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Title: Mortality from solid tumors among workers in formaldehyde industries: an update of the NCI cohort.
Authors: Beane Freeman LE,  Blair A,  Lubin JH,  Stewart PA,  Hayes RB,  Hoover RN,  Hauptmann M
Journal: Am J Ind Med
Date: 2013 Sep
Branches: BB, EBP, NEB, OEEB
PubMed ID: 23788167
PMC ID: not available
Abstract: BACKGROUND: Formaldehyde, a widely used chemical, is considered a human carcinogen. METHODS: We extended follow-up of the largest industrial cohort of workers in formaldehyde industries (n = 25,619) by 10 years through 2004. Standardized mortality ratios (SMRs) and rate ratios (RRs) were calculated for deaths from solid tumors using quantitative formaldehyde exposure estimates. RESULTS: During 998,239 person-years, 13,951 deaths occurred. With one additional death, previously observed excesses for nasopharyngeal cancer (n = 10) persisted for peak, average intensity and cumulative exposure; RRs in the highest exposure categories were 7.66 (95% CI: 0.94, 62.34), P-trend = 0.005, 11.54 (95% CI: 1.38, 96.81), P-trend = 0.09, and 2.94 (95% CI: 0.65, 13.28), P-trend = 0.06, respectively. For all cancer, solid tumors and lung cancer, SMRs among exposed workers were elevated, but internal analyses revealed no positive associations with formaldehyde exposure. CONCLUSIONS: Consistent with previous analyses of this cohort, this update continues to suggest a link between formaldehyde exposure and nasopharyngeal cancer.