Evidence map›Paper›PMID 35329075›Full record

ArticleInternational journal of environmental research and public health2022

Asbestos Exposure in Patients with Malignant Pleural Mesothelioma included in the PRIMATE Study, Lombardy, Italy.

Andrea Spinazzè, Dario Consonni, Francesca Borghi, Sabrina Rovelli, Andrea Cattaneo, Carolina Zellino, Barbara Dallari, Angela Cecilia Pesatori, Hans Kromhout, Susan Peters and 3 more

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Review
  2. Sex differences in asbestos exposure.Frontiers in public health · 2025
    Review
  3. Article
  4. Article
  5. Article
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

13 authors.

Andrea SpinazzèDepartment of Science and High Technology, University of Insubria, 22100 Como, Italy.ORCID 0000-0003-0371-3164
Dario ConsonniOccupational Health Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.ORCID 0000-0002-8935-3843
Francesca BorghiDepartment of Science and High Technology, University of Insubria, 22100 Como, Italy.ORCID 0000-0003-3452-2803
Sabrina RovelliDepartment of Science and High Technology, University of Insubria, 22100 Como, Italy.ORCID 0000-0002-6403-5101
Andrea CattaneoDepartment of Science and High Technology, University of Insubria, 22100 Como, Italy.ORCID 0000-0002-2962-7259
Carolina ZellinoOccupational Health Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.
Barbara DallariOccupational Health Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.
Angela Cecilia PesatoriOccupational Health Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.ORCID 0000-0002-0261-3252
Hans KromhoutInstitute for Risk Assessment Sciences, Utrecht University, 3584 CM Utrecht, The Netherlands.ORCID 0000-0002-4233-1890
Susan PetersInstitute for Risk Assessment Sciences, Utrecht University, 3584 CM Utrecht, The Netherlands.
Luciano RiboldiOccupational Health Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.
Domenico Maria CavalloDepartment of Science and High Technology, University of Insubria, 22100 Como, Italy.
Carolina MensiOccupational Health Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.ORCID 0000-0002-9075-3684

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The PRIMATE study is an Italian translational research project, which aims to identify personalized biomarkers associated with clinical characteristics of malignant pleural mesothelioma (MPM). For this purpose, characteristics of MPM patients with different degrees of asbestos exposure will be compared to identify somatic mutations, germline polymorphism, and blood inflammatory biomarkers. In this framework, we assessed exposure to asbestos for 562 cases of MPM extracted from the Lombardy region Mesothelioma Registry (RML), for which a complete interview based on a standardized national questionnaire and histopathological specimens were available. Exposure assessment was performed: (1) through experts' evaluation (considered as the gold standard for the purpose of this study), according to the guidelines of the Italian National Mesothelioma Registry (ReNaM) and (2) using a job-exposure matrix (SYN-JEM) to obtain qualitative (ever/never) and quantitative estimates of occupational asbestos exposure (cumulative exposure expressed in fibers per mL (f/mL)). The performance of SYN-JEM was evaluated against the experts' evaluation. According to experts' evaluation, occupational asbestos exposure was recognized in 73.6% of men and 23.6% of women; furthermore, 29 men (7.8%) and 70 women (36.9%) had non-occupational exposure to asbestos. When applying SYN-JEM, 225 men (60.5%) and 25 women (13.2%) were classified as occupationally exposed, with a median cumulative exposure higher for men (1.7 f/mL-years) than for women (1.2 f/mL-years). The concordance between the two methods (Cohen's kappa) for occupational exposure assessment was 0.46 overall (0.41 in men, and 0.07 in women). Sensitivity was higher in men (0.73) than in women (0.18), while specificity was higher in women (0.88) than in men (0.74). Overall, both methods can be used to reconstruct past occupational exposure to asbestos, each with its own advantages and limitations.

Indexed as

AsbestosMesotheliomaMesothelioma, MalignantOccupational ExposureAnimalsFemaleHumansItalyMalePrimatesSurveys and QuestionnairesAsbestosasbestosjob-exposure matrix (JEM)mesotheliomaoccupational exposureretrospective exposure assessmentSYN-JEM

Identifiers

PMID35329075
PMCPMC8949216

What OpenQuestion holds

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LicenceCC BY
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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.