has been linked to a number of risk factors, to our knowledge no systematic review has been published on the overall incidence and prevalence of de-novo UTUC. This review aimed to examine the global epidemiology of UTUC to provide clinicians and public health specialists a better understanding of UTUC. Methods A systematic search was conducted on MEDLINE, Embase, and the Web of Science using a detailed search strategy. Observational epidemiological studies describing the incidence and prevalence of de-novo UTUC in adults were included, and the Joanna Briggs Institute checklist was used for critical appraisal and data extraction of the studies selected. Results The systematic search identified 3506 papers, of which 59 papers were included for qualitative synthesis. The studies selected included data ranging from the years 1943 to 2018. A comprehensive qualitative synthesis of the data was performed. UTUC incidence generally varied according to age (higher with increasing age), sex (unclear), race (unclear), calendar time (increased, stable, or decreased according to region), geographical region (higher in Asian countries), occupation (higher in seamen and printers), and other population characteristics. Prevalence was only reported by one study, which showed UTUC to have the highest incidence of the rare urogenital cancers in Europe. Conclusion This systematic review highlights an increased incidence of UTUC in certain groups, including increasing age and certain occupations such as seamen. The incidence of UTUC also varies between certain geographical regions. The trend of UTUC incidence for sex, race, and calendar time is less clear due to a wide variety of metrics used by the studies identified. More studies are also required on the prevalence of UTUC to understand its disease burden. Trial registration This review was registered on PROSPERO (registration number CRD42019134255).

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The incidence and prevalence of upper tract urothelial carcinoma: a systematic review

et al. 2021

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“…Association and risk of occupational exposure for KCa distribution Table 5shows socio demographic distribution as mean age from all studies was 56.45±17.6 and male were majority with average percentage of 95.3% and about 42.5% were smokers. Table 6 and Figure 4 shows association and risk of occupational exposure for renal cancer distribution.Peters et al 20 (OR 1.63, 95% CI: 1.33-1.96), Saint-Jacques et al 22 (OR 1.808, 95% CI: 1.34-2.43) and Michelek et al 23 (OR 1.842, 95% CI: 1.53-2.18) showed significant risk but Michelek et al 23 (OR 0.81, 95% CI: 0.71-1.15 ), Zaitsu et al 19 (OR 1.04,95% CI: 0.96-1.12) and Callahan et al 24 (0.95, 95% CI: 0.84-1.37 ) showed no significant risk or association. After analysis of multiple paper regarding the association between KCa and different occupational exposure we found no significant association (OR 1.04, 95% CI:0.94-1.34).…”

Section: Categorical Meta-analysis Findingsmentioning

confidence: 95%

“…For the studies that investigated the association of occupational exposure and risk of KCa; there were 4 case control studies, 17,20,21,24 3 cohort studies18, 19,23 and 1 ecological study 22 they were all population based studies. For the studies that investigated the association of occupational exposures and risk of bladder cancer; there were 5 case control studies, 26,30,31,34,35 3 cohort studies, 25,28,33 2 cross sectional studies, 27,29 and 1 social perspective.…”

Section: Quality Assessment Of Studiesmentioning

confidence: 99%

Occupational exposure as risk factor for kidney and bladder cancer: a systematic review and meta-analysis

Deb¹,

Okechukwu²,

Emara³

et al. 2019

UNOAJ

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Background: Occupational exposure plays a huge role in the epidemiology, pathogenesis and prevalence of kidney cancer (KCa) and bladder cancer (BCa) worldwide. Objective: The aim of this study was to analyze qualitatively and quantitatively the association between occupational exposure and risk of KCa and BCa. Method: We identified peer-reviewed articles published in English by searching PubMed, Embase, Surveillance, Epidemiology, and End Results (SEER) and Cochrane databases. We selected articles published between January 2018 to May 2019. We summed up all relative risk estimates to ensure accuracy, comprehensiveness and maximize statistical power given the low absolute occupational risk of KCa, occupational risk of BCa and standardized incidence ratios (SIRs). We reported this systematic review and meta-analysis in accordance with the Preferred Reporting Items for Systematic Reviews and metaanalyses (PRISMA) checklist. Quantitative analyzes was performed using Comprehensive Meta-Analysis version 3 (Biostat, Inc, Englewood, New Jersey, USA). Results:We found no significant association between occupational exposure and KCa (OR 1.04, 95% CI: 0.94-1.34), but there was a significant association between occupational exposure and BCa (OR 1.54, 95% CI: 1.44-1.75). Conclusion:From the result of our qualitative and quantitative analysis there was no significant association between occupational exposure and KCa whereas there was a significant association between occupational exposure and BCa.

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Heavy metals, welding fumes, and other occupational exposures, and the risk of kidney cancer: A population-based nested case-control study in three Nordic countries

Michałek

Martinsen

Weiderpass

et al. 2019

Environmental Research

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To determine whether occupational exposure to heavy metals (chromium (VI), iron, nickel, lead) and welding fumes is associated with the risk of kidney cancer and to describe whether other occupational exposures included in the Job Exposure Matrix of the Nordic Occupational Cancer (NOCCA) study are associated with the risk. Materials and methods: Nested case-control study among individuals registered in population censuses in Finland, Iceland, and Sweden in 1960-1990. A total of 59,778 kidney cancer cases, and 298,890 controls matched on sex, age, and country. Cumulative occupational exposures to metals (chromium (VI), iron, nickel, lead), welding fumes, and 24 other occupational exposure covariates, lagged 0, 10, and 20 years. Results: Overall, there was no or very little association between kidney cancer and exposures studied. The risk was elevated in individuals with high exposure to asbestos (OR 1.19, 95%CI 1.08-1.31). The risk was significantly decreased for individuals characterized with high perceived physical workload (OR 0.86, 95%CI 0.82-0.91), high exposure to ultraviolet radiation (OR 0.85, 95%CI 0.79-0.92), and high exposure to wood dust (OR 0.82, 95%CI 0.71-0.94). The risk of kidney cancer under the age of 59 was elevated in individuals with high exposure to nickel (OR 1.49, 95%CI 1.03-2.17). The risk of kidney cancer in age 59-74 years was elevated for individuals with high exposure to iron (OR 1.41, 95%CI 1.07-1.85), and high exposure to welding fumes (OR 1.43, 95%CI 1.09-1.89). Conclusions: The only markedly elevated risks of kidney cancer were seen for the highest exposures of nickel and iron/welding fumes in specific age strata. 1. Introduction Studies over the past three decades have provided valuable information on kidney cancer risk factors. Existing research recognizes the critical role played by tobacco smoking and obesity (Moch et al., 2016). Moreover, the important role of trichloroethylene and gamma radiation as carcinogenic agents that increase the risk of kidney cancer has been recognized by the International Agency for Research on Cancer (IARC) (IARC, 2006). Other agents that IARC identified as potential carcinogens connected with kidney cancer are perfluorooctanoic acid, printing process, arsenic, and cadmium (IARC, 2006). Effects of exposure to toxic heavy metals, apart from arsenic, have not been comprehensively examined. There is little published data on chromium and nickel (

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Occupation and risk of cancer of the renal pelvis in Nordic countries

Abstract: The study suggests that there is an association between profession and risk of malignancy of the renal pelvis. The possible associations between exposure to asbestos, heavy metals and welding fumes, and risk of developing the disease should be studied further.

Cited by 9 publications

References 15 publications

The incidence and prevalence of upper tract urothelial carcinoma: a systematic review

The incidence and prevalence of upper tract urothelial carcinoma: a systematic review

Occupational exposure as risk factor for kidney and bladder cancer: a systematic review and meta-analysis

Heavy metals, welding fumes, and other occupational exposures, and the risk of kidney cancer: A population-based nested case-control study in three Nordic countries

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