TY - JOUR
T1 - Lung cancer among coal miners, ore miners and quarrymen
T2 - smoking-adjusted risk estimates from the synergy pooled analysis of case-control studies
AU - Taeger, Dirk
AU - Pesch, Beate
AU - Kendzia, Benjamin
AU - Behrens, Thomas
AU - Jöckel, Karl-Heinz
AU - Dahmann, Dirk
AU - Siemiatycki, Jack
AU - Kromhout, Hans
AU - Vermeulen, Roel
AU - Peters, Susan
AU - Olsson, Ann
AU - Brüske, Irene
AU - Wichmann, Heinz-Erich
AU - Stücker, Isabelle
AU - Guida, Florence
AU - Tardón, Adonina
AU - Merletti, Franco
AU - Mirabelli, Dario
AU - Richiardi, Lorenzo
AU - Pohlabeln, Hermann
AU - Ahrens, Wolfgang
AU - Landi, Maria Teresa
AU - Caporaso, Neil
AU - Pesatori, Angela Cecilia
AU - Mukeriya, Anush
AU - Szeszenia-Dabrowska, Neonila
AU - Lissowska, Jolanta
AU - Gustavsson, Per
AU - Field, John
AU - Marcus, Michael W
AU - Fabianova, Eleonora
AU - 't Mannetje, Andrea
AU - Pearce, Neil
AU - Rudnai, Peter
AU - Bencko, Vladimir
AU - Janout, Vladimir
AU - Dumitru, Rodica Stanescu
AU - Foretova, Lenka
AU - Forastiere, Francesco
AU - John McLaughlin, John McLaughlin
AU - Paul Demers, Paul Demers
AU - Bas Bueno-de-Mesquita, Bas Bueno-de-Mesquita
AU - Joachim Schüz, Joachim Schüz
AU - Kurt Straif, Kurt Straif
AU - Brüning, Thomas
PY - 2015/9/1
Y1 - 2015/9/1
N2 - OBJECTIVES: Working in mines and quarries has been associated with an elevated lung cancer risk but with inconsistent results for coal miners. This study aimed to estimate the smoking-adjusted lung cancer risk among coal miners and compare the risk pattern with lung cancer risks among ore miners and quarrymen.METHODS: We estimated lung cancer risks of coal and ore miners and quarrymen among 14 251 lung cancer cases and 17 267 controls from the SYNERGY pooled case-control study, controlling for smoking and employment in other at-risk occupations.RESULTS: Ever working as miner or quarryman (690 cases, 436 controls) was associated with an elevated odds ratio (OR) of 1.55 [95% confidence interval (95% CI) 1.34-1.79] for lung cancer. Ore miners (53 cases, 24 controls) had a higher OR (2.34, 95% CI 1.36-4.03) than quarrymen (67 cases, 39 controls; OR 1.92, 95% CI 1.21-3.05) and coal miners (442 cases, 297 controls; OR 1.40, 95% CI 1.18-1.67), but CI overlapped. We did not observe trends by duration of exposure or time since last exposure.CONCLUSIONS: This pooled analysis of population-based studies demonstrated an excess lung cancer risk among miners and quarrymen that remained increased after adjustment for detailed smoking history and working in other at-risk occupations. The increase in risk among coal miners were less pronounced than for ore miners or quarrymen.
AB - OBJECTIVES: Working in mines and quarries has been associated with an elevated lung cancer risk but with inconsistent results for coal miners. This study aimed to estimate the smoking-adjusted lung cancer risk among coal miners and compare the risk pattern with lung cancer risks among ore miners and quarrymen.METHODS: We estimated lung cancer risks of coal and ore miners and quarrymen among 14 251 lung cancer cases and 17 267 controls from the SYNERGY pooled case-control study, controlling for smoking and employment in other at-risk occupations.RESULTS: Ever working as miner or quarryman (690 cases, 436 controls) was associated with an elevated odds ratio (OR) of 1.55 [95% confidence interval (95% CI) 1.34-1.79] for lung cancer. Ore miners (53 cases, 24 controls) had a higher OR (2.34, 95% CI 1.36-4.03) than quarrymen (67 cases, 39 controls; OR 1.92, 95% CI 1.21-3.05) and coal miners (442 cases, 297 controls; OR 1.40, 95% CI 1.18-1.67), but CI overlapped. We did not observe trends by duration of exposure or time since last exposure.CONCLUSIONS: This pooled analysis of population-based studies demonstrated an excess lung cancer risk among miners and quarrymen that remained increased after adjustment for detailed smoking history and working in other at-risk occupations. The increase in risk among coal miners were less pronounced than for ore miners or quarrymen.
U2 - 10.5271/sjweh.3513
DO - 10.5271/sjweh.3513
M3 - Article
C2 - 26153779
SN - 0355-3140
VL - 41
SP - 467
EP - 477
JO - Scandinavian Journal of Work, Environment & Health
JF - Scandinavian Journal of Work, Environment & Health
IS - 5
ER -