Author:
García Teresa Curiel,Ruano-Ravina Alberto,Candal-Pedreira Cristina,López-López Rafael,Torres-Durán María,Enjo-Barreiro José Ramón,Provencio Mariano,Parente-Lamelas Isaura,Vidal-García Iria,Martínez Cristina,Hernández-Hernández Jesús,Abdulkader-Nallib Ihab,Castro-Añón Olalla,Piñeiro-Lamas María,Varela-Lema Leonor,Fernández-Villar Alberto,Barros-Dios Juan,Pérez-Ríos Mónica
Abstract
AbstractSmall cell lung cancer (SCLC) comprises approximately 10% of all lung cancer cases. Tobacco is its main risk factor; however, occupation might play a role in this specific lung cancer subtype. The effect of occupation on SCLC risk has been hardly studied and therefore we aim to assess the role of occupation on the risk of SCLC. To do this, we designed a multicentric, hospital-based, case–control study. Cases consisted exclusively in SCLC patients and controls were recruited from patients having minor surgery at the participating hospitals. Face to face interviews emphasizing occupation and tobacco consumption were held and residential radon was also measured. Logistic regression models were adjusted with odds ratios with 95%CI as estimations of the effect. 423 cases and 905 controls were included. Smoking prevalence was higher in cases compared to controls. Those who worked in known-risk occupations for lung cancer showed an OR of 2.17 (95%CI 1.33; 3.52), with a similar risk when men were analysed separately. The results were adjusted by age, sex, smoking and indoor radon exposure. Those who worked in known-risk occupations and were moderate or heavy smokers had a SCLC risk of 12.19 (95%CI 5.68–26.38) compared with never or moderate smokers who had not worked in such occupations. Occupation is a relevant risk factor of SCLC, and it seems that its effect is boosted when tobacco smoking is present.
Funder
Instituto de Salud Carlos III
European Regional Development Fund
Publisher
Springer Science and Business Media LLC
Reference29 articles.
1. Siegel, R. L., Miller, K. D., Fuchs, H. E. & Jemal, A. Cancer statistics, 2021. CA Cancer J. Clin. 71(1), 7–33 (2021).
2. SEER Database, Surveillance, Epidemiology and End Results Database. Cancer Stats Facts: Lung and Bronchus Cancer. [Internet]. https://seer.cancer.gov/statfacts/html/lungb.html. Accessed 13 Oct 2019.
3. Früh, M. et al. Small-cell lung cancer (SCLC): ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann. Oncol. 24(Suppl 6), vi99-105 (2013).
4. World Health Organization Ed. WHO handbook on indoor radon: a public health perspective. Geneva, Switzerland: World Health Organization; 2009. 94 p.
5. Rodríguez-Martínez, Á., Torres-Durán, M., Barros-Dios, J. M. & Ruano-Ravina, A. Residential radon and small cell lung cancer. A systematic review. Cancer Lett. 426, 57–62 (2018).
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