A Population-Based Feasibility Study of Occupation and Thoracic Malignancies in New Mexico.

Claire R Pestak, Tawny W Boyce, Orrin B Myers, L Olivia Hopkins', Charles L Wiggins, Bruce R Wissore, Akshay Sood, Linda S Cook
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Abstract

Background: Occupational exposures in mining and oil/gas extraction are known risk factors for thoracic malignancies (TMs). Given the relatively high proportion of these industries in New Mexico (NM), we conducted a feasibility study of adult lifetime occupational history among TM cases. We hypothesized a higher proportion of occupational TM in NM relative to the estimated national average of 10-14%.

Methods: We identified incident TM cases through the population-based New Mexico Tumor Registry (NMTR), from 2017-2018. Cases completed a telephone interview. An adjudication panel reviewed case histories and classified cancers as probable, possible, or non-occupational related, taking into account the presence, duration, and latency of exposures. We characterized recruitment and describe job titles and exposures among those with occupational TMs. We also compared the distributions of industry between those with and without occupational TM.

Results: The NMTR identified 400 eligible TM cases, 290 of which were available to be recruited (n=285 lung/bronchial cancer; n=5 mesotheliomas). Of the latter, 60% refused and 18% were deceased, 9% had invalid addresses, 11% were unable to be reached by telephone, and 3% were too ill to participate. The 43 cases who completed an interview held 236 jobs. A total of 33% of cases were classified as probable occupational TM and 5% as possible occupational TM.

Conclusions: High rates of early mortality and refusals were significant barriers to study participation. Nonetheless, the proportion of probable occupational TMs greatly exceeded the estimated national average, highlighting the need for further study of occupational TM in the state.

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新墨西哥州职业与胸部恶性肿瘤基于人群的可行性研究
背景:采矿和油气开采中的职业暴露是已知的胸部恶性肿瘤(TMs)的危险因素。鉴于这些行业在新墨西哥州(NM)的比例相对较高,我们对TM病例的成人终身职业史进行了可行性研究。我们假设,相对于估计的全国平均水平10-14%,NM中职业TM的比例更高。方法:我们通过基于人群的新墨西哥州肿瘤登记处(NMTR)确定2017-2018年的TM病例。个案完成电话访谈。考虑到暴露的存在、持续时间和潜伏期,评审小组回顾了病例史并将癌症分类为可能、可能或非职业相关。我们描述了招聘特征,并描述了职业TMs患者的职称和暴露情况。我们还比较了有和没有职业TM的人群的行业分布。结果:NMTR确定了400例符合条件的TM病例,其中290例可供招募(n=285例肺癌/支气管癌;n = 5间皮瘤能够)。在后者中,60%的人拒绝了,18%的人已经去世,9%的人地址无效,11%的人无法通过电话联系到,3%的人病得太重而无法参加。完成面试的43个案例中有236个职位。33%的病例归为可能的职业性TM, 5%归为可能的职业性TM。结论:高早期死亡率和拒绝率是参与研究的重要障碍。尽管如此,可能的职业TM比例大大超过了估计的全国平均水平,突出了该州职业TM进一步研究的必要性。
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