@article {Pira558, author = {Enrico Pira and Canzio Romano and Francesca Donato and Claudio Pelucchi and Carlo La Vecchia and Paolo Boffetta}, title = {Mortality from cancer and other causes among Italian chrysotile asbestos miners}, volume = {74}, number = {8}, pages = {558--563}, year = {2017}, doi = {10.1136/oemed-2016-103673}, publisher = {BMJ Publishing Group Ltd}, abstract = {Objective To investigate the long-term mortality of a cohort of Italian asbestos miners.Methods The cohort included 1056 men employed in a chrysotile mine between 1930 and 1990, who were followed up during 1946{\textendash}2014, for a total of 37 471 person-years of observation. Expected deaths and SMRs were computed using national and local (after 1980, when available) reference.Results A total of 294 (27.8\%) subjects were alive and at the end of follow-up, 722 (68.4\%) were dead and 40 (3.8\%) were lost to follow-up. The SMR for overall mortality was 1.35 (95\%CI 1.25 to 1.45). The SMR for pleural cancer, based on seven observed deaths, was 5.54 (95\% CI 2.22 to 11.4) and related to time since first exposure, but not to duration of employment, cumulative exposure or time since last exposure. The SMR for lung cancer was 1.16 (95\% CI 0.87 to 1.52; 53 observed deaths), with no excess among workers with cumulative exposure below 100 fibre/mL-years (SMR 0.82; 95\% CI 0.44 to 1.40).Conclusions The update of the follow-up of this cohort confirmed an increased mortality from pleural cancer mortality in miners exposed to chrysotile and a lack of significant increase in lung cancer mortality.}, issn = {1351-0711}, URL = {https://oem.bmj.com/content/74/8/558}, eprint = {https://oem.bmj.com/content/74/8/558.full.pdf}, journal = {Occupational and Environmental Medicine} }