Attributable risk in men in two French case-control studies on mesothelioma and asbestos

Pleural mesothelioma is a primary tumor of the pleura that is mainly due to asbestos exposure. To study the relationship between mesothelioma and occupational asbestos exposure in France, two case-control studies (A and B) were conducted. A substantial difference in the attributable risk in the popu...

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Veröffentlicht in:European journal of epidemiology 2010-11, Vol.25 (11), p.799-806
Hauptverfasser: Lacourt, Aude, Rolland, Patrick, Gramond, Céline, Astoul, Philippe, Chamming's, Soizick, Ducamp, Stéphane, Frenay, Catherine, Galateau-Sallé, Françoise, Gilg Soit Ilg, Anabelle, Imbernon, Ellen, Le Stang, Nolwenn, Pairon, Jean Claude, Goldberg, Marcel, Iwatsubo, Yuriko, Salmi, Louis-Rachid, Brochard, Patrick
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container_end_page 806
container_issue 11
container_start_page 799
container_title European journal of epidemiology
container_volume 25
creator Lacourt, Aude
Rolland, Patrick
Gramond, Céline
Astoul, Philippe
Chamming's, Soizick
Ducamp, Stéphane
Frenay, Catherine
Galateau-Sallé, Françoise
Gilg Soit Ilg, Anabelle
Imbernon, Ellen
Le Stang, Nolwenn
Pairon, Jean Claude
Goldberg, Marcel
Iwatsubo, Yuriko
Salmi, Louis-Rachid
Brochard, Patrick
description Pleural mesothelioma is a primary tumor of the pleura that is mainly due to asbestos exposure. To study the relationship between mesothelioma and occupational asbestos exposure in France, two case-control studies (A and B) were conducted. A substantial difference in the attributable risk in the population (ARp) was observed among men: 44.5% (95% CI: [32.6-56.4]) in study A and 83.2% (95% CI: [76.8-89.6]) in study B. As different exposure assessment expert methods were used, the main objective of this work was to re-estimate the ARp men in two case-control studies according to a common standardized exposure assessment by using a Job Exposure Matrix (JEM) and to assess the role of subjects' selection. The initial observed ARp difference was maintained: 36.3% (95% CI: [24.3-50.3]) in study A and 69.7% (95% CI: [51.7-83.2]) in study B. Further investigations highlighted the potential selection bias introduced in both studies, especially among controls. The ARp could be underestimated in study A and overestimated in study B. After weighting subjects according to distribution of socio-economic status in the general population for controls and according to distribution of socio-economic status of cases registered by the French National Mesothelioma Surveillance Program, re-estimated ARp values were 52.4% in study A and 70.2% in study B. These results provide additional information to describe the relationship between pleural mesothelioma and occupational asbestos exposure, but also confirm the importance of subjects' recruitment in case control studies, particularly control selection.
doi_str_mv 10.1007/s10654-010-9502-0
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After weighting subjects according to distribution of socio-economic status in the general population for controls and according to distribution of socio-economic status of cases registered by the French National Mesothelioma Surveillance Program, re-estimated ARp values were 52.4% in study A and 70.2% in study B. 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subjects Aged
Asbestos
Asbestos - adverse effects
Attributable risk
Biological and medical sciences
CANCER
Cardiology
Case control studies
Case studies
Dose response relationship
Economics
Epidemiology
Female
France - epidemiology
General aspects
Human exposure
Humans
Infectious Diseases
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title Attributable risk in men in two French case-control studies on mesothelioma and asbestos
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