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Letter
The need for continued investigation of lung cancer risk in coal miners
  1. Judith M Graber1,2,
  2. L Stayner3,
  3. Robert A Cohen3,
  4. Lorraine M Conroy4
  1. 1Department of Epidemiology/Biostatistics, University of Illinois at Chicago, Chicago, Illinois, USA
  2. 2Environmental Epidemiology and Statistics Division, Environmental and Occupational Health Sciences Institute (EOHSI), Rutgers University, Piscataway, New Jersey, USA
  3. 3Division of Epidemiology and Biostatistics, University of Illinois, School of Public Health, Chicago, Illinois, USA
  4. 4Department of Environmental and Occupational Health Sciences, University of Illinois at Chicago, Chicago, Illinois, USA
  1. Correspondence to Dr Judith M Graber, Department of Epidemiology/Biostatistics, University of Illinois at Chicago, Chicago, IL 60612-7260, USA; jmg502{at}eohsi.rutgers.edu

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We thank Taeger et al1 for their comments on our manuscript that focus on a central question raised by our study,2 that is, ‘Is there a lung cancer risk in US coal miners?’. We disagree with the author's suggestion that emphasising the lung cancer excess in the abstract is inappropriate. We saw a positive and significant excess of lung cancer in our overall SMR and in the exposure-response analysis with coal mine dust. These effects were strongly significant in the last decade of follow-up. Although we did see an irregular exposure-response in categorical models, this analysis is far less powerful than the …

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