Cowles S R, Tsai S P, Gilstrap E L, Ross C E
Shell Oil Company, Corporate Medical Department, Houston, Texas 77252-2463.
Occup Environ Med. 1994 Dec;51(12):799-803. doi: 10.1136/oem.51.12.799.
The study was undertaken to update a previous study of employees from a resins and plastics research and development facility and to further examine the mortality of these employees with particular emphasis on deaths due to pancreatic cancer.
This retrospective cohort study examined mortality from 1962 to 1992 for 257 men who were employed for at least one year during a 14 year period from 1962 to 1975 at a plastics and resins research and development facility. During the operative period, the primary activities involved applications and process development for polypropylene, polystyrene, epoxy resins, and to a lesser extent high density polyethylene.
The cohort was young and was followed up for an average of 26 years. Although mortality for all causes among employees who worked at least one year at this facility was low (standardised mortality ratio (SMR) 0.74), the death rate from cancer was moderately higher than that of the general population (14 observed and 9.4 expected deaths). There were four observed and 0.5 expected deaths from pancreatic cancer among men who worked at this facility for at least one year, which resulted in a statistically increased SMR of 8.88 (95% confidence interval 2.42-22.74). All cases of pancreatic cancer had "laboratory" jobs, and their ages at death were relatively young compared with deaths in the general population from pancreatic cancer. Lung cancer mortality was high but not significant with seven observed and 3.5 expected deaths. There were no deaths due to non-malignant respiratory disease (1.9 expected).
The increased cancer mortality was entirely due to excess deaths from pancreatic and lung cancers. No causative agent or process for these cases of pancreatic cancer has been identified. This study shows no increased colorectal cancer mortality as was found among another group of workers involved in the manufacture of polypropylene.
本研究旨在更新之前一项针对树脂与塑料研发机构员工的研究,并进一步调查这些员工的死亡率,尤其着重于胰腺癌导致的死亡情况。
这项回顾性队列研究调查了1962年至1992年间,于1962年至1975年的14年期间在一家塑料与树脂研发机构工作至少一年的257名男性的死亡率。在运营期间,主要活动涉及聚丙烯、聚苯乙烯、环氧树脂的应用及工艺开发,高密度聚乙烯的相关活动较少。
该队列成员较为年轻,平均随访26年。尽管在该机构工作至少一年的员工全因死亡率较低(标准化死亡比(SMR)为0.74),但其癌症死亡率略高于一般人群(观察到14例死亡,预期9.4例死亡)。在该机构工作至少一年的男性中,观察到4例胰腺癌死亡,预期0.5例,导致SMR在统计学上显著升高至8.88(95%置信区间2.42 - 22.74)。所有胰腺癌病例均从事“实验室”工作,与一般人群中胰腺癌死亡者相比,他们的死亡年龄相对较轻。肺癌死亡率较高但不显著,观察到7例死亡,预期3.5例。无因非恶性呼吸道疾病导致的死亡(预期1.9例)。
癌症死亡率升高完全归因于胰腺癌和肺癌的超额死亡。尚未确定这些胰腺癌病例的致病因素或过程。本研究未显示出如另一组参与聚丙烯制造的工人中所发现的结直肠癌死亡率升高。