Preliminary report of an exposure-based, case-control monitoring system for discovering occupational carcinogens. 1982

J Siemiatycki, and M Gérin, and L Richardson, and J Hubert, and H Kemper

There is no evidence concerning human carcinogenic potential of most substances to which workers are exposed. A case-control type method has been developed to discover heretofore unsuspected occupational carcinogens. Incident cases of cancer of several sites are ascertained and the subjects are interviewed to obtain detailed job histories. The job histories are subsequently examined by chemists and engineers who infer for each job a list of potential chemical and physical exposures. These lists of exposures then become the basis of case-control type statistical analyses, wherein each site included and each exposure noted in any history are evaluated for possible association. Controls can be selected in the general population, among non-cancer hospital patients or, as we do, among other cancer patients. Preliminary findings from a pilot study in Montreal show that 1) an efficient case ascertainment system and an acceptable interview procedure can be set up, 2) job histories provided by respondents are quite valid, 3) chemists' translations of job histories into histories of chemical exposures seem to be meaningful and useful, and 4) at least one carcinogenic agent, cigarette smoking, is detectable whether a population control series or a cancer control series is used.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009369 Neoplasms New abnormal growth of tissue. Malignant neoplasms show a greater degree of anaplasia and have the properties of invasion and metastasis, compared to benign neoplasms. Benign Neoplasm,Cancer,Malignant Neoplasm,Tumor,Tumors,Benign Neoplasms,Malignancy,Malignant Neoplasms,Neoplasia,Neoplasm,Neoplasms, Benign,Cancers,Malignancies,Neoplasias,Neoplasm, Benign,Neoplasm, Malignant,Neoplasms, Malignant
D009787 Occupational Medicine Medical specialty concerned with the promotion and maintenance of the physical and mental health of employees in occupational settings. Industrial Medicine,Medicine, Industrial,Medicine, Occupational
D002274 Carcinogens, Environmental Carcinogenic substances that are found in the environment. Environmental Carcinogens
D004781 Environmental Exposure The exposure to potentially harmful chemical, physical, or biological agents in the environment or to environmental factors that may include ionizing radiation, pathogenic organisms, or toxic chemicals. Exposure, Environmental,Environmental Exposures,Exposures, Environmental
D004812 Epidemiologic Methods Research techniques that focus on study designs and data gathering methods in human and animal populations. Epidemiologic Method,Epidemiological Methods,Methods, Epidemiologic,Epidemiological Method,Method, Epidemiologic,Method, Epidemiological,Methods, Epidemiological
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly

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