Sinonasal cancer and occupational exposures: a pooled analysis of 12 case–control studies

Luce, D; Leclerc, A; Bégin, D; Demers, PA; Gérin, M; Orlowski, E; Kogevinas, M; Belli, S; Bugel, I; Bolm-Audorff, U; Brinton, LA; Comba, P; Hardell, L; Hayes, RB; Magnani, C; Merler, E; Preston-Martin, S; Vaughan, TL; Zheng, W; Boffetta, P

HERO ID

626733

Reference Type

Journal Article

Year

2002

Language

English

PMID

11936821

HERO ID 626733
In Press No
Year 2002
Title Sinonasal cancer and occupational exposures: a pooled analysis of 12 case–control studies
Authors Luce, D; Leclerc, A; Bégin, D; Demers, PA; Gérin, M; Orlowski, E; Kogevinas, M; Belli, S; Bugel, I; Bolm-Audorff, U; Brinton, LA; Comba, P; Hardell, L; Hayes, RB; Magnani, C; Merler, E; Preston-Martin, S; Vaughan, TL; Zheng, W; Boffetta, P
Journal Cancer Causes and Control
Volume 13
Issue 2
Page Numbers 147-157
Abstract Objective: In order to examine the associations between sinonasal cancer and occupational exposures other than wood dust and leather dust, the data from 12 case–control studies conducted in seven countries were pooled and reanalyzed. Methods: The pooled data set included 195 adenocarcinoma cases (169 men and 26 women), 432 squamous cell carcinomas (330 men and 102 women), and 3136 controls (2349 men and 787 women). Occupational exposures to formaldehyde, silica dust, textile dust, coal dust, flour dust, asbestos, and man-made vitreous fibers were assessed with a job-exposure matrix. Odds ratios (ORs) were adjusted for age, study, wood dust, and leather dust, or other occupational exposures when relevant. 95% confidence intervals (CIs) were estimated by unconditional logistic regression. Results: A significantly increased risk of adenocarcinoma was associated with exposure to formaldehyde. The ORs for the highest level of exposure were 3.0 (CI = 1.5–5.7) among men and 6.2 (CI = 2.0–19.7) among women. An elevated risk of squamous cell carcinoma was observed among men (OR = 2.5, CI = 0.6–10.1) and women (OR = 3.5, CI = 1.2–10.5) with a high probability of exposure to formaldehyde. Exposure to textile dust was associated with non-significantly elevated risk of adenocarcinoma, among women only: the OR for the high level of cumulative exposure was 2.5 (CI = 0.7–9.0). High level of asbestos exposure was associated with a significantly increased risk of squamous cell carcinoma among men (OR = 1.6, CI = 1.1–2.3). Conclusions: The results of this pooled analysis support the hypothesis that occupational exposure to formaldehyde increases the risk of sinonasal cancer, particularly of adenocarcinoma. They also indicate an elevated risk of adenocarcinoma among women exposed to textile dust, and suggest that exposure to asbestos may increase the risk of squamous cell carcinoma.
Doi 10.1023/A:1014350004255
Pmid 11936821
Wosid WOS:000174571700006
Url http://<Go to ISI>://WOS:000174571700006
Is Certified Translation No
Dupe Override No
Is Public Yes
Language Text English
Keyword adenocarcinoma; asbestos;case-control studies; formaldehyde; occupational exposures; sinonasal cancer; squamous cell carcinoma; textile dust
Is Peer Review Yes