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Occupational exposures and risk of oesophageal cancer by histological type: a case–control study in eastern Spain

Objective: To explore the relationship between occupations and specific occupational exposures and oesophageal cancer (OC) by histological type. Methods: A multicentre hospital-based case–control study was conducted in two Mediterranean provinces of Spain. Occupational, sociodemographic and lifestyl... Full description

Journal Title: Occupational and environmental medicine (London England), 2008, Vol.65 (11), p.774-781
Main Author: Santibañez, M
Other Authors: Vioque, J , Alguacil, J , Barber, X , García de la Hera, M , Kauppinen, T
Format: Electronic Article Electronic Article
Language: English
Subjects:
Quelle: Alma/SFX Local Collection
Publisher: London: BMJ Publishing Group Ltd
ID: ISSN: 1351-0711
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title: Occupational exposures and risk of oesophageal cancer by histological type: a case–control study in eastern Spain
format: Article
creator:
  • Santibañez, M
  • Vioque, J
  • Alguacil, J
  • Barber, X
  • García de la Hera, M
  • Kauppinen, T
subjects:
  • Adenocarcinoma
  • Adenocarcinoma - epidemiology
  • Adenocarcinoma - etiology
  • Adult
  • Aged
  • Aged, 80 and over
  • Alcohol drinking
  • Asbestos
  • Biological and medical sciences
  • Carcinoma, Squamous Cell - epidemiology
  • Carcinoma, Squamous Cell - etiology
  • Case control studies
  • Electrical trades
  • Environmental Monitoring - methods
  • Epidemiological Monitoring
  • Esophageal cancer
  • Esophageal Neoplasms - epidemiology
  • Esophageal Neoplasms - etiology
  • Esophagus
  • Gastroenterology. Liver. Pancreas. Abdomen
  • Hazardous Substances - adverse effects
  • Hazardous Substances - analysis
  • Histology
  • Humans
  • Male
  • Medical sciences
  • Middle Aged
  • Mortality
  • Occupational Diseases - epidemiology
  • Occupational Diseases - etiology
  • Occupational Exposure - adverse effects
  • Occupational Exposure - analysis
  • Occupational health and safety
  • Occupations
  • Risk Assessment - methods
  • Risk factors
  • Spain - epidemiology
  • Squamous cell carcinoma
  • Tobacco smoking
  • Tumors
ispartof: Occupational and environmental medicine (London, England), 2008, Vol.65 (11), p.774-781
description: Objective: To explore the relationship between occupations and specific occupational exposures and oesophageal cancer (OC) by histological type. Methods: A multicentre hospital-based case–control study was conducted in two Mediterranean provinces of Spain. Occupational, sociodemographic and lifestyle information was collected from 185 newly diagnosed male oesophageal cancer patients (147 squamous cell, 38 adenocarcinoma) and 285 frequency matched controls. Occupation was coded according to the Spanish National Classification of Occupations 1994. Occupational exposure to a selection of carcinogenic substances was assessed by the FINJEM job exposure matrix. Odds ratios were calculated by unconditional logistic regression adjusting for age, education, alcohol intake and cigarette smoking. Results: For the squamous cell variety, statistically significant associations were found for waiters and bartenders (OR 8.18, 95% CI 1.98 to 33.75) and miners, shotfirers, stone cutters and carvers (OR 10.78, 95% CI 1.24 to 93.7) in relation to other occupations. For the adenocarcinoma variety, statistically significant associations were observed for carpenters and joiners (OR 9.69), animal producers and related workers (OR 5.61) and building and related electricians (OR 8.26), although these observations were based on a low number of cases. Regarding specific exposures, the study found a statistically significant increased risk of squamous cell carcinoma for ionising radiation, and of adenocarcinoma for high exposure to volatile sulphur compounds (OR 3.12) and lead (OR 5.30). For all histological types of OC combined, a three-fold increase in risk was found with a significant trend for asbestos exposure (OR 3.46, 95% CI 0.99 to 12.10). Conclusions: The data suggest that some occupational exposures may specifically increase the risk of oesophageal squamous cell carcinoma or adenocarcinoma, while other exposures such as asbestos may increase the overall risk of OC.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 1351-0711
fulltext: fulltext
issn:
  • 1351-0711
  • 1470-7926
url: Link


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titleOccupational exposures and risk of oesophageal cancer by histological type: a case–control study in eastern Spain
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creatorSantibañez, M ; Vioque, J ; Alguacil, J ; Barber, X ; García de la Hera, M ; Kauppinen, T
creatorcontribSantibañez, M ; Vioque, J ; Alguacil, J ; Barber, X ; García de la Hera, M ; Kauppinen, T ; PANESOES Study Group ; for the PANESOES Study Group
descriptionObjective: To explore the relationship between occupations and specific occupational exposures and oesophageal cancer (OC) by histological type. Methods: A multicentre hospital-based case–control study was conducted in two Mediterranean provinces of Spain. Occupational, sociodemographic and lifestyle information was collected from 185 newly diagnosed male oesophageal cancer patients (147 squamous cell, 38 adenocarcinoma) and 285 frequency matched controls. Occupation was coded according to the Spanish National Classification of Occupations 1994. Occupational exposure to a selection of carcinogenic substances was assessed by the FINJEM job exposure matrix. Odds ratios were calculated by unconditional logistic regression adjusting for age, education, alcohol intake and cigarette smoking. Results: For the squamous cell variety, statistically significant associations were found for waiters and bartenders (OR 8.18, 95% CI 1.98 to 33.75) and miners, shotfirers, stone cutters and carvers (OR 10.78, 95% CI 1.24 to 93.7) in relation to other occupations. For the adenocarcinoma variety, statistically significant associations were observed for carpenters and joiners (OR 9.69), animal producers and related workers (OR 5.61) and building and related electricians (OR 8.26), although these observations were based on a low number of cases. Regarding specific exposures, the study found a statistically significant increased risk of squamous cell carcinoma for ionising radiation, and of adenocarcinoma for high exposure to volatile sulphur compounds (OR 3.12) and lead (OR 5.30). For all histological types of OC combined, a three-fold increase in risk was found with a significant trend for asbestos exposure (OR 3.46, 95% CI 0.99 to 12.10). Conclusions: The data suggest that some occupational exposures may specifically increase the risk of oesophageal squamous cell carcinoma or adenocarcinoma, while other exposures such as asbestos may increase the overall risk of OC.
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subjectAdenocarcinoma ; Adenocarcinoma - epidemiology ; Adenocarcinoma - etiology ; Adult ; Aged ; Aged, 80 and over ; Alcohol drinking ; Asbestos ; Biological and medical sciences ; Carcinoma, Squamous Cell - epidemiology ; Carcinoma, Squamous Cell - etiology ; Case control studies ; Electrical trades ; Environmental Monitoring - methods ; Epidemiological Monitoring ; Esophageal cancer ; Esophageal Neoplasms - epidemiology ; Esophageal Neoplasms - etiology ; Esophagus ; Gastroenterology. Liver. Pancreas. Abdomen ; Hazardous Substances - adverse effects ; Hazardous Substances - analysis ; Histology ; Humans ; Male ; Medical sciences ; Middle Aged ; Mortality ; Occupational Diseases - epidemiology ; Occupational Diseases - etiology ; Occupational Exposure - adverse effects ; Occupational Exposure - analysis ; Occupational health and safety ; Occupations ; Risk Assessment - methods ; Risk factors ; Spain - epidemiology ; Squamous cell carcinoma ; Tobacco smoking ; Tumors
ispartofOccupational and environmental medicine (London, England), 2008, Vol.65 (11), p.774-781
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0Occupational exposures and risk of oesophageal cancer by histological type: a case–control study in eastern Spain
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descriptionObjective: To explore the relationship between occupations and specific occupational exposures and oesophageal cancer (OC) by histological type. Methods: A multicentre hospital-based case–control study was conducted in two Mediterranean provinces of Spain. Occupational, sociodemographic and lifestyle information was collected from 185 newly diagnosed male oesophageal cancer patients (147 squamous cell, 38 adenocarcinoma) and 285 frequency matched controls. Occupation was coded according to the Spanish National Classification of Occupations 1994. Occupational exposure to a selection of carcinogenic substances was assessed by the FINJEM job exposure matrix. Odds ratios were calculated by unconditional logistic regression adjusting for age, education, alcohol intake and cigarette smoking. Results: For the squamous cell variety, statistically significant associations were found for waiters and bartenders (OR 8.18, 95% CI 1.98 to 33.75) and miners, shotfirers, stone cutters and carvers (OR 10.78, 95% CI 1.24 to 93.7) in relation to other occupations. For the adenocarcinoma variety, statistically significant associations were observed for carpenters and joiners (OR 9.69), animal producers and related workers (OR 5.61) and building and related electricians (OR 8.26), although these observations were based on a low number of cases. Regarding specific exposures, the study found a statistically significant increased risk of squamous cell carcinoma for ionising radiation, and of adenocarcinoma for high exposure to volatile sulphur compounds (OR 3.12) and lead (OR 5.30). For all histological types of OC combined, a three-fold increase in risk was found with a significant trend for asbestos exposure (OR 3.46, 95% CI 0.99 to 12.10). Conclusions: The data suggest that some occupational exposures may specifically increase the risk of oesophageal squamous cell carcinoma or adenocarcinoma, while other exposures such as asbestos may increase the overall risk of OC.
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0Adenocarcinoma
1Adenocarcinoma - epidemiology
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3Adult
4Aged
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6Alcohol drinking
7Asbestos
8Biological and medical sciences
9Carcinoma, Squamous Cell - epidemiology
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11Case control studies
12Electrical trades
13Environmental Monitoring - methods
14Epidemiological Monitoring
15Esophageal cancer
16Esophageal Neoplasms - epidemiology
17Esophageal Neoplasms - etiology
18Esophagus
19Gastroenterology. Liver. Pancreas. Abdomen
20Hazardous Substances - adverse effects
21Hazardous Substances - analysis
22Histology
23Humans
24Male
25Medical sciences
26Middle Aged
27Mortality
28Occupational Diseases - epidemiology
29Occupational Diseases - etiology
30Occupational Exposure - adverse effects
31Occupational Exposure - analysis
32Occupational health and safety
33Occupations
34Risk Assessment - methods
35Risk factors
36Spain - epidemiology
37Squamous cell carcinoma
38Tobacco smoking
39Tumors
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abstractObjective: To explore the relationship between occupations and specific occupational exposures and oesophageal cancer (OC) by histological type. Methods: A multicentre hospital-based case–control study was conducted in two Mediterranean provinces of Spain. Occupational, sociodemographic and lifestyle information was collected from 185 newly diagnosed male oesophageal cancer patients (147 squamous cell, 38 adenocarcinoma) and 285 frequency matched controls. Occupation was coded according to the Spanish National Classification of Occupations 1994. Occupational exposure to a selection of carcinogenic substances was assessed by the FINJEM job exposure matrix. Odds ratios were calculated by unconditional logistic regression adjusting for age, education, alcohol intake and cigarette smoking. Results: For the squamous cell variety, statistically significant associations were found for waiters and bartenders (OR 8.18, 95% CI 1.98 to 33.75) and miners, shotfirers, stone cutters and carvers (OR 10.78, 95% CI 1.24 to 93.7) in relation to other occupations. For the adenocarcinoma variety, statistically significant associations were observed for carpenters and joiners (OR 9.69), animal producers and related workers (OR 5.61) and building and related electricians (OR 8.26), although these observations were based on a low number of cases. Regarding specific exposures, the study found a statistically significant increased risk of squamous cell carcinoma for ionising radiation, and of adenocarcinoma for high exposure to volatile sulphur compounds (OR 3.12) and lead (OR 5.30). For all histological types of OC combined, a three-fold increase in risk was found with a significant trend for asbestos exposure (OR 3.46, 95% CI 0.99 to 12.10). Conclusions: The data suggest that some occupational exposures may specifically increase the risk of oesophageal squamous cell carcinoma or adenocarcinoma, while other exposures such as asbestos may increase the overall risk of OC.
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