Phenotypes of lung cancer and statistical interactions between tobacco smoking and occupational exposure to asbestos and crystalline silica from a large case-only study: The CaProMat study

•Smoking is the main factor related to histological type and age at diagnosis.•Additional exposure to asbestos did not modify the effect of smoking.•The effect of smoking was not modified by additional exposure to crystalline silica.•Smoking, asbestos and crystalline silica did not influence tumor l...

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Veröffentlicht in:Lung cancer (Amsterdam, Netherlands) Netherlands), 2017-10, Vol.112, p.140-155
Hauptverfasser: El Zoghbi, Mohamad, Salameh, Pascale, Stücker, Isabelle, Paris, Christophe, Pairon, Jean Claude, Gislard, Antoine, Siemiatycki, Jack, Bonneterre, Vincent, Clin, Bénédicte, Brochard, Patrick, Delva, Fleur, Lacourt, Aude
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container_title Lung cancer (Amsterdam, Netherlands)
container_volume 112
creator El Zoghbi, Mohamad
Salameh, Pascale
Stücker, Isabelle
Paris, Christophe
Pairon, Jean Claude
Gislard, Antoine
Siemiatycki, Jack
Bonneterre, Vincent
Clin, Bénédicte
Brochard, Patrick
Delva, Fleur
Lacourt, Aude
description •Smoking is the main factor related to histological type and age at diagnosis.•Additional exposure to asbestos did not modify the effect of smoking.•The effect of smoking was not modified by additional exposure to crystalline silica.•Smoking, asbestos and crystalline silica did not influence tumor location. The aim of this study was to assess the effect modification of the association between tobacco smoking and phenotypes of lung cancer (histological type, tumor location, and age at diagnosis) by occupational exposure to asbestos or to crystalline silica. The CaProMat study is a pooled case-only study including 7256 male lung cancer cases recruited between 1996 and 2011 in France and Canada. Two job-exposure matrices (JEMs) were used to assess occupational exposure to asbestos and crystalline silica. Statistical interactions between tobacco smoking and occupational exposure to asbestos or crystalline silica were assessed using unconditional logistic regression models for histological type and tumor location and linear regression models for age at diagnosis. Tobacco smoking was associated with squamous cell carcinoma and small cell carcinomas as well as an earlier age at diagnosis. Additional exposure to either asbestos or crystalline silica did not modify the effect of tobacco smoking for either histological type or age at diagnosis. Neither tobacco smoking nor occupational exposure to asbestos or crystalline silica influenced tumor location. Tobacco smoking was the main factor related to histological type and age at diagnosis. Those associations were not modified by occupational exposure to asbestos or crystalline silica.
doi_str_mv 10.1016/j.lungcan.2017.08.007
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Additional exposure to either asbestos or crystalline silica did not modify the effect of tobacco smoking for either histological type or age at diagnosis. Neither tobacco smoking nor occupational exposure to asbestos or crystalline silica influenced tumor location. Tobacco smoking was the main factor related to histological type and age at diagnosis. 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The aim of this study was to assess the effect modification of the association between tobacco smoking and phenotypes of lung cancer (histological type, tumor location, and age at diagnosis) by occupational exposure to asbestos or to crystalline silica. The CaProMat study is a pooled case-only study including 7256 male lung cancer cases recruited between 1996 and 2011 in France and Canada. Two job-exposure matrices (JEMs) were used to assess occupational exposure to asbestos and crystalline silica. Statistical interactions between tobacco smoking and occupational exposure to asbestos or crystalline silica were assessed using unconditional logistic regression models for histological type and tumor location and linear regression models for age at diagnosis. Tobacco smoking was associated with squamous cell carcinoma and small cell carcinomas as well as an earlier age at diagnosis. 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subjects Aged
Asbestos
Asbestos - adverse effects
Canada - epidemiology
Crystalline silica
Female
Humans
Interaction
Life Sciences
Lung cancer
Lung Neoplasms - diagnosis
Lung Neoplasms - epidemiology
Lung Neoplasms - etiology
Male
Middle Aged
Occupational Diseases - diagnosis
Occupational Diseases - epidemiology
Occupational Diseases - etiology
Occupational Exposure - adverse effects
Occupational exposures
Odds Ratio
Phenotype
Population Surveillance
Retrospective Studies
Santé publique et épidémiologie
Silicon Dioxide - adverse effects
Tobacco smoking
Tobacco Smoking - adverse effects
Toxicology
title Phenotypes of lung cancer and statistical interactions between tobacco smoking and occupational exposure to asbestos and crystalline silica from a large case-only study: The CaProMat study
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