Morfeld, Peter, Gross, Juliane Valerie, Erren, Thomas C., Noll, Birgit, Yong, Mei, Kennedy, Katrin J., Esmen, Nurtan A., Zimmerman, Sarah D., Buchanich, Jeanine M. and Marsh, Gary M. (2017). Mortality Among Hardmetal Production Workers German Historical Cohort Study. J. Occup. Environ. Med., 59 (12). S. E288 - 9. PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS. ISSN 1536-5948

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Abstract

Objective: The aim of this study was to investigate a cohort in German hardmetal industry, especially relationship between exposures to cobalt, with and without tungsten, and risks of total and cause-specific mortality. Methods: The cohort comprises blue-collar workers at three German plants who were employed in hardmetal processing. Individual cumulative exposures and long-term average concentrations were estimated for cobalt, nickel, tungsten, respirable, and inhalable dust. Standardized mortality ratios (SMRs) were calculated for external comparisons. Time-dependent multi-variable Cox models were performed for internal analyses. Results: Elevated SMRs were found for all-cause, heart diseases, and nonmalignant respiratory diseases mortality, but not for lung cancer. Internal analyses did not show increased risks for any endpoints, and no exposure-response relationship was indicated. Conclusions: This study does not provide evidence for elevated lung cancer risks. Methodologic limitations, incomplete ascertainment of death causes in particular, impede conclusions about exposure effects.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Morfeld, PeterUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gross, Juliane ValerieUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Erren, Thomas C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Noll, BirgitUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Yong, MeiUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kennedy, Katrin J.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Esmen, Nurtan A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Zimmerman, Sarah D.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Buchanich, Jeanine M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Marsh, Gary M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-208584
DOI: 10.1097/JOM.0000000000001061
Journal or Publication Title: J. Occup. Environ. Med.
Volume: 59
Number: 12
Page Range: S. E288 - 9
Date: 2017
Publisher: LIPPINCOTT WILLIAMS & WILKINS
Place of Publication: PHILADELPHIA
ISSN: 1536-5948
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
LUNG-CANCER MORTALITY; HARD-METAL WORKERS; EXPOSURE-ASSESSMENT; INDUSTRYMultiple languages
Public, Environmental & Occupational HealthMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/20858

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