Lung Cancer Risk in Shoe Manufacturing

Galán Dávila, A.; Romero Candeira, S.; Sánchez Payá, J.; Orts Giménez, D.; Llorca Martínez, E.

doi:10.1016/S1579-2129(06)60426-6

Archivos de Bronconeumología

ISSN: 0300-2896

Archivos de Bronconeumologia is an international journal that publishes original studies whose content is based upon results of research initiatives dealing with several aspects of respiratory medicine including epidemiology, respiratory physiology, pathophysiology of respiratory diseases, clinical management, thoracic surgery, pediatric lung diseases, respiratory critical care, respiratory allergy and translational research. Other types of articles such as editorials, reviews, and different types of letters are also published in the journal. Additionally, the journal expresses the voice of the following scientific societies: the Spanish Respiratory Society of Pneumology and Thoracic Surgery (SEPAR; https://www.separ.es/), the Latin American Thoracic Society (ALAT; https://alatorax.org/), and the Iberian American Association of Thoracic Surgery (AIACT; http://www.aiatorax.com/).

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Vol. 41. Issue 4.

Pages 202-205 (April 2005)

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Pages 202-205 (April 2005)

Original Articles

DOI: 10.1016/S1579-2129(06)60426-6

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Lung Cancer Risk in Shoe Manufacturing

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A. Galán Dávilaa,

Corresponding author

agalandavila@yahoo.es

Correspondence: Dra. A. Galán Dávila. Servicio de Neumología. Hospital General de Elda. Ctra. de Elda a Sax, s/n. 03600 Elda. Alicante. España

, S. Romero Candeirab, J. Sánchez Payác, D. Orts Giméneza, E. Llorca Martíneza

a Servicio de Neumología, Hospital General de Elda, Elda, Alicante, Spain

b Servicio de Neumología, Hospital General y Universitario de Alicante, Alicante, Spain

c Servicio de Medicina Preventiva, Hospital General y Universitario de Alicante, Alicante, Spain

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Abstract

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Objective

Workers in shoe manufacturing have been reported to be at a greater relative risk for bronchogenic carcinoma. Given the implications for our practice setting, we carried out a study to a) clarify whether working in shoe manufacturing is a risk factor for lung cancer and b) detect histological differences between lung cancers in shoe manufacturers and in other lung cancer patients.

Patients and methods

This case-control study compared all lung cancer patients diagnosed in Hospital Elda, Alicante, Spain, between January 1994 and December 1999, with a control group composed of patients admitted to the same hospital for accidental fractures. Information on occupational history and tobacco dependency was collected from all patients by telephone questionnaire.

Results

One hundred and ninety-one case patients and 192 control patients were included in the study; 52 of the cases (27.2%) and 48 controls (25%) worked in shoe manufacturing. No statistically significant differences were found between the 2 groups, not even when we limited the cases and controls to only those who had worked more than 30 years in shoe manufacturing or when we analyzed only subjects who had had especially high risk occupations. No differences in tumor histology were found between cancer patients who worked in shoe manufacture and those who did not.

Conclusions

Working in shoe manufacturing has not proven to be a risk factor for bronchogenic carcinoma.

Key Words:

Bronchogenic carcinoma

Occupational exposure

Risk factors

Shoe manufacture

Objetivo

Según algunos estudios, los trabajadores de la manufactura del calzado tienen mayor riesgo de presentar carcinoma broncogénico (CB). Dadas las implicaciones de esta afirmación para nuestra área, iniciamos un estudio cuyos objetivos fueron: a) aclarar si trabajar en este sector es un factor de riesgo para desarrollar CB, y b) detectar diferencias histológicas de los CB de trabajadores del calzado frente al resto.

Pacientes Y Métodos

Se ha realizado un estudio de casos y controles. Los casos fueron todos los pacientes diagnosticados de CB en el Hospital de Elda entre enero de 1994 y diciembre de 1999, y los controles fueron pacientes ingresados por fracturas accidentales. De todos se recogió una historia laboral y de tabaquismo mediante encuesta telefónica.

Resultados

Incluimos en el estudio a 191 casos y 192 controles; 52 de los casos (27,2%) y 48 controles (25%) eran trabajadores del calzado. No hubo diferencias estadísticamente significativas entre ambos, ni siquiera cuando sólo incluimos a los que habían trabajado más de 30 años en el sector o a los que habían desempeñado ocupaciones de especial riesgo. Tampoco se encontraron diferencias histológicas en los CB de trabajadores del calzado frente al resto.

Conclusiones

Trabajar en la manufactura del calzado no ha demostrado ser un factor de riesgo para presentar un CB.

Palabras clave:

Carcinoma broncogénico

Exposición ocupacional

Factor de riesgo

Manufactura del calzado

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