The French National Mesothelioma Surveillance Program

Goldberg, Marcel; Imbernon, Ellen; Rolland, Patrick; Ilg, Anabelle Gilg Soit; Savès, Marianne; Quillacq, A. de; Frenay, C.; Chamming’s, Soizick; Arveux, Patrick; Boutin, Claude; Launoy, Guy; Pairon, J.-C.; Astoul, Philippe; Galateau-Sallé, Françoise; Brochard, Patrick

doi:10.1136/oem.2005.023200

Cited by 171 publications

(162 citation statements)

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“…10% of the cases regularly registered. 22 However, when restricted to the PNSM data, a levelling off trend is also apparent, suggesting that the evolution of the incidence of pleural cancers was only partially explained by a modification in registration practices within registries or by the improvement of the pathological diagnosis of mesothelioma. This does not seem to be the case for women, for which the increasing trend of incidence seems to be largely explained by under diagnosis between 1980 and 1997.…”

Section: Discussionmentioning

confidence: 99%

“…The PNSM main procedures have been described in detail elsewhere. 22 Twenty-one districts were selected for this program (Fig. 1).…”

Section: Methodsmentioning

confidence: 99%

“…Indeed, the 21 districts of the PNSM area were chosen to be representative of France regarding the main demographic, employment and economic activity characteristics. 22 Furthermore, mesothelioma cases studied within the PNSM framework were ascertained after initial registration, by the standardised procedure of pathological and clinical confirmation of the diagnosis.…”

Section: Methodsmentioning

confidence: 99%

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Evolution of pleural cancers and malignant pleural mesothelioma incidence in France between 1980 and 2005

Stang

Belot

Ilg

et al. 2009

Intl Journal of Cancer

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The evolution of pleural cancers and malignant pleural mesothelioma incidence in France between 1980 and 2005 was analysed using data derived from the French network of cancer registries (FRANCIM) and the French National Mesothelioma Surveillance Program (PNSM). Mesothelioma proportions in pleural cancers were calculated by diagnosis year in the 1980-2000 period. Our results suggest that the incidences of pleural cancer and mesothelioma levelled off in French men since 2000 and continued to increase in French women. A decrease of the annual pleural cancer incidence average in men was noticed (23.4% of annual rate of change) between 2000 and 2005. The proportion of pleural cancers that were mesothelioma was unchanged between 1980 and 2003 with an average of 86%. The age standardised incidence rate of pleural mesothelioma remained relatively stable between 1998 and 2005 with a slight falling trend. For women, the age standardised incidence rate of pleural cancers and mesothelioma increased during the period 1998-2005. Additionally, the proportion of pleural cancers that were mesothelioma increased during the same period of time. Finally, the increased trend observed in the incidence of pleural mesothelioma and cancers in women is credibly due to their under diagnosis in the 1980-1997 period. The comparison between the French incidence and the American and British ones shows that the decreasing trend in incidence of mesothelioma and pleural cancers in French men since 2000 is potentially associated with a lower amphibole consumption and by the implementation of safety regulations at work from 1977.The incidence of pleural cancers, specifically malignant pleural mesothelioma in men, has shown a consistent increase in many industrialised countries for several decades. Despite marked variations from one country to another, a rise of mesothelioma incidence and mortality has been observed in European countries, including Great Britain, Denmark, Norway, Italy, and in Canada and Japan. [1][2][3][4][5][6][7] Incidence calculated projections suggest a peak in men around

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Section: Discussionmentioning

confidence: 99%

“…The PNSM main procedures have been described in detail elsewhere. 22 Twenty-one districts were selected for this program (Fig. 1).…”

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Evolution of pleural cancers and malignant pleural mesothelioma incidence in France between 1980 and 2005

Stang

Belot

Ilg

et al. 2009

Intl Journal of Cancer

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“…Most studies in other countries reported higher risks in plumbers, electricians and other construction workers than in carpenters (Muscat and Wynder, 1991;Teschke et al, 1997;Rodelsperger et al, 2001). Among construction workers, preliminary results of a French populationbased case -control study show the highest risks in plumbers, pipe fitters, structural steel workers and construction labourers (Goldberg et al, 2006). In a large non-interview study in California based on main occupation of over 2000 mesothelioma cases and pancreatic cancer controls, increased ORs were seen for plumbers (OR ¼ 4.9, 95% CI 2.8 -8.3), electricians (OR ¼ 3.8, 95% CI 2.0, 7.1) and painters (OR ¼ 2.6, 95% CI 1.3 -5.3) but not for carpenters (OR ¼ 1.2, 95% CI 0.8 -2.0) (Pan et al, 2005).…”

Section: All Asbestos Exposuresmentioning

confidence: 99%

Occupational, domestic and environmental mesothelioma risks in the British population: a case–control study

et al. 2009

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We obtained lifetime occupational and residential histories by telephone interview with 622 mesothelioma patients (512 men, 110 women) and 1420 population controls. Odds ratios (ORs) were converted to lifetime risk (LR) estimates for Britons born in the 1940s. Male ORs (95% confidence interval (CI)) relative to low-risk occupations for 410 years of exposure before the age of 30 years were 50.0 (25.8 -96.8) for carpenters (LR 1 in 17), 17.1 (10.3 -28.3) for plumbers, electricians and painters, 7.0 (3.2 -15.2) for other construction workers, 15.3 (9.0 -26.2) for other recognised high-risk occupations and 5.2 (3.1 -8.5) in other industries where asbestos may be encountered. The LR was similar in apparently unexposed men and women (B1 in 1000), and this was approximately doubled in exposed workers' relatives (OR 2.0, 95% CI 1.3 -3.2). No other environmental hazards were identified. In all, 14% of male and 62% of female cases were not attributable to occupational or domestic asbestos exposure. Approximately half of the male cases were construction workers, and only four had worked for more than 5 years in asbestos product manufacture. (Hodgson et al, 2005), or about 1 in 170 of all deaths. Substantial exposure to asbestos dust continued until about 1970 in parts of the asbestos industry, and until the early 1980s in the much larger workforce in construction and other occupations in which asbestos lagging was applied or asbestos insulation board (AIB) was sawn. The death rate is still increasing above 60 years of age, but the reduction in asbestos use since the mid-1970s has been followed 20 years later by a rapid fall in the number of mesothelioma deaths at 35 -49 years of age in British men

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“…A panel of French thoracic pathologists reviewed 1/3 of all mesothelioma diagnoses in France in the previous year and confirmed the diagnoses in only 67% of them (3). In a recent study in collaboration with experts of thoracic pathology in China, we reviewed the diagnoses of mesothelioma in Eastern China and confirmed the diagnoses in 56.5% of them.…”

Section: Pathologymentioning

confidence: 99%