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Record W4387446589 · doi:10.1164/rccm.202306-0942oc

Occupational Benzene Exposure and Lung Cancer Risk: A Pooled Analysis of 14 Case-Control Studies

2023· article· en· W4387446589 on OpenAlexafffundabout
Wenxin Wan, Susan Peters, Lützen Portengen, Ann Olsson, Joachim Schüz, Wolfgang Ahrens, Miriam Schejbalová, Paolo Boffetta, Thomas Behrens, Thomas Brüning, Benjamin Kendzia, Dario Consonni, Paul A. Demers, Eleonóra Fabiánová, Guillermo Fernández‐Tardón, John K. Field, Francesco Forastiere, Lenka Foretová, Pascal Guénel, Per Gustavsson, Karl‐Heinz Jöckel, Stefan Karrasch, Maria Teresa Landi, Jolanta Lissowska, Christine Barul, Dana Mateș, Franco Merletti, Enrica Migliore, Lorenzo Richiardi, Tamás Pándics, Hermann Pohlabeln, Jack Siemiatycki, Beata Świątkowska, Heinz‐Erich Wichmann, David Zaridze, Calvin Ge, Kurt Straíf, Hans Kromhout, Roel Vermeulen

Bibliographic record

VenueAmerican Journal of Respiratory and Critical Care Medicine · 2023
Typearticle
Languageen
FieldMedicine
TopicOccupational and environmental lung diseases
Canadian institutionsUniversité de MontréalPublic Health OntarioUniversity of TorontoOccupational Cancer Research Centre
FundersNational Cancer InstituteNational Institutes of HealthRegione LombardiaFondation de FranceUniversidad de OviedoDeutsche Gesetzliche UnfallversicherungMinisterstvo Zdravotnictví Ceské RepublikyEuropean CommissionCanadian Institutes of Health ResearchCompagnia di San PaoloWorld Health Organization
KeywordsLung cancerMedicineConfidence intervalOdds ratioCase-control studyCarcinogenLogistic regressionCancerEnvironmental healthInternal medicineOncology

Abstract

fetched live from OpenAlex

Abstract Rationale Benzene has been classified as carcinogenic to humans, but there is limited evidence linking benzene exposure to lung cancer. Objectives We aimed to examine the relationship between occupational benzene exposure and lung cancer. Methods Subjects from 14 case-control studies across Europe and Canada were pooled. We used a quantitative job-exposure matrix to estimate benzene exposure. Logistic regression models assessed lung cancer risk across different exposure indices. We adjusted for smoking and five main occupational lung carcinogens and stratified analyses by smoking status and lung cancer subtypes. Measurements and Main Results Analyses included 28,048 subjects (12,329 cases, 15,719 control subjects). Lung cancer odds ratios ranged from 1.12 (95% confidence interval, 1.03–1.22) to 1.32 (95% confidence interval, 1.18–1.48) (P trend = 0.002) for groups with the lowest and highest cumulative occupational exposures, respectively, compared with unexposed subjects. We observed an increasing trend of lung cancer with longer duration of exposure (P trend < 0.001) and a decreasing trend with longer time since last exposure (P trend = 0.02). These effects were seen for all lung cancer subtypes, regardless of smoking status, and were not influenced by specific occupational groups, exposures, or studies. Conclusions We found consistent and robust associations between different dimensions of occupational benzene exposure and lung cancer after adjusting for smoking and main occupational lung carcinogens. These associations were observed across different subgroups, including nonsmokers. Our findings support the hypothesis that occupational benzene exposure increases the risk of developing lung cancer. Consequently, there is a need to revisit published epidemiological and molecular data on the pulmonary carcinogenicity of benzene.

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.

How this classification was reachedexpand

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)0.001
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 score0.046
Threshold uncertainty score0.375

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.001
Science and technology studies0.0000.001
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 head0.019
GPT teacher head0.354
Teacher spread0.335 · 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

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations38
Published2023
Admission routes3
Has abstractyes

Explore more

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