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102Occupational asbestos exposure and risk of pleural mesothelioma, lung and laryngeal cancer in the prospective Netherlands Cohort Study
ObjectivesAlthough asbestos research has been ongoing for decades, there are remaining questions regarding cancer risk associated with low exposure and cancer subtypes, the influence of potential confounders, and the interaction between asbestos and smoking. We addressed these questions by studying...
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| Published in: | Occupational and environmental medicine (London, England) England), 2013-09, Vol.70 (Suppl 1), p.A34-A34 |
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| container_end_page | A34 |
| container_issue | Suppl 1 |
| container_start_page | A34 |
| container_title | Occupational and environmental medicine (London, England) |
| container_volume | 70 |
| creator | Offermans, N S M Vermeulen Burdorf Goldbohm Kauppinen Kromhout Brandt, van den |
| description | ObjectivesAlthough asbestos research has been ongoing for decades, there are remaining questions regarding cancer risk associated with low exposure and cancer subtypes, the influence of potential confounders, and the interaction between asbestos and smoking. We addressed these questions by studying the association between occupational asbestos exposure and pleural mesothelioma, lung and laryngeal cancer in the prospective population-based Netherlands Cohort Study (NLCS).MethodsThe NLCS includes 58279 men aged 55-69 years at enrollment in 1986. Based on job history information obtained from a self-administered questionnaire, asbestos exposure was estimated by linkage to job-exposure matrices. After 17.3 years of follow-up, 132 cases of pleural mesothelioma, 2324 cases of lung cancer, and 166 cases of laryngeal cancer were available for analysis.ResultsOverall, occupational asbestos exposure was associated with an increased risk of mesothelioma, lung and laryngeal cancer, also for relatively low exposure. Correcting for potential confounders as age, smoking, alcohol, and several occupational carcinogens hardly influenced these results. Associations with lung cancer subtypes were generally comparable to overall lung cancer, except for adenocarcinoma (HR ever versus never exposed = 1.43, 1.52, 1.49 and 0.94 for small cell, large cell, squamous cell and adenocarcinoma respectively). Adenocarcinoma showed only a weak positive association at higher exposure levels for long duration. For laryngeal cancer, associations were usually stronger for supraglottis cancer (HR = 2.48, 95% CI:1.33-4.65) than glottis cancer (HR = 1.12, 95% CI:0.74-1.69). There was no statistically significant additive or multiplicative interaction between asbestos and smoking for any of the cancers.ConclusionsThe well-established associations between asbestos and mesothelioma, lung and laryngeal cancer were corroborated at relatively low levels of cumulative exposure in the NLCS. Lung adenocarcinoma may only show an increased relative risk at higher asbestos exposure for long duration. Asbestos exposure may be stronger associated with supraglottis cancer than glottis cancer. |
| doi_str_mv | 10.1136/oemed-2013-101717.102 |
| format | article |
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We addressed these questions by studying the association between occupational asbestos exposure and pleural mesothelioma, lung and laryngeal cancer in the prospective population-based Netherlands Cohort Study (NLCS).MethodsThe NLCS includes 58279 men aged 55-69 years at enrollment in 1986. Based on job history information obtained from a self-administered questionnaire, asbestos exposure was estimated by linkage to job-exposure matrices. After 17.3 years of follow-up, 132 cases of pleural mesothelioma, 2324 cases of lung cancer, and 166 cases of laryngeal cancer were available for analysis.ResultsOverall, occupational asbestos exposure was associated with an increased risk of mesothelioma, lung and laryngeal cancer, also for relatively low exposure. Correcting for potential confounders as age, smoking, alcohol, and several occupational carcinogens hardly influenced these results. Associations with lung cancer subtypes were generally comparable to overall lung cancer, except for adenocarcinoma (HR ever versus never exposed = 1.43, 1.52, 1.49 and 0.94 for small cell, large cell, squamous cell and adenocarcinoma respectively). Adenocarcinoma showed only a weak positive association at higher exposure levels for long duration. For laryngeal cancer, associations were usually stronger for supraglottis cancer (HR = 2.48, 95% CI:1.33-4.65) than glottis cancer (HR = 1.12, 95% CI:0.74-1.69). There was no statistically significant additive or multiplicative interaction between asbestos and smoking for any of the cancers.ConclusionsThe well-established associations between asbestos and mesothelioma, lung and laryngeal cancer were corroborated at relatively low levels of cumulative exposure in the NLCS. Lung adenocarcinoma may only show an increased relative risk at higher asbestos exposure for long duration. Asbestos exposure may be stronger associated with supraglottis cancer than glottis cancer.</description><identifier>ISSN: 1351-0711</identifier><identifier>DOI: 10.1136/oemed-2013-101717.102</identifier><language>eng</language><subject>Asbestos ; Cancer ; Exposure ; Lungs ; Mesothelioma ; Occupational ; Risk ; Smoking</subject><ispartof>Occupational and environmental medicine (London, England), 2013-09, Vol.70 (Suppl 1), p.A34-A34</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids></links><search><creatorcontrib>Offermans, N S M</creatorcontrib><creatorcontrib>Vermeulen</creatorcontrib><creatorcontrib>Burdorf</creatorcontrib><creatorcontrib>Goldbohm</creatorcontrib><creatorcontrib>Kauppinen</creatorcontrib><creatorcontrib>Kromhout</creatorcontrib><creatorcontrib>Brandt, van den</creatorcontrib><title>102Occupational asbestos exposure and risk of pleural mesothelioma, lung and laryngeal cancer in the prospective Netherlands Cohort Study</title><title>Occupational and environmental medicine (London, England)</title><description>ObjectivesAlthough asbestos research has been ongoing for decades, there are remaining questions regarding cancer risk associated with low exposure and cancer subtypes, the influence of potential confounders, and the interaction between asbestos and smoking. We addressed these questions by studying the association between occupational asbestos exposure and pleural mesothelioma, lung and laryngeal cancer in the prospective population-based Netherlands Cohort Study (NLCS).MethodsThe NLCS includes 58279 men aged 55-69 years at enrollment in 1986. Based on job history information obtained from a self-administered questionnaire, asbestos exposure was estimated by linkage to job-exposure matrices. After 17.3 years of follow-up, 132 cases of pleural mesothelioma, 2324 cases of lung cancer, and 166 cases of laryngeal cancer were available for analysis.ResultsOverall, occupational asbestos exposure was associated with an increased risk of mesothelioma, lung and laryngeal cancer, also for relatively low exposure. Correcting for potential confounders as age, smoking, alcohol, and several occupational carcinogens hardly influenced these results. Associations with lung cancer subtypes were generally comparable to overall lung cancer, except for adenocarcinoma (HR ever versus never exposed = 1.43, 1.52, 1.49 and 0.94 for small cell, large cell, squamous cell and adenocarcinoma respectively). Adenocarcinoma showed only a weak positive association at higher exposure levels for long duration. For laryngeal cancer, associations were usually stronger for supraglottis cancer (HR = 2.48, 95% CI:1.33-4.65) than glottis cancer (HR = 1.12, 95% CI:0.74-1.69). There was no statistically significant additive or multiplicative interaction between asbestos and smoking for any of the cancers.ConclusionsThe well-established associations between asbestos and mesothelioma, lung and laryngeal cancer were corroborated at relatively low levels of cumulative exposure in the NLCS. Lung adenocarcinoma may only show an increased relative risk at higher asbestos exposure for long duration. Asbestos exposure may be stronger associated with supraglottis cancer than glottis cancer.</description><subject>Asbestos</subject><subject>Cancer</subject><subject>Exposure</subject><subject>Lungs</subject><subject>Mesothelioma</subject><subject>Occupational</subject><subject>Risk</subject><subject>Smoking</subject><issn>1351-0711</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><recordid>eNqFz71OwzAQAGAPIFEKj4DkkYEUX-zY6YgqoEgVHeheXZ1LG3DiYCeIPgJvjQXs3HLS3af7YewKxAxA6ltPLVVZLkBmIMCAmYHIT9gEZAGZMABn7DzGV5GAkfmEfaX22tqxx6HxHTqOcUdx8JHTZ-_jGIhjV_HQxDfua947GkNSLUU_HMg1vsUb7sZu_8MchmO3pwQsdpYCbzqeGO-Djz3Zofkg_kypElzikS_8wYeBvwxjdbxgpzW6SJd_eco2D_ebxTJbrR-fFnerrNdaZ5CbCoVSdY1WKo1lXusdEGgNUklbpihy2uUlKgtCzNGqeV3ZwtSVQEKSU3b9Ozbd9D6mV7dtEy25dBD5MW5BGyhkKaT-nxYFpLWlAvkNfwd2MQ</recordid><startdate>20130901</startdate><enddate>20130901</enddate><creator>Offermans, N S M</creator><creator>Vermeulen</creator><creator>Burdorf</creator><creator>Goldbohm</creator><creator>Kauppinen</creator><creator>Kromhout</creator><creator>Brandt, van den</creator><scope>7T2</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope><scope>7QQ</scope><scope>7TB</scope><scope>8FD</scope><scope>FR3</scope><scope>JG9</scope><scope>KR7</scope></search><sort><creationdate>20130901</creationdate><title>102Occupational asbestos exposure and risk of pleural mesothelioma, lung and laryngeal cancer in the prospective Netherlands Cohort Study</title><author>Offermans, N S M ; Vermeulen ; Burdorf ; Goldbohm ; Kauppinen ; Kromhout ; Brandt, van den</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p666-127da044ffac346a82f6b1e1661343c888852eb28a4c1009ac49fdc57fd0aeae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Asbestos</topic><topic>Cancer</topic><topic>Exposure</topic><topic>Lungs</topic><topic>Mesothelioma</topic><topic>Occupational</topic><topic>Risk</topic><topic>Smoking</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Offermans, N S M</creatorcontrib><creatorcontrib>Vermeulen</creatorcontrib><creatorcontrib>Burdorf</creatorcontrib><creatorcontrib>Goldbohm</creatorcontrib><creatorcontrib>Kauppinen</creatorcontrib><creatorcontrib>Kromhout</creatorcontrib><creatorcontrib>Brandt, van den</creatorcontrib><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Ceramic Abstracts</collection><collection>Mechanical & Transportation Engineering Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Materials Research Database</collection><collection>Civil Engineering Abstracts</collection><jtitle>Occupational and environmental medicine (London, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Offermans, N S M</au><au>Vermeulen</au><au>Burdorf</au><au>Goldbohm</au><au>Kauppinen</au><au>Kromhout</au><au>Brandt, van den</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>102Occupational asbestos exposure and risk of pleural mesothelioma, lung and laryngeal cancer in the prospective Netherlands Cohort Study</atitle><jtitle>Occupational and environmental medicine (London, England)</jtitle><date>2013-09-01</date><risdate>2013</risdate><volume>70</volume><issue>Suppl 1</issue><spage>A34</spage><epage>A34</epage><pages>A34-A34</pages><issn>1351-0711</issn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>ObjectivesAlthough asbestos research has been ongoing for decades, there are remaining questions regarding cancer risk associated with low exposure and cancer subtypes, the influence of potential confounders, and the interaction between asbestos and smoking. We addressed these questions by studying the association between occupational asbestos exposure and pleural mesothelioma, lung and laryngeal cancer in the prospective population-based Netherlands Cohort Study (NLCS).MethodsThe NLCS includes 58279 men aged 55-69 years at enrollment in 1986. Based on job history information obtained from a self-administered questionnaire, asbestos exposure was estimated by linkage to job-exposure matrices. After 17.3 years of follow-up, 132 cases of pleural mesothelioma, 2324 cases of lung cancer, and 166 cases of laryngeal cancer were available for analysis.ResultsOverall, occupational asbestos exposure was associated with an increased risk of mesothelioma, lung and laryngeal cancer, also for relatively low exposure. Correcting for potential confounders as age, smoking, alcohol, and several occupational carcinogens hardly influenced these results. Associations with lung cancer subtypes were generally comparable to overall lung cancer, except for adenocarcinoma (HR ever versus never exposed = 1.43, 1.52, 1.49 and 0.94 for small cell, large cell, squamous cell and adenocarcinoma respectively). Adenocarcinoma showed only a weak positive association at higher exposure levels for long duration. For laryngeal cancer, associations were usually stronger for supraglottis cancer (HR = 2.48, 95% CI:1.33-4.65) than glottis cancer (HR = 1.12, 95% CI:0.74-1.69). There was no statistically significant additive or multiplicative interaction between asbestos and smoking for any of the cancers.ConclusionsThe well-established associations between asbestos and mesothelioma, lung and laryngeal cancer were corroborated at relatively low levels of cumulative exposure in the NLCS. Lung adenocarcinoma may only show an increased relative risk at higher asbestos exposure for long duration. Asbestos exposure may be stronger associated with supraglottis cancer than glottis cancer.</abstract><doi>10.1136/oemed-2013-101717.102</doi></addata></record> |
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| source | JSTOR Archival Journals and Primary Sources Collection; BMJ Journals - NESLi2 |
| subjects | Asbestos Cancer Exposure Lungs Mesothelioma Occupational Risk Smoking |
| title | 102Occupational asbestos exposure and risk of pleural mesothelioma, lung and laryngeal cancer in the prospective Netherlands Cohort Study |
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