ArticleAmerican journal of industrial medicine2021
Cancer survival among World Trade Center rescue and recovery workers: A collaborative cohort study.
Article in American journal of industrial medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Overcoming social determinants: World trade center health program monitoring use among the general responders.Preventive medicine reports · 2026Article
- Effect of World Trade Center Health Program on mortality among 9/11 responders.Annals of epidemiology · 2026Article
- Disparities in Utilization of the World Trade Center Health Program Among World Trade Center Rescue and Recovery Workers and Volunteers.International journal of environmental research and public health · 2025Article
- Exposure-Informed Care Following Toxic Environmental Exposures: A Lifestyle Medicine Approach.American journal of lifestyle medicine · 2025Review
- Mortality in a cohort of WTC-exposed law-enforcement officers compared to non-WTC law-enforcement officers.International archives of occupational and environmental health · 2025Article
- Managing cancer following the World Trade Center disaster.Nature reviews. Cancer · 2024Article
- Racial and ethnic disparities in mortality among World Trade Center Health Registry enrollees with post-9/11 cancer.Cancer medicine · 2024Article
- Improvement of esophageal cancer survival in Northeast Iran: A two-decade journey in a high-risk, low- resource region.PloS one · 2024Article
- Association of Lung Function Decline with All-Cause and Cancer-Cause Mortality after World Trade Center Dust Exposure.Annals of the American Thoracic Society · 2023Article
- All-cause and cause-specific mortality in a cohort of WTC-exposed and non-WTC-exposed firefighters.Occupational and environmental medicine · 2023Article
- A 15-year follow-up study of mortality in a pooled cohort of World Trade Center rescue and recovery workers.Environmental research · 2023Article
- Mortality after the 9/11 terrorist attacks among world trade center health registry enrollees with cancer.Cancer medicine · 2023Article
- Myeloma precursor disease (MGUS) among rescue and recovery workers exposed to the World Trade Center disaster.Blood cancer journal · 2022Observational
- World Trade Center dust exposure promotes cancer in PTEN-deficient mouse prostates.Cancer research communications · 2022Article
- Cancer survival among World Trade Center rescue and recovery workers: A collaborative cohort study.American journal of industrial medicine · 2021Article
- The World Trade Center Health Program: Twenty years of health effects research.American journal of industrial medicine · 2021Article
- Cancer incidence in World Trade Center-exposed and non-exposed male firefighters, as compared with the US adult male population: 2001-2016.Occupational and environmental medicine · 2021Article
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Authors and funding
17 authors.
Funding
Abstract
backgroundWorld Trade Center (WTC)-exposed responders may be eligible to receive no-cost medical monitoring and treatment for certified conditions, including cancer. The survival of responders with cancer has not previously been investigated.
methodsThis study compared the estimated relative survival of WTC-exposed responders who developed cancer while enrolled in two WTC medical monitoring and treatment programs in New York City (WTC-MMTP responders) and WTC-exposed responders not enrolled (WTC-non-MMTP responders) to non-responders from New York State (NYS-non-responders), all restricted to the 11-southernmost NYS counties, where most responders resided. Parametric survival models estimated cancer-specific and all-cause mortality. Follow-up ended at death or on December 31, 2016.
resultsFrom January 1, 2005 to December 31, 2016, there were 2,037 cancer cases and 303 deaths (248 cancer-related deaths) among WTC-MMTP responders, 564 cancer cases, and 143 deaths (106 cancer-related deaths) among WTC-non-MMTP responders, and 574,075 cancer cases and 224,040 deaths (158,645 cancer-related deaths) among the NYS-non-responder population. Comparing WTC-MMTP responders with NYS-non-responders, the cancer-specific mortality hazard ratio (HR) was 0.72 (95% confidence interval [CI] = 0.64-0.82), and all-cause mortality HR was 0.64 (95% CI = 0.58-0.72). The cancer-specific HR was 0.94 (95% CI = 0.78-1.14), and all-cause mortality HR was 0.93 (95% CI = 0.79-1.10) comparing WTC-non-MMTP responders to the NYS-non-responder population.
conclusionsWTC-MMTP responders had lower mortality compared with NYS-non-responders, after controlling for demographic factors and temporal trends. There may be survival benefits from no-out-of-pocket-cost medical care which could have important implications for healthcare policy, however, other occupational and socioeconomic factors could have contributed to some of the observed survival advantage.
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