ArticleAmerican journal of industrial medicine2018
Asbestos standards: Impact of currently uncounted chrysotile asbestos fibers on lifetime lung cancer risk.
Article in American journal of industrial medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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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.
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Who cites it
3 citing papers in PubMed.
- Inverse probability weighting to estimate impacts of hypothetical occupational limits on radon exposure to reduce lung cancer.American journal of epidemiology · 2025Article
- A Quantile-Based g-Computation Approach to Addressing the Effects of Exposure Mixtures.Environmental health perspectives · 2020Article
- A review of time scale fundamentals in the g-formula and insidious selection bias.Current epidemiology reports · 2018Article
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Authors and funding
4 authors.
Funding
Abstract
backgroundCurrent regulations require that asbestos fibers are collected and examined using a light microscope. This method fails to enumerate fibers that are too short or thin to reliably count using a light microscope under normal conditions.
methodsA cohort of 3054 workers employed at an asbestos textile plant was followed to ascertain causes of death. Exposure was almost entirely chrysotile. Fiber counts were quantified using light microscopy and electron microscopy. The g-formula was used to estimate impacts on lung cancer of policies defined in terms of fiber counts quantified using light and electron microscopy.
resultsGiven exposure at the current standard, the estimated lung cancer risk was 7.33%, comparable to the risk expected under a standard of 1 fiber/mL counted using electron microscopy (7.30%). The lifetime risk of lung cancer under a standard of 0.1 fiber/mL counted by electron microscopy was estimated to be 7.10%.
conclusionsWe identify policies defined in terms of electron microscopy-based asbestos exposure metrics that yield comparable, or lower, lung cancer mortality than that expected under the current standard.
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