La ricerca attiva dei tumori di origine professionale: il caso del tumore della vescica nella Regione Lombardia.

Translated title of the contribution: The active search for occupational cancer cases: bladder cancer in Lombardy Region

Plinio Amendola, Roberto Audisio, Alessandra Scaburri, Eugenio Ariano, Silvio Cavuto, Marcello Imbriani, Stefania Massari, Alberto Scarselli, Paolo Crosignani

Research output: Contribution to journalArticlepeer-review

Abstract

OBJECTIVE: A study called OCCAM (OCcupational CAncer Monitoring) has been carried out in order to establish a nationwide surveillance system for occupational cancer. This project consists of population-based case control studies where information on past occupations are automatically gathered National Institute for Social Security's archive, cancer cases are obtained from Cancer Registries (CR) and controls are sampled from population files of the National Health Service. As previous results obtained using CR were encouraging, we tried to use regional hospital discharge records as a source of incident cases. DESIGN: We have conducted a population based case-control study with 1568 male bladder cancer cases occurred in the years 1999 and 2000 and 18818 controls randomly sampled from resident population in Lombardy region (Italy). RESULTS: Despite the limits of this approach the following industries were found at increased risk of bladder cancer: leather and shoes industry (OR=1.83; CI 90%: 1.01-3.33; observed: 10); transports (OR=1.28; CI 90%: 0.94-1.76; observed: 37), rubber industry (OR=1.22 CI 90% 0.80-1.85; observed: 19) and printing industry (OR=1.5 CI 90%: 1.10-2.05; observed: 38). CONCLUSION: The ability of OCCAM surveillance system to find known associations using routinely available data offers new opportunities to detect cancer cases likely to be of occupational origin.

Translated title of the contributionThe active search for occupational cancer cases: bladder cancer in Lombardy Region
Original languageItalian
Pages (from-to)253-258
Number of pages6
JournalEpidemiologia e prevenzione
Volume29
Issue number5-6
Publication statusPublished - 2005

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