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Occup Environ Med 61:426-431 doi:10.1136/oem.2003.010157
  • Original article

Risk of upper aerodigestive tract cancers in a case-cohort study of autoworkers exposed to metalworking fluids

Table 3

Cox proportional hazards regression results (rate ratios) by cancer site, MWF type, and time window

Cancer site Total time Recent 10 years* 10–20 years 20+ years
RR† 95% CI RR 95% CI RR 95% CI RR 95% CI
Rate ratios presented for 5 mg/m3-years of cumulative exposure.
*Exposure windows prior to risk age. Windows are adjusted for each other in the models.
†Rate ratios compare 5 mg/m3-years of exposure to the unexposed.
‡Insufficient data.
§SCC, squamous cell carcinoma.
¶Grinding, without regard to MWF type.
**ADC, adenocarcinoma.
Larynx SCC (n = 78)
Soluble 0.97 0.91 to 1.04 1.22 0.56 to 2.66 0.72 0.46 to 1.14 1.00 0.93 to 1.07
Straight 1.07 1.01 to 1.12 0.12 0.01 to 1.89 1.42 0.97 to 2.07 1.06 0.99 to 1.13
Synthetic 1.03 0.76 to 1.39 –‡ –‡ 1.25 0.30 to 5.22 1.09 0.75 to 1.56
Stomach carcinoma (n = 77)
Soluble 1.00 0.95 to 1.05 1.29 0.63 to 2.67 0.96 0.68 to 1.33 1.00 0.95 to 1.06
Straight 0.96 0.84 to 1.08 1.25 0.19 to 8.29 0.94 0.42 to 2.08 0.95 0.82 to 1.11
Synthetic 0.68 0.32 to 1.43 1.47 0.08 to 27.19 0.32 0.01 to 7.89 0.72 0.29 to 1.80
Oesophageal SCC§ (n = 37)
Soluble 0.94 0.84 to 1.04 1.42 0.65 to 3.11 0.92 0.54 to 1.56 0.92 0.81 to 1.06
Straight 0.93 0.75 to 1.15 2.99 0.25 to 35.47 0.31 0.03 to 3.01 0.99 0.79 to 1.23
Synthetic 0.99 0.60 to 1.63 –‡ –‡ –‡ –‡ 1.39 0.85 to 2.28
Grinding¶ 0.96 0.86 to 1.07 2.15 0.70 to 6.58 0.79 0.36 to 1.74 0.95 0.82 to 1.09
Oesophageal and cardia junction ADC** (n = 36)
Soluble 1.01 0.94 to 1.09 0.60 0.12 to 3.15 0.92 0.53 to 1.61 1.03 0.96 to 1.11
Straight 1.01 0.88 to 1.15 2.49 0.24 to 25.32 0.34 0.05 to 2.40 1.06 0.93 to 1.21
Synthetic –‡ –‡ –‡ –‡ 1.29 0.11 to 14.74 0.93 0.42 to 2.07

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