Danielsen T E, Langård S, Andersen A
Department of Occupational and Environmental Medicine, Telemark Central Hospital, Skien, Norway.
Occup Environ Med. 1996 Apr;53(4):231-4. doi: 10.1136/oem.53.4.231.
The cancer incidence among 2957 boiler welders was investigated. The subjects were registered electrical welders from 1942 to 1981. A subcohort of 606 stainless steel welders was studied separately.
The investigation was a historical prospective cohort study based on a national registry. The loss of follow up was 4.9%.
There were 625 deaths (659 expected). There were 269 cancer cases (264 expected). An excess of lung cancer was found; 50 cases v 37.5 expected. There were three cases of pleural mesotheliomas v 1.1 expected. The subcohort of stainless steel welders had six cases of lung cancer v 5.8 expected, and one case of pleural mesothelioma v 0.2 expected.
The welders in the study were assumed to represent a qualified work force. These welders had a small excess risk of lung cancer. The excess risk did not seem to be associated with stainless steel welding. Smoking and asbestos exposure were potential confounders.
对2957名锅炉焊工的癌症发病率进行调查。研究对象为1942年至1981年登记在册的电焊工。对606名不锈钢焊工组成的一个亚队列进行了单独研究。
该调查是一项基于国家登记处的历史性前瞻性队列研究。随访失访率为4.9%。
有625人死亡(预期659人)。有269例癌症病例(预期264例)。发现肺癌病例过多;实际50例,预期37.5例。有3例胸膜间皮瘤,预期1.1例。不锈钢焊工亚队列中有6例肺癌,预期5.8例,1例胸膜间皮瘤,预期0.2例。
研究中的焊工被认为代表了一支合格的劳动力队伍。这些焊工患肺癌的风险略有增加。这种额外风险似乎与不锈钢焊接无关。吸烟和石棉暴露是潜在的混杂因素。