School of Administration Sciences, Université TELUQ, Quebec, QC G1K 9H6, Canada.
Int J Environ Res Public Health. 2021 Mar 3;18(5):2519. doi: 10.3390/ijerph18052519.
Firefighters are exposed to carcinogens that may increase their risk of developing many types of occupational cancer. Many systematic reviews (SRs) have been produced with sometimes conflicting conclusions. In this overview of reviews, we aim to assess the conclusion consistency across the available systematic reviews on the cancer risk in firefighters. Literature searches were conducted in several indexed databases and grey literature to retrieve systematic reviews aiming to evaluate cancer incidence or cancer mortality in firefighters. Results from included SRs were analyzed according to the tumour site. Out of 1054 records identified by the search in the databases, a total of 11 SRs were ultimately included. The original studies (n = 104) analyzed in the SRs were published between 1959 and 2018. The results consistently reported a significant increase in the incidence of rectal, prostate, bladder and testicular cancers as well as mesothelioma and malignant melanoma in firefighters compared to the general population. The SRs also indicate that death rates from rectal cancer and non-Hodgkin's lymphoma are higher among firefighters. Consistent SR results suggest that several types of cancer may be more frequent in firefighters than in the general population.
消防员接触到的致癌物质可能会增加他们患上多种职业癌症的风险。已经有许多系统评价(SRs)发表,但有时结论相互矛盾。在本次综述中,我们旨在评估有关消防员癌症风险的现有系统评价的结论一致性。文献检索在多个索引数据库和灰色文献中进行,以检索旨在评估消防员癌症发病率或死亡率的系统评价。根据肿瘤部位分析纳入的 SR 中的结果。通过数据库中的搜索共识别出 1054 条记录,最终纳入了 11 项 SR。SR 中分析的原始研究(n = 104)发表于 1959 年至 2018 年之间。结果一致报告称,与普通人群相比,消防员的直肠、前列腺、膀胱和睾丸癌以及间皮瘤和恶性黑色素瘤的发病率显著增加。SR 还表明,消防员的直肠癌和非霍奇金淋巴瘤的死亡率更高。一致的 SR 结果表明,与普通人群相比,消防员可能更容易患上几种癌症。