Evidence map›Paper›PMID 35343066›Full record

ArticleCancer medicine2022

Lung cancer incidence among world trade center rescue and recovery workers.

Keith Sigel, Rafael E de la Hoz, Steven B Markowitz, Chung Yin Kong, Kimberly Stone, Andrew C Todd, Juan P Wisnivesky

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
3.0field-weighted citation impact, top 10% of its field
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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Mutagenicity of the organic fraction of World Trade Center dust.Environmental and molecular mutagenesis · 2023
    Article
  4. 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

7 authors at 2 institutions in 1 country.

Keith SigelDivision of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.ORCID 0000-0002-4051-4861
Rafael E de la HozDepartment of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, New York, USA.ORCID 0000-0002-8949-9279
Steven B MarkowitzEarth and Environmental Sciences, Queens College, City University of New York, Queens, New York, USA.
Chung Yin KongDivision of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Kimberly StoneDivision of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Andrew C ToddDepartment of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Juan P WisniveskyDivision of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Icahn School of Medicine at Mount Sinai · USQueens College, CUNY · US

Funding

Optimizing Lung Cancer Screening in World Trade Center Rescue and Recovery WorkersU01OH011479 · OH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI SIGEL, KEITH MAGNUS, WISNIVESKY, JUAN P · 2018 to 2020
$1.5M
NIOSH CDC HHS U01 OH011479
6 · The paper itself

Abstract

backgroundMany World Trade Center disaster (WTC) rescue and recovery workers (WTC RRWV) were exposed to toxic inhalable particles. The impact of WTC exposures on lung cancer risk is unclear.

methodsData from the WTC Health Program General Responders Cohort (WTCGRC) were linked to health information from a large New York City health system to identify incident lung cancer cases. Incidence rates for lung cancer were then calculated. As a comparison group, we created a microsimulation model that generated expected lung cancer incidence rates for a WTC- and occupationally-unexposed cohort with similar characteristics. We also fitted a Poisson regression model to determine specific lung cancer risk factors for WTC RRWV.

resultsThe incidence of lung cancer for WTC RRWV was 39.5 (95% confidence interval [CI]: 30.7-49.9) per 100,000 person-years. When compared to the simulated unexposed cohort, no significant elevation in incidence was found among WTC RRWV (incidence rate ratio [IRR] 1.34; 95% CI: 0.92-1.96). Predictors of lung cancer incidence included age, smoking intensity, and years since quitting for former smokers. In adjusted models evaluating airway obstruction and individual pre-WTC occupational exposures, only mineral dust work was associated with lung cancer risk (IRR: 2.03; 95% CI: 1.07-3.86). DISCUSSION: In a sample from a large, prospective cohort of WTC RRWV we found a lung cancer incidence rate that was similar to that expected of a WTC- and occupationally-unexposed cohort with similar individual risk profiles. Guideline-concordant lung cancer surveillance and periodic evaluations of population-level lung cancer risk should continue in this group.

Indexed as

Lung NeoplasmsOccupational ExposureRescue WorkSeptember 11 Terrorist AttacksHumansIncidenceProspective Studieslung cancerlung diseasesoccupational diseasesoccupational lung diseaserespiratory diseases

Identifiers

PMID35343066
PMCPMC9385594
OpenAlexW4220821935

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.