Evidence map›Paper›PMID 37863650›Full record

ArticleOccupational and environmental medicine2023

Occupational exposures of firefighting and urinary tract cancer risk among men in the Norwegian Fire Departments Cohort.

Niki Marjerrison, Tom K Grimsrud, Johnni Hansen, Jan Ivar Martinsen, Karl-Christian Nordby, Raymond Olsen, Marit B Veierød, Kristina Kjærheim

Open access · hybridAbstract read
In one paragraph

Article in Occupational and environmental medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

8 authors at 4 institutions in 2 countries.

Niki MarjerrisonDepartment of Research, Cancer Registry of Norway, Oslo, Norway nimn@kreftregisteret.no.ORCID 0000-0002-3618-8522
Tom K GrimsrudDepartment of Research, Cancer Registry of Norway, Oslo, Norway.ORCID 0000-0003-0425-043X
Johnni HansenInstitute of Cancer Epidemiology, Danish Cancer Society, Copenhagen, Denmark.ORCID 0000-0002-9342-2725
Jan Ivar MartinsenDepartment of Research, Cancer Registry of Norway, Oslo, Norway.
Karl-Christian NordbyNational Institute of Occupational Health (STAMI), Oslo, Norway.
Raymond OlsenNational Institute of Occupational Health (STAMI), Oslo, Norway.
Marit B VeierødOslo Centre for Biostatistics and Epidemiology, Department of Biostatistics, Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway.ORCID 0000-0002-2083-2758
Kristina KjærheimDepartment of Research, Cancer Registry of Norway, Oslo, Norway.ORCID 0000-0003-0691-3735
Cancer Registry of Norway · NONational Institute of Occupational Health · NOUniversity of Oslo · NODanish Cancer Society · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesIncreased risks of bladder cancer and mesothelioma were the strongest evidence for the recent reclassification of firefighting as carcinogenic (Group 1) by the International Agency for Research on Cancer. Our study aim was to develop indicators for specific firefighting exposures and examine associations with urinary tract cancer (UTC), including bladder cancer.

methodsWe developed indicators for exposure from employment at a fire department or in firefighting jobs, to fire and smoke, and to diesel exhaust for men in the Norwegian Fire Departments Cohort (n=4250). Incident UTC cases were obtained from the Cancer Registry of Norway (1960-2021). Poisson regression was used to estimate incidence rate ratios (IRR) with cumulative exposures grouped into tertiles (reference: lowest exposed tertile) with 0-year, 10-year and 15-year lagging of exposures.

resultsDuring 125 090 person-years of follow-up, there were 76 cases of UTC. IRRs were mostly non-significantly increased in the middle tertile and at or below 1 in the highest tertile for total duration of employment, number of fires attended and fire exposure score with and without lags. In the middle tertile for diesel exhaust exposure, UTC risk was elevated over twofold with 10-year (IRR 2.27, 95% CI 1.22 to 4.20) and 15- year (2.21, 1.18 to 4.16) lags, and near 1 in the highest tertile. Findings for bladder cancer were similar to those for UTC.

conclusionsDose-response associations between the exposure indicators and UTC were not observed. Future studies using the indicators with more cases are needed.

Indexed as

Air Pollutants, OccupationalFirefightersOccupational ExposurePolycyclic Aromatic HydrocarbonsUrinary Bladder NeoplasmsHumansMaleNorwayVehicle EmissionsAir Pollutants, OccupationalPolycyclic Aromatic HydrocarbonsVehicle EmissionsFirefightersPolycyclic Aromatic HydrocarbonsVehicle Emissions

Identifiers

PMID37863650
PMCPMC10715555
OpenAlexW4387823053

What OpenQuestion holds

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LicenceCC BY-NC
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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.