Cancer* | ICD codes | All workers | Workers with more than background exposure to styrene | |||||||
---|---|---|---|---|---|---|---|---|---|---|
ICD 9 | ICD 10 | Deaths observed | Deaths expected | SMR | 95% CI | Deaths observed | Deaths expected | SMR | 95% CI | |
Pharynx† | 146–149.1 | C09–C14.2 | 9 | 6.7 | 1.34 | 0.61 to 2.54 | 7 | 4.6 | 1.51 | 0.61 to 3.11 |
Oesophagus | 150 | C15 | 47 | 44.2 | 1.06 | 0.78 to 1.41 | 35 | 30.3 | 1.16 | 0.80 to 1.61 |
Stomach | 151 | C16 | 43 | 57.0 | 0.75 | 0.55 to 1.02 | 31 | 36.1 | 0.86 | 0.58 to 1.22 |
Large intestine | 153 | C18 | 49 | 63.8 | 0.77 | 0.57 to 1.02 | 36 | 40.6 | 0.89 | 0.62 to 1.23 |
Rectum | 154 | C19–C21 | 33 | 39.4 | 0.84 | 0.58 to 1.18 | 21 | 25.7 | 0.82 | 0.51 to 1.25 |
Liver‡ | 155.0–155.1 | C22 | 16 | 13.6 | 1.18 | 0.67 to 1.91 | 10 | 9.4 | 1.07 | 0.51 to 1.96 |
Pancreas | 157 | C25 | 48 | 42.5 | 1.13 | 0.83 to 1.50 | 27 | 27.6 | 0.98 | 0.64 to 1.42 |
Larynx | 161 | C32 | 13 | 7.6 | 1.70 | 0.91 to 2.91 | 6 | 5.2 | 1.15 | 0.42 to 2.50 |
Lung | 162 | C33–C34 | 329 | 273.6 | 1.20 | 1.08 to 1.34 | 229 | 180.2 | 1.27 | 1.11 to 1.45 |
Melanoma† | 172 | C43 | 9 | 10.0 | 0.90 | 0.41 to 1.71 | 4 | 6.8 | 0.59 | 0.16 to 1.51 |
Breast | 174, 175 | C50 | 24 | 31.2 | 0.77 | 0.49 to 1.15 | 11 | 11.6 | 0.95 | 0.47 to 1.70 |
Prostate | 185 | C61 | 63 | 73.0 | 0.86 | 0.66 to 1.10 | 44 | 50.7 | 0.87 | 0.63 to 1.17 |
Bladder† | 188 | C65–C68 | 38 | 32.8 | 1.16 | 0.82 to 1.59 | 28 | 21.6 | 1.29 | 0.86 to 1.87 |
Kidney† | 189 | C64 | 28 | 21.1 | 1.33 | 0.88 to 1.92 | 18 | 14.4 | 1.25 | 0.74 to 1.98 |
Brain and nervous system | 191, 192 | C71–C72 | 32 | 24.5 | 1.31 | 0.89 to 1.84 | 26 | 16.7 | 1.55 | 1.02 to 2.28 |
Hodgkin's disease | 201 | C81 | 2 | 4.1 | 0.49 | 0.06 to 1.77 | 2 | 2.6 | 0.75 | 0.09 to 2.73 |
Non-Hodgkin's lymphoma† | 200.202.0, 202.1, 202.8 | C82–C85 | 24 | 25.2 | 0.95 | 0.61 to 1.42 | 14 | 16.9 | 0.83 | 0.45 to 1.39 |
Multiple myeloma† | 203.0 | C90 | 13 | 13.9 | 0.94 | 0.50 to 1.60 | 9 | 9.1 | 0.99 | 0.45 to 1.88 |
Leukaemia | 204–208 | C91–C95 | 23 | 25.3 | 0.91 | 0.58 to 1.36 | 13 | 16.7 | 0.78 | 0.42 to 1.33 |
Lymphohaematopoietic cancer | 200–208 | C81–C96 | 62 | 69.8 | 0.89 | 0.68 to 1.14 | 38 | 46.1 | 0.82 | 0.58 to 1.14 |
*Data are limited to cancers with at least four deaths observed or expected in the analysis for all workers. Results for other cancers can be found in online supplementary table S1.
†Owing to changes in disease classification, the earliest follow-up for these cancers was from 1950.
‡Owing to changes in disease classification, the earliest follow-up for this cancer was from 1958.
ICD, International Classification of Diseases.