Trabalho industrial e câncer de pulmão

Filho, Victor Wünsch; Magaldi, C; Nakao, Neusa; Moncau, José Eduardo Cajado

doi:10.1590/s0034-89101995000300003

Cited by 8 publications

(2 citation statements)

References 12 publications

(11 reference statements)

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“…De acordo com o Instituto Nacional de Câncer (INCA), 85% dos casos são causados pelo tabaco 20 . Entretanto, indivíduos que trabalham com construção civil, agroindústria e principalmente os trabalhadores que manuseiam o minério, possuem duas vezes mais chance de adquirir uma neoplasia pulmonar do que trabalhadores de setores nãoindustriais 10,18,21,22 .…”

Section: Discussionunclassified

“…Observa-se que, neste compilado de estudos são descritas investigações a respeito do setor primário, com o trabalho rural 14 , secundário incluindo a indústria 10,11 , e terciário, incluindo comércio, construção, limpeza 15 . Houve destaque, na década de 1990, para o risco duas vezes maior entre trabalhadores da indústria para o desenvolverem neoplasia pulmonar 10 .…”

Section: -Trabalho Industrial -Câncer Do Sistema Nervoso Centralunclassified

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Occupational cancer illness in Brazil: an integrative literature review

Almeida¹,

Costa²,

Faria³

et al. 2023

Rev Bras Med Trab

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ResumoO presente estudo teve como objetivo investigar os dados da literatura científica sobre os padrões de adoecimento por câncer ocupacional no Brasil. Realizou-se uma revisão integrativa de literatura, realizada em julho de 2020 e revisada em junho de 2021, sem delimitação temporal, utilizando os Descritores em Ciências da Saúde (DeCS) "Neoplasias", "Riscos Ocupacionais" e "Câncer Ocupacional", e correlatos, com busca nas bases Literatura Latino-Americana em Ciências da Saúde (BVS/Lilacs), Scielo, PubMed, Scopus, Web of Science e CINAHL. O fluxo de busca e seleção obedeceu ao preconizado pelo Principais Itens para Relatar Revisões sistemáticas e Meta-análises (PRISMA-2020). Foram selecionados seis manuscritos, publicados entre 1995 e 2019, que descrevem o câncer ocupacional relacionado a pulmão, cavidade oral, faringe e laringe, sistema nervoso central e pele. Há um hiato temporal entre os estudos e apenas aquele envolvendo câncer de pulmão considera resultados sobre o padrão de adoecimento mais prevalente no setor industrial, quando comparado ao não-industrial. Foi constatada a uma escassez de artigos científicos sobre padrões de adoecimento. Há predomínio de publicações científicas referentes ao adoecimento por câncer ocupacional relacionado ao ramo industrial quando comparado ao quantitativo de publicações direcionadas aos setores produtivos primário e terciário. Ressalta-se que pesquisas e inquéritos epidemiológicos são necessidades constantes para promoção de ações vigilância e proteção da saúde no trabalho. Palavras-chave: Saúde do Trabalhador. Riscos Ocupacionais. Câncer Ocupacional.

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Section: Discussionunclassified

Section: -Trabalho Industrial -Câncer Do Sistema Nervoso Centralunclassified

Occupational cancer illness in Brazil: an integrative literature review

Almeida¹,

Costa²,

Faria³

et al. 2023

Rev Bras Med Trab

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Lung cancer in Brazil

Algranti

Menezes

Achutti

2001

Seminars in Oncology

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Systematic review with meta-analysis of the epidemiological evidence in the 1900s relating smoking to lung cancer

2012

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BackgroundSmoking is a known lung cancer cause, but no detailed quantitative systematic review exists. We summarize evidence for various indices.MethodsPapers published before 2000 describing epidemiological studies involving 100+ lung cancer cases were obtained from Medline and other sources. Studies were classified as principal, or subsidiary where cases overlapped with principal studies. Data were extracted on design, exposures, histological types and confounder adjustment. RRs/ORs and 95% CIs were extracted for ever, current and ex smoking of cigarettes, pipes and cigars and indices of cigarette type and dose–response. Meta-analyses and meta-regressions investigated how relationships varied by study and RR characteristics, mainly for outcomes exactly or closely equivalent to all lung cancer, squamous cell carcinoma (“squamous”) and adenocarcinoma (“adeno”).Results287 studies (20 subsidiary) were identified. Although RR estimates were markedly heterogeneous, the meta-analyses demonstrated a relationship of smoking with lung cancer risk, clearly seen for ever smoking (random-effects RR 5.50, CI 5.07-5.96) current smoking (8.43, 7.63-9.31), ex smoking (4.30, 3.93-4.71) and pipe/cigar only smoking (2.92, 2.38-3.57). It was stronger for squamous (current smoking RR 16.91, 13.14-21.76) than adeno (4.21, 3.32-5.34), and evident in both sexes (RRs somewhat higher in males), all continents (RRs highest for North America and lowest for Asia, particularly China), and both study types (RRs higher for prospective studies). Relationships were somewhat stronger in later starting and larger studies. RR estimates were similar in cigarette only and mixed smokers, and similar in smokers of pipes/cigars only, pipes only and cigars only. Exceptionally no increase in adeno risk was seen for pipe/cigar only smokers (0.93, 0.62-1.40). RRs were unrelated to mentholation, and higher for non-filter and handrolled cigarettes. RRs increased with amount smoked, duration, earlier starting age, tar level and fraction smoked and decreased with time quit. Relationships were strongest for small and squamous cell, intermediate for large cell and weakest for adenocarcinoma. Covariate-adjustment little affected RR estimates.ConclusionsThe association of lung cancer with smoking is strong, evident for all lung cancer types, dose-related and insensitive to covariate-adjustment. This emphasises the causal nature of the relationship. Our results quantify the relationships more precisely than previously.

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Trabalho industrial e câncer de pulmão

Cited by 8 publications

References 12 publications

Occupational cancer illness in Brazil: an integrative literature review

Occupational cancer illness in Brazil: an integrative literature review

Lung cancer in Brazil

Systematic review with meta-analysis of the epidemiological evidence in the 1900s relating smoking to lung cancer

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