Evidence map›Paper›PMID 25487971›Full record

ReviewAnnals of epidemiology2015

The proportion of cancer attributable to occupational exposures.

Mark P Purdue, Sally J Hutchings, Lesley Rushton, Debra T Silverman

Abstract readReview
In one paragraph

Review in Annals of epidemiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Benzene Exposure and Lung Cancer Risk: A Systematic Review and Meta-Analysis of Human Studies.International journal of environmental research and public health · 2024
    Pooled it
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Occupations and Risk of Head and Neck Cancers: A Case-Control Study in Tanzania.International journal of environmental research and public health · 2025
    Article
  11. Article
  12. Influence of occupational stress on breast cancer incidence in the Women's Health Initiative.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025
    Observational
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Mark P PurdueOccupational and Environmental Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD; Ontario Institute for Cancer Research, Toronto, Canada. Electronic address: purduem@mail.nih.gov.
Sally J HutchingsDepartment of Epidemiology and Biostatistics, School of Public Health and MRC-HPA Centre for Environment and Health, Imperial College London, London, UK.
Lesley RushtonDepartment of Epidemiology and Biostatistics, School of Public Health and MRC-HPA Centre for Environment and Health, Imperial College London, London, UK.
Debra T SilvermanOccupational and Environmental Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD.

Funding

Occupational and Environmental Determinants of Cancer among Women and MinoritiesZIACP010123 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI HOFMANN, JONATHAN · 2009 to 2025
$8.3M
Intramural NIH HHS ZIA CP010123
6 · The paper itself

Abstract

purposeTo review the literature on the estimation of the population attributable fraction (PAF) of cancer due to occupational exposures and to describe challenges in the estimation of this metric. To help illustrate the inherent challenges, we also estimate PAFs for selected cancers diagnosed in the United States in 2010 attributable to work as a painter (causally associated with bladder and lung cancer) and shift work (possibly associated with breast cancer).

methodsWe reviewed and summarized previous reports providing quantitative estimates of PAF for total cancer due to occupational exposures. We calculated PAF estimates for painters and shift work using methodology from a detailed investigation of the occupational cancer burden in Great Britain, with adaptations made for the US population.

resultsThe estimated occupation-attributable fraction for total cancer generally ranged between 2% and 8% (men, 3%-14%; women, 1%-2%) based on previous reports. We calculated that employment as a painter accounted for a very small proportion of cancers of the bladder and lung diagnosed in the United States in 2010, with PAFs of 0.5% for each site. In contrast, our calculations suggest that the potential impact of shift work on breast cancer (if causal) could be substantial, with a PAF of 5.7%, translating to 11,777 attributable breast cancers.

conclusionsContinued efforts to estimate the occupational cancer burden will be important as scientific evidence and economic trends evolve. Such projects should consider the challenges involved in PAF estimation, which we summarize in this report.

Indexed as

FemaleHumansMaleNeoplasmsOccupational DiseasesOccupational ExposureRisk AssessmentUnited KingdomUnited StatesCancerOccupational exposuresPopulation attributable fraction

Identifiers

PMID25487971
PMCPMC4631263

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.