Mortality from all cancers of asbestos factory workers in east London 1933–80
OBJECTIVE To give the observed and expected deaths due to cancer at all separate sites in asbestos workers in east London, and to analyse these for overall effect and exposure-response trend. METHODS The mortality experience of a cohort of over 5000 men and women followed up for over 30 years since...
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description | OBJECTIVE To give the observed and expected deaths due to cancer at all separate sites in asbestos workers in east London, and to analyse these for overall effect and exposure-response trend. METHODS The mortality experience of a cohort of over 5000 men and women followed up for over 30 years since first exposure to asbestos has been extracted. RESULTS There was a large excess of deaths due to cancer (537 observed, 222 expected). Most of these were due to cancer of the lung (232 observed, 77 expected) and pleural (52) and peritoneal (48) mesothelioma. The exposure-response trend for all these three causes was highly significant. There was also an excess of cancer of the colon (27 observed, 15 expected) which was significantly related to exposure. There were significant excesses of cancer of the ovary, of the liver, and of the oesophagus but with no consistent relation to exposure. CONCLUSIONS The excess risk of cancer after exposure to asbestos was mainly due to cancer of the lung and mesothelioma. An exposure related excess of cancer of the colon was also detected but the possibility that some of these deaths may have been peritoneal mesotheliomas could not be excluded. There was no consistent evidence of exposure related excesses at any other site. |
doi_str_mv | 10.1136/oem.57.11.782 |
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METHODS The mortality experience of a cohort of over 5000 men and women followed up for over 30 years since first exposure to asbestos has been extracted. RESULTS There was a large excess of deaths due to cancer (537 observed, 222 expected). Most of these were due to cancer of the lung (232 observed, 77 expected) and pleural (52) and peritoneal (48) mesothelioma. The exposure-response trend for all these three causes was highly significant. There was also an excess of cancer of the colon (27 observed, 15 expected) which was significantly related to exposure. There were significant excesses of cancer of the ovary, of the liver, and of the oesophagus but with no consistent relation to exposure. CONCLUSIONS The excess risk of cancer after exposure to asbestos was mainly due to cancer of the lung and mesothelioma. An exposure related excess of cancer of the colon was also detected but the possibility that some of these deaths may have been peritoneal mesotheliomas could not be excluded. There was no consistent evidence of exposure related excesses at any other site.</description><identifier>ISSN: 1351-0711</identifier><identifier>EISSN: 1470-7926</identifier><identifier>DOI: 10.1136/oem.57.11.782</identifier><identifier>PMID: 11024203</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd</publisher><subject>Asbestos ; Asbestos - adverse effects ; Biological and medical sciences ; British Isles, England, London ; cancer ; Carcinogens - adverse effects ; Cause of Death ; Chi-Square Distribution ; Colorectal cancer ; Confidence intervals ; Death ; Dose response relationship ; Employment ; Epidemiology ; epithelioma ; exposure-response ; Factory labor ; Female ; Follow-Up Studies ; Health risks ; Humans ; London - epidemiology ; Lung cancer ; Lung neoplasms ; Lung Neoplasms - etiology ; Lung Neoplasms - mortality ; Lungs ; Male ; Medical sciences ; Men ; Mesothelioma ; Mesothelioma - etiology ; Mesothelioma - mortality ; Mortality ; Neoplasms - etiology ; Neoplasms - mortality ; Occupational Diseases - etiology ; Occupational Diseases - mortality ; Occupational Exposure - adverse effects ; Occupational Exposure - statistics & numerical data ; Ovaries ; Peritoneal Neoplasms - etiology ; Peritoneal Neoplasms - mortality ; Pleural Neoplasms - etiology ; Pleural Neoplasms - mortality ; Studies ; Textiles ; Tumors ; Women</subject><ispartof>Occupational and environmental medicine (London, England), 2000-11, Vol.57 (11), p.782-785</ispartof><rights>Occupational and Environmental Medicine</rights><rights>2000 INIST-CNRS</rights><rights>Copyright: 2000 Occupational and Environmental Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b564t-9db576c70166ac9f0309efa1e8b1f1e474b9a0d9bf4b73fa8f74a8d12d13181b3</citedby><cites>FETCH-LOGICAL-b564t-9db576c70166ac9f0309efa1e8b1f1e474b9a0d9bf4b73fa8f74a8d12d13181b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/27731411$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/27731411$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,315,728,781,785,804,886,27925,27926,53792,53794,58018,58251</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1532257$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11024203$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Berry, G</creatorcontrib><creatorcontrib>Newhouse, M L</creatorcontrib><creatorcontrib>Wagner, J C</creatorcontrib><title>Mortality from all cancers of asbestos factory workers in east London 1933–80</title><title>Occupational and environmental medicine (London, England)</title><addtitle>Occup Environ Med</addtitle><description>OBJECTIVE To give the observed and expected deaths due to cancer at all separate sites in asbestos workers in east London, and to analyse these for overall effect and exposure-response trend. METHODS The mortality experience of a cohort of over 5000 men and women followed up for over 30 years since first exposure to asbestos has been extracted. RESULTS There was a large excess of deaths due to cancer (537 observed, 222 expected). Most of these were due to cancer of the lung (232 observed, 77 expected) and pleural (52) and peritoneal (48) mesothelioma. The exposure-response trend for all these three causes was highly significant. There was also an excess of cancer of the colon (27 observed, 15 expected) which was significantly related to exposure. There were significant excesses of cancer of the ovary, of the liver, and of the oesophagus but with no consistent relation to exposure. CONCLUSIONS The excess risk of cancer after exposure to asbestos was mainly due to cancer of the lung and mesothelioma. An exposure related excess of cancer of the colon was also detected but the possibility that some of these deaths may have been peritoneal mesotheliomas could not be excluded. There was no consistent evidence of exposure related excesses at any other site.</description><subject>Asbestos</subject><subject>Asbestos - adverse effects</subject><subject>Biological and medical sciences</subject><subject>British Isles, England, London</subject><subject>cancer</subject><subject>Carcinogens - adverse effects</subject><subject>Cause of Death</subject><subject>Chi-Square Distribution</subject><subject>Colorectal cancer</subject><subject>Confidence intervals</subject><subject>Death</subject><subject>Dose response relationship</subject><subject>Employment</subject><subject>Epidemiology</subject><subject>epithelioma</subject><subject>exposure-response</subject><subject>Factory labor</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Health risks</subject><subject>Humans</subject><subject>London - epidemiology</subject><subject>Lung cancer</subject><subject>Lung neoplasms</subject><subject>Lung Neoplasms - etiology</subject><subject>Lung Neoplasms - mortality</subject><subject>Lungs</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Men</subject><subject>Mesothelioma</subject><subject>Mesothelioma - etiology</subject><subject>Mesothelioma - mortality</subject><subject>Mortality</subject><subject>Neoplasms - etiology</subject><subject>Neoplasms - mortality</subject><subject>Occupational Diseases - etiology</subject><subject>Occupational Diseases - mortality</subject><subject>Occupational Exposure - adverse effects</subject><subject>Occupational Exposure - statistics & numerical data</subject><subject>Ovaries</subject><subject>Peritoneal Neoplasms - etiology</subject><subject>Peritoneal Neoplasms - mortality</subject><subject>Pleural Neoplasms - etiology</subject><subject>Pleural Neoplasms - mortality</subject><subject>Studies</subject><subject>Textiles</subject><subject>Tumors</subject><subject>Women</subject><issn>1351-0711</issn><issn>1470-7926</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqF0c1u1DAQB3ALgegHHDmCLFEhLlk8cRzbl0qwohS00B6Aq2UnNmSbxMXOAnvjHXhDnoSpdrULXDjNSPPTaEZ_Qh4AmwHw-ln0w0xI7GdSlbfIIVSSFVKX9W3suYCCSYADcpTzkjHgkpd3yQEAK6uS8UNy8TamyfbdtKYhxYHavqeNHRufMo2B2ux8nmKmwTZTTGv6Laarm1k3Um_zRBdxbONIQXP-68dPxe6RO8H22d_f1mPy4ezl-_l5sbh49Xr-fFE4UVdToVsnZN1IBnVtGx0YZ9oHC145COArWTltWatdqJzkwaogK6taKFvgoMDxY3K62Xu9coNvGz9OyfbmOnWDTWsTbWf-nozdZ_MpfjUguVZK4YIn2wUpflnhk2bocuP73o4-rjI6hFoCwsf_wGVcpRGfQ6NACNC1QFVsVJNizsmH3SnAzE1QBoMyQmJvMCj0j_68f6-3ySA42QKbG9uHhKF0ee8EL0shkT3csCXGlHbjEq-HCmB_V5cn_303t-nK1JJLYd59nJs3Z5egz-GFuUT_dOPdsPzPC78BEwnBRA</recordid><startdate>20001101</startdate><enddate>20001101</enddate><creator>Berry, G</creator><creator>Newhouse, M L</creator><creator>Wagner, J C</creator><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group</general><general>BMJ</general><general>BMJ Publishing Group LTD</general><general>BMJ Group</general><scope>BSCLL</scope><scope>IQODW</scope><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>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>7T2</scope><scope>7TV</scope><scope>7U2</scope><scope>7U7</scope><scope>C1K</scope><scope>5PM</scope></search><sort><creationdate>20001101</creationdate><title>Mortality from all cancers of asbestos factory workers in east London 1933–80</title><author>Berry, G ; Newhouse, M L ; Wagner, J C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b564t-9db576c70166ac9f0309efa1e8b1f1e474b9a0d9bf4b73fa8f74a8d12d13181b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Asbestos</topic><topic>Asbestos - adverse effects</topic><topic>Biological and medical sciences</topic><topic>British Isles, England, London</topic><topic>cancer</topic><topic>Carcinogens - adverse effects</topic><topic>Cause of Death</topic><topic>Chi-Square Distribution</topic><topic>Colorectal cancer</topic><topic>Confidence intervals</topic><topic>Death</topic><topic>Dose response relationship</topic><topic>Employment</topic><topic>Epidemiology</topic><topic>epithelioma</topic><topic>exposure-response</topic><topic>Factory labor</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Health risks</topic><topic>Humans</topic><topic>London - epidemiology</topic><topic>Lung cancer</topic><topic>Lung neoplasms</topic><topic>Lung Neoplasms - etiology</topic><topic>Lung Neoplasms - mortality</topic><topic>Lungs</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Men</topic><topic>Mesothelioma</topic><topic>Mesothelioma - etiology</topic><topic>Mesothelioma - mortality</topic><topic>Mortality</topic><topic>Neoplasms - etiology</topic><topic>Neoplasms - mortality</topic><topic>Occupational Diseases - etiology</topic><topic>Occupational Diseases - mortality</topic><topic>Occupational Exposure - adverse effects</topic><topic>Occupational Exposure - statistics & numerical data</topic><topic>Ovaries</topic><topic>Peritoneal Neoplasms - etiology</topic><topic>Peritoneal Neoplasms - mortality</topic><topic>Pleural Neoplasms - etiology</topic><topic>Pleural Neoplasms - mortality</topic><topic>Studies</topic><topic>Textiles</topic><topic>Tumors</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Berry, G</creatorcontrib><creatorcontrib>Newhouse, M L</creatorcontrib><creatorcontrib>Wagner, J C</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><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 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>Health and Safety Science Abstracts (Full archive)</collection><collection>Pollution Abstracts</collection><collection>Safety Science and Risk</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Occupational and environmental medicine (London, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Berry, G</au><au>Newhouse, M L</au><au>Wagner, J C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mortality from all cancers of asbestos factory workers in east London 1933–80</atitle><jtitle>Occupational and environmental medicine (London, England)</jtitle><addtitle>Occup Environ Med</addtitle><date>2000-11-01</date><risdate>2000</risdate><volume>57</volume><issue>11</issue><spage>782</spage><epage>785</epage><pages>782-785</pages><issn>1351-0711</issn><eissn>1470-7926</eissn><abstract>OBJECTIVE To give the observed and expected deaths due to cancer at all separate sites in asbestos workers in east London, and to analyse these for overall effect and exposure-response trend. METHODS The mortality experience of a cohort of over 5000 men and women followed up for over 30 years since first exposure to asbestos has been extracted. RESULTS There was a large excess of deaths due to cancer (537 observed, 222 expected). Most of these were due to cancer of the lung (232 observed, 77 expected) and pleural (52) and peritoneal (48) mesothelioma. The exposure-response trend for all these three causes was highly significant. There was also an excess of cancer of the colon (27 observed, 15 expected) which was significantly related to exposure. There were significant excesses of cancer of the ovary, of the liver, and of the oesophagus but with no consistent relation to exposure. CONCLUSIONS The excess risk of cancer after exposure to asbestos was mainly due to cancer of the lung and mesothelioma. An exposure related excess of cancer of the colon was also detected but the possibility that some of these deaths may have been peritoneal mesotheliomas could not be excluded. There was no consistent evidence of exposure related excesses at any other site.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd</pub><pmid>11024203</pmid><doi>10.1136/oem.57.11.782</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Asbestos Asbestos - adverse effects Biological and medical sciences British Isles, England, London cancer Carcinogens - adverse effects Cause of Death Chi-Square Distribution Colorectal cancer Confidence intervals Death Dose response relationship Employment Epidemiology epithelioma exposure-response Factory labor Female Follow-Up Studies Health risks Humans London - epidemiology Lung cancer Lung neoplasms Lung Neoplasms - etiology Lung Neoplasms - mortality Lungs Male Medical sciences Men Mesothelioma Mesothelioma - etiology Mesothelioma - mortality Mortality Neoplasms - etiology Neoplasms - mortality Occupational Diseases - etiology Occupational Diseases - mortality Occupational Exposure - adverse effects Occupational Exposure - statistics & numerical data Ovaries Peritoneal Neoplasms - etiology Peritoneal Neoplasms - mortality Pleural Neoplasms - etiology Pleural Neoplasms - mortality Studies Textiles Tumors Women |
title | Mortality from all cancers of asbestos factory workers in east London 1933–80 |
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