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Base de datos CISDOC

ID (ISN) del documento60033
Número CIS 93-821
ISSN - Título de la serie 0271-3586 - American Journal of Industrial Medicine
Año 1992
Número de serie
Autor(es) Selikoff I.J.
Título Death certificates in epidemiological studies, including occupational hazards - Inaccuracies in occupational categories
Información bibliográfica Oct. 1992, Vol.22, No.4, p.493-504. 27 ref.
Resumen Death certificates for asbestos-related diseases (mesothelioma, lung cancer, asbestosis) were compared in two asbestos workers' cohorts. One cohort (insulation workers) had current or recent employment and a continuing union support system which gave them considerable information about the effects of asbestos exposure. The second cohort, asbestos factory workers, had no such advantage. Accuracy of medical diagnosis was comparable in the two groups, but occupational listings were not. Three-quarters of the insulators' death certificates mentioned asbestos work, while virtually none of the factory workers' certificates provided such information, even for deaths from mesothelioma and asbestosis. The data indicate that disease categories, based on medical and pathological diagnoses, at least for asbestos-associated disease, tend to be accurate. Attempts to identify groups at risk by sorting occupational categories can give good results for those with current exposures, but less reliable ones for those with long-past occupational exposures.
Descriptores (primarios) mesotelioma; enfermedades profesionales; patología profesional; mortalidad; autopsia; cáncer de pulmón; asbestosis; diagnostico; epidemiología
Descriptores (secundarios) amianto; tumores; aplicación de aislantes
Tipo de documento D - Artículos periódicos
País / Estado o ProvinciaEstados Unidos
Tema(s) Patología profesional
Broad subject area(s) Medicina del trabajo, epidemiología
Navegación por categoria(s) Diseases of the respiratory system (except for pneumoconiosis & similar)
Epidemiology
Neumoconiosis