与工作有关的膀胱癌

Mónica Santos, A. Almeida, Catarina Lopes
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引用次数: 0

摘要

膀胱癌是相当普遍的,在某些情况下可能与工作特点有关。对于大多数专业人士来说,对这个主题发表的内容有一些了解是相关的。这是一篇文献综述,于2022年1月在“CINALH plus全文、Medline全文、效果评价摘要数据库、Cochrane对照试验中央注册库、Cochrane系统评价数据库、Cochrane方法学注册库、护理和联合健康Collection: comprehensive、MedicLatina和RCAAP”数据库中进行检索。膀胱癌是泌尿生殖系统肿瘤中发病率最高或发病率第二高的,也是死亡率第二高的。考虑到所有的肿瘤病理,估计它是第7或第9最普遍的。按性别划分,男性的发病率是男性的两到四倍。它源于遗传和环境因素的相互作用,即职业性因素。一些研究人员认为,在发达国家,职业暴露是主要原因,其次是吸烟;然而,大多数研究都得出了相反的结论。最相关的化学制剂是芳香胺、多环芳烃和农药;以及燃烧产物/柴油排放和重金属。讨论与结论一些危险因素与膀胱癌的发病有一定的关系。必须披露这些信息,以便职业健康和安全小组能够采取集体和个人保护措施来减轻这种情况。对于这些公司来说,在这个问题上进行更多的研究,为已经发表的文章增加证据,或者提供葡萄牙技术状况的概述,也会很有趣。关键词:膀胱癌;职业卫生;职业医学;
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Cancro da Bexiga associado ao Trabalho
Introduction/framework/objectives Bladder cancer is reasonably prevalent, and in some cases it may be related to work characteristics. It would be relevant for most professionals to have some knowledge of what is published on this topic. Methodology This is a bibliographic review, initiated through a search carried out in January 2022 in the databases “CINALH plus with full text, Medline with full text, Database of Abstracts of Reviews of Effects, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Cochrane Methodology Register, Nursing and Allied Health Collection: comprehensive, MedicLatina and RCAAP”. Content Bladder Cancer is the most frequent or the second most prevalent among genito-urinary neoplasms and the second most deadly in that context. Considering all oncological pathologies, it is estimated that it is the 7th or 9th most prevalent. By sex, it is two to four times more frequent in males. It arises from the interaction between genetic and environmental factors, namely occupational. Some researchers argue that, in developed countries, occupational exposure is the main cause, followed by smoking; however, most studies claim the opposite. The most relevant chemical agents are aromatic amines, polycyclic aromatic hydrocarbons and pesticides; as well as combustion products/diesel emissions and heavy metals. Discussion and Conclusions There are some risk factors with suspected or proven association with the etiology of Bladder Cancer. It is important to disclose these, so that occupational health and safety teams can take collective and individual protection measures to mitigate this. It would also be interesting for these companies to carry out more research on the subject, adding evidence to what has already been published or providing an overview of the state of the art in Portugal. Keywords: bladder cancer, occupational health, occupational medicine and safety at work.
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