Examining lung cancer risks across different industries and occupations in Ontario, Canada: the establishment of the Occupational Disease Surveillance System
BackgroundThe Occupational Disease Surveillance System (ODSS) was established in Ontario, Canada by linking a cohort of workers with data created from Workplace Safety and Insurance Board (WSIB) claims to administrative health databases. The aim of this study was to use ODSS to identify high-risk in...
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| Veröffentlicht in: | Occupational and environmental medicine (London, England) England), 2018-08, Vol.75 (8), p.545-552 |
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| creator | Jung, James K H Feinstein, Saul G Palma Lazgare, Luis Macleod, Jill S Arrandale, Victoria H McLeod, Christopher B Peter, Alice Demers, Paul A |
| description | BackgroundThe Occupational Disease Surveillance System (ODSS) was established in Ontario, Canada by linking a cohort of workers with data created from Workplace Safety and Insurance Board (WSIB) claims to administrative health databases. The aim of this study was to use ODSS to identify high-risk industry and occupation groups for lung cancer in Ontario.MethodsWorkers in the WSIB lost time claims database were linked to the Ontario Cancer Registry using subjects’ health insurance numbers, name, sex, birthdate and death date (if applicable). Several occupations and industries known to be at increased risk were outlined a priori to examine whether ODSS could replicate these associations. Age-adjusted, sex-stratified Cox proportional hazard models compared the risk of lung cancer within one industry/occupation versus all other groups in the cohort. Workers with a lung cancer diagnosis prior to cohort entry were excluded for analysis, leaving 2 187 762 workers for analysis.ResultsDuring the 1983 to 2014 follow-up, 34 661 workers in the cohort were diagnosed with lung cancer. Among expected high-risk industries, elevated risks were observed among workers in quarries/sand pits and construction industries for both sexes, and among males in metal mines, iron foundries, non-metallic mineral products industries and transportation industries. Excess risk was also observed among occupations in drilling/blasting, other mining/quarrying, mineral ore treating, excavating/grading/paving, truck driving, painting, bus driving and construction.ConclusionsThis current surveillance system identified several established high-risk groups for lung cancer and could be used for ongoing surveillance of occupational lung cancer in Ontario. |
| doi_str_mv | 10.1136/oemed-2017-104926 |
| format | Article |
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The aim of this study was to use ODSS to identify high-risk industry and occupation groups for lung cancer in Ontario.MethodsWorkers in the WSIB lost time claims database were linked to the Ontario Cancer Registry using subjects’ health insurance numbers, name, sex, birthdate and death date (if applicable). Several occupations and industries known to be at increased risk were outlined a priori to examine whether ODSS could replicate these associations. Age-adjusted, sex-stratified Cox proportional hazard models compared the risk of lung cancer within one industry/occupation versus all other groups in the cohort. Workers with a lung cancer diagnosis prior to cohort entry were excluded for analysis, leaving 2 187 762 workers for analysis.ResultsDuring the 1983 to 2014 follow-up, 34 661 workers in the cohort were diagnosed with lung cancer. Among expected high-risk industries, elevated risks were observed among workers in quarries/sand pits and construction industries for both sexes, and among males in metal mines, iron foundries, non-metallic mineral products industries and transportation industries. Excess risk was also observed among occupations in drilling/blasting, other mining/quarrying, mineral ore treating, excavating/grading/paving, truck driving, painting, bus driving and construction.ConclusionsThis current surveillance system identified several established high-risk groups for lung cancer and could be used for ongoing surveillance of occupational lung cancer in Ontario.</description><identifier>ISSN: 1351-0711</identifier><identifier>EISSN: 1470-7926</identifier><identifier>DOI: 10.1136/oemed-2017-104926</identifier><identifier>PMID: 29735749</identifier><language>eng</language><publisher>England: BMJ</publisher><subject>Adult ; Blasting ; Cancer ; Carcinogens ; Cohort Studies ; Construction industry ; Disease prevention ; Drilling ; Driving ; Employment ; Female ; Foundries ; Health risk assessment ; Health risks ; Humans ; Industry ; Insurance ; Iron foundries ; Lung cancer ; Lung Neoplasms - etiology ; Male ; Middle Aged ; Occupational diseases ; Occupational Diseases - etiology ; Occupational Exposure - adverse effects ; Occupational safety ; Occupations ; Ontario ; ORIGINAL ARTICLE ; Population Surveillance ; Proportional Hazards Models ; Quarries ; Quarrying ; Risk Assessment ; Risk factors ; Risk groups ; Sex ; Statistical models ; Surveillance ; Transportation industry</subject><ispartof>Occupational and environmental medicine (London, England), 2018-08, Vol.75 (8), p.545-552</ispartof><rights>Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.</rights><rights>Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018</rights><rights>2018 Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b431t-8f3dbd7051dc71e820ca8ba5349e7a52a60604a3aec9fa3a874c94cd444a4e933</citedby><cites>FETCH-LOGICAL-b431t-8f3dbd7051dc71e820ca8ba5349e7a52a60604a3aec9fa3a874c94cd444a4e933</cites><orcidid>0000-0002-0992-3640</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/26894169$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/26894169$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,776,780,799,27901,27902,57992,58225</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29735749$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jung, James K H</creatorcontrib><creatorcontrib>Feinstein, Saul G</creatorcontrib><creatorcontrib>Palma Lazgare, Luis</creatorcontrib><creatorcontrib>Macleod, Jill S</creatorcontrib><creatorcontrib>Arrandale, Victoria H</creatorcontrib><creatorcontrib>McLeod, Christopher B</creatorcontrib><creatorcontrib>Peter, Alice</creatorcontrib><creatorcontrib>Demers, Paul A</creatorcontrib><title>Examining lung cancer risks across different industries and occupations in Ontario, Canada: the establishment of the Occupational Disease Surveillance System</title><title>Occupational and environmental medicine (London, England)</title><addtitle>Occup Environ Med</addtitle><description>BackgroundThe Occupational Disease Surveillance System (ODSS) was established in Ontario, Canada by linking a cohort of workers with data created from Workplace Safety and Insurance Board (WSIB) claims to administrative health databases. The aim of this study was to use ODSS to identify high-risk industry and occupation groups for lung cancer in Ontario.MethodsWorkers in the WSIB lost time claims database were linked to the Ontario Cancer Registry using subjects’ health insurance numbers, name, sex, birthdate and death date (if applicable). Several occupations and industries known to be at increased risk were outlined a priori to examine whether ODSS could replicate these associations. Age-adjusted, sex-stratified Cox proportional hazard models compared the risk of lung cancer within one industry/occupation versus all other groups in the cohort. Workers with a lung cancer diagnosis prior to cohort entry were excluded for analysis, leaving 2 187 762 workers for analysis.ResultsDuring the 1983 to 2014 follow-up, 34 661 workers in the cohort were diagnosed with lung cancer. Among expected high-risk industries, elevated risks were observed among workers in quarries/sand pits and construction industries for both sexes, and among males in metal mines, iron foundries, non-metallic mineral products industries and transportation industries. Excess risk was also observed among occupations in drilling/blasting, other mining/quarrying, mineral ore treating, excavating/grading/paving, truck driving, painting, bus driving and construction.ConclusionsThis current surveillance system identified several established high-risk groups for lung cancer and could be used for ongoing surveillance of occupational lung cancer in Ontario.</description><subject>Adult</subject><subject>Blasting</subject><subject>Cancer</subject><subject>Carcinogens</subject><subject>Cohort Studies</subject><subject>Construction industry</subject><subject>Disease prevention</subject><subject>Drilling</subject><subject>Driving</subject><subject>Employment</subject><subject>Female</subject><subject>Foundries</subject><subject>Health risk assessment</subject><subject>Health risks</subject><subject>Humans</subject><subject>Industry</subject><subject>Insurance</subject><subject>Iron foundries</subject><subject>Lung cancer</subject><subject>Lung Neoplasms - etiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Occupational diseases</subject><subject>Occupational Diseases - etiology</subject><subject>Occupational Exposure - adverse effects</subject><subject>Occupational safety</subject><subject>Occupations</subject><subject>Ontario</subject><subject>ORIGINAL ARTICLE</subject><subject>Population Surveillance</subject><subject>Proportional Hazards Models</subject><subject>Quarries</subject><subject>Quarrying</subject><subject>Risk Assessment</subject><subject>Risk factors</subject><subject>Risk groups</subject><subject>Sex</subject><subject>Statistical models</subject><subject>Surveillance</subject><subject>Transportation industry</subject><issn>1351-0711</issn><issn>1470-7926</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkcFu1DAQhi0EoqXwABxAlrhwaIodO3HCDS2FIlXaQ-EcTewJ9ZLYi-0g-jC8K86mLRKnXjwj_9-Mx_MT8pKzM85F_c7jhKYoGVcFZ7It60fkmEvFCpXzxzkXFS-Y4vyIPItxxxgXSpRPyVHZKlEp2R6TP-e_YbLOuu90nPOhwWkMNNj4I1LQwcdIjR0GDOgStc7MMQWLWXOGeq3nPSTrXcwS3boEwfpTugEHBt7TdI0UY4J-tPF6Whr44XC5vS-EkX60ESEivZrDL7TjuExAr25iwuk5eTLAGPHFbTwh3z6df91cFJfbz182Hy6LXgqeimYQpjeKVdxoxbEpmYamh0rIFhVUJdSsZhIEoG6HHBoldSu1kVKCxFaIE_J27bsP_uecR-4mGzUus6CfY1cyUec1i0Zm9M1_6M7PIf9joRSvy6oUC8VX6rDBgEO3D3aCcNNx1i3edQfvusW7bvUu17y-7Tz3i3ZXcWdWBl6twC4mH_7pddNKXi_66ar30-4B7_0F8sGwEQ</recordid><startdate>201808</startdate><enddate>201808</enddate><creator>Jung, James K H</creator><creator>Feinstein, Saul G</creator><creator>Palma Lazgare, Luis</creator><creator>Macleod, Jill S</creator><creator>Arrandale, Victoria H</creator><creator>McLeod, Christopher B</creator><creator>Peter, Alice</creator><creator>Demers, Paul A</creator><general>BMJ</general><general>BMJ Publishing Group LTD</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>L6V</scope><scope>M0S</scope><scope>M1P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>PATMY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0992-3640</orcidid></search><sort><creationdate>201808</creationdate><title>Examining lung cancer risks across different industries and occupations in Ontario, Canada: the establishment of the Occupational Disease Surveillance System</title><author>Jung, James K H ; Feinstein, Saul G ; Palma Lazgare, Luis ; Macleod, Jill S ; Arrandale, Victoria H ; McLeod, Christopher B ; Peter, Alice ; Demers, Paul A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b431t-8f3dbd7051dc71e820ca8ba5349e7a52a60604a3aec9fa3a874c94cd444a4e933</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Blasting</topic><topic>Cancer</topic><topic>Carcinogens</topic><topic>Cohort Studies</topic><topic>Construction industry</topic><topic>Disease prevention</topic><topic>Drilling</topic><topic>Driving</topic><topic>Employment</topic><topic>Female</topic><topic>Foundries</topic><topic>Health risk assessment</topic><topic>Health risks</topic><topic>Humans</topic><topic>Industry</topic><topic>Insurance</topic><topic>Iron foundries</topic><topic>Lung cancer</topic><topic>Lung Neoplasms - etiology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Occupational diseases</topic><topic>Occupational Diseases - etiology</topic><topic>Occupational Exposure - adverse effects</topic><topic>Occupational safety</topic><topic>Occupations</topic><topic>Ontario</topic><topic>ORIGINAL ARTICLE</topic><topic>Population Surveillance</topic><topic>Proportional Hazards Models</topic><topic>Quarries</topic><topic>Quarrying</topic><topic>Risk Assessment</topic><topic>Risk factors</topic><topic>Risk groups</topic><topic>Sex</topic><topic>Statistical models</topic><topic>Surveillance</topic><topic>Transportation industry</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jung, James K H</creatorcontrib><creatorcontrib>Feinstein, Saul G</creatorcontrib><creatorcontrib>Palma Lazgare, Luis</creatorcontrib><creatorcontrib>Macleod, Jill S</creatorcontrib><creatorcontrib>Arrandale, Victoria H</creatorcontrib><creatorcontrib>McLeod, Christopher B</creatorcontrib><creatorcontrib>Peter, Alice</creatorcontrib><creatorcontrib>Demers, Paul A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Engineering Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Environmental Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>MEDLINE - Academic</collection><jtitle>Occupational and environmental medicine (London, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jung, James K H</au><au>Feinstein, Saul G</au><au>Palma Lazgare, Luis</au><au>Macleod, Jill S</au><au>Arrandale, Victoria H</au><au>McLeod, Christopher B</au><au>Peter, Alice</au><au>Demers, Paul A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Examining lung cancer risks across different industries and occupations in Ontario, Canada: the establishment of the Occupational Disease Surveillance System</atitle><jtitle>Occupational and environmental medicine (London, England)</jtitle><addtitle>Occup Environ Med</addtitle><date>2018-08</date><risdate>2018</risdate><volume>75</volume><issue>8</issue><spage>545</spage><epage>552</epage><pages>545-552</pages><issn>1351-0711</issn><eissn>1470-7926</eissn><abstract>BackgroundThe Occupational Disease Surveillance System (ODSS) was established in Ontario, Canada by linking a cohort of workers with data created from Workplace Safety and Insurance Board (WSIB) claims to administrative health databases. The aim of this study was to use ODSS to identify high-risk industry and occupation groups for lung cancer in Ontario.MethodsWorkers in the WSIB lost time claims database were linked to the Ontario Cancer Registry using subjects’ health insurance numbers, name, sex, birthdate and death date (if applicable). Several occupations and industries known to be at increased risk were outlined a priori to examine whether ODSS could replicate these associations. Age-adjusted, sex-stratified Cox proportional hazard models compared the risk of lung cancer within one industry/occupation versus all other groups in the cohort. Workers with a lung cancer diagnosis prior to cohort entry were excluded for analysis, leaving 2 187 762 workers for analysis.ResultsDuring the 1983 to 2014 follow-up, 34 661 workers in the cohort were diagnosed with lung cancer. Among expected high-risk industries, elevated risks were observed among workers in quarries/sand pits and construction industries for both sexes, and among males in metal mines, iron foundries, non-metallic mineral products industries and transportation industries. Excess risk was also observed among occupations in drilling/blasting, other mining/quarrying, mineral ore treating, excavating/grading/paving, truck driving, painting, bus driving and construction.ConclusionsThis current surveillance system identified several established high-risk groups for lung cancer and could be used for ongoing surveillance of occupational lung cancer in Ontario.</abstract><cop>England</cop><pub>BMJ</pub><pmid>29735749</pmid><doi>10.1136/oemed-2017-104926</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-0992-3640</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Occupational and environmental medicine (London, England), 2018-08, Vol.75 (8), p.545-552 |
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| source | Jstor Complete Legacy; MEDLINE |
| subjects | Adult Blasting Cancer Carcinogens Cohort Studies Construction industry Disease prevention Drilling Driving Employment Female Foundries Health risk assessment Health risks Humans Industry Insurance Iron foundries Lung cancer Lung Neoplasms - etiology Male Middle Aged Occupational diseases Occupational Diseases - etiology Occupational Exposure - adverse effects Occupational safety Occupations Ontario ORIGINAL ARTICLE Population Surveillance Proportional Hazards Models Quarries Quarrying Risk Assessment Risk factors Risk groups Sex Statistical models Surveillance Transportation industry |
| title | Examining lung cancer risks across different industries and occupations in Ontario, Canada: the establishment of the Occupational Disease Surveillance System |
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