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Record W3208386290 · doi:10.1136/oem-2021-epi.79

O-415 Changing trends for mesothelioma in Canada and their implications

2021· article· en· W3208386290 on OpenAlex
Paul A. Demers, Hunter Warden, Lillian Tamburic, Catherine E. Slavik, Chris McLeod

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.
aboutThe title or abstract carries a Canadian signal from the geographic lexicon.

Bibliographic record

VenueOral Presentations · 2021
Typearticle
Languageen
FieldMedicine
TopicOccupational and environmental lung diseases
Canadian institutionsPublic Health OntarioHealth Canada
Fundersnot available
KeywordsMesotheliomaDemographyCohortAsbestosMedicineIncidence (geometry)PopulationPeritoneal mesotheliomaCohort effectGeographyEnvironmental healthPathology

Abstract

fetched live from OpenAlex

<h3>Introduction</h3> Canada was once the world’s largest producer of asbestos, but exposure has been decreasing since the 1970’s due to restrictions on use, lower occupational exposure limits, closing of mines, and a ban in 2018. <h3>Objectives</h3> The objectives of this study were to evaluate how rates of mesothelioma in Ontario and British Columbia (BC), which together constitute over 50% of the Canadian population, have changed over time, by sex, age, geographical region and tumour site. <h3>Methods</h3> The Ontario and BC Cancer Registries were used to identify 4,146 and 1,659 malignant mesothelioma cases between the years 1993–2017 and 1992–2016, respectively. Time trends were examined by sex, age, and anatomical site. Birth cohort models for Ontario were fit using US National Cancer Institute’s age-period-cohort analysis web tool. <h3>Results</h3> Ontario incidence rates for mesothelioma climbed from 1.0/100,000 in 1993 until 2012 when rates plateaued at approximately 1.6. In BC the rate climbed from 1.1 in 1993 to 1.7/100,000 in 2003, when it began to plateau. Although female rates are much lower than male, they continue to steadily rise in both provinces. Rates among people over the age of 70 rose dramatically over time, while rates were steady or dropped among people below the age of 50 in both provinces. Peritoneal rates continue to rise in Ontario, but not BC. Relative to the 1921–25 birth cohort, male incidence rate ratios increased until peaking in 1936–40. Rate ratios for subsequent male cohorts decreased. In contrast, using the same reference period, the risk in women rose slowly with successive birth cohorts, though confidence limits were wide due to the low case counts. <h3>Conclusion</h3> These complex changes over time may be due to major reductions in exposure in the 1970’s, longer latency periods associated with lower levels of exposure, and the growing importance of environmental exposures.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.351
Threshold uncertainty score0.924

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.027
GPT teacher head0.299
Teacher spread0.272 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it