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Non-occupational exposure to asbestos and risk of pleural mesothelioma: review and meta-analysis
Abstract
Objective To conduct an updated literature review and meta-analysis of studies of pleural malignant mesothelioma (PMM) risk among persons exposed to asbestos non-occupationally (household and neighbourhood). Methods We performed a literature search for articles available in the National Center for Biotechnology Information's PubMed database published between 1967 and 2016. Meta-analyses were conducted to calculate pooled PMM risk estimates, stratifying for household or neighbourhood exposure to asbestos and/or predominant asbestos fibre type (chrysotile, amphibole or mixed). Results Eighteen studies in 12 countries comprising 665 cases met the meta-analysis inclusion criteria. We identified 13 estimates of PMM risk from neighbourhood exposures, 10 from household and one from mixed exposure, and combined the estimates using random-effects models. The overall meta-relative risk (meta-RR) was 5.9 (95% CI 4.4 to 8.7). The meta-RRs for household and neighbourhood exposures were 5.4 (95% CI 2.6 to 11.2) and 6.9 (95% CI 4.2 to 11.4), respectively. We observed trends in risk in relation to fibre type for both household and neighbourhood studies. For chrysotile, mixed and amphibole fibres, respectively, meta-RRs for neighbourhood studies were 3.8 (95% CI 0.4 to 38.4), 8.4 (95% CI 4.7 to 14.9) and 21.1 (95% CI 5.3 to 84.5) and meta-RRs for household studies were 4.0 (95% CI 0.8 to 18.8), 5.3 (95% CI 1.9 to 15.0) and 21.1 (95% CI 2.8 to 156.0). Conclusions PMM risks from non-occupationa…
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In the citing paper
“Specifically, the highest risk for lung cancer was observed with exposure to amphibole fibers, followed by mixed-fibers and finally chrysotile.31”
From Fiber burden and asbestos-related diseases: an umbrella review (2022) · cites this paper as [31]
In the citing paper
“None of the selected reviews scored low in the assessment of their methodological quality; some of them obtained intermediate quality scores (4 ≥ P ≤ 5) [22–27,30] and 50% of the reviews obtained middle25,26 or high quality scores (P ≥ 8),28,29,31 supporting a reasonably good quality of the included studies.”
From Fiber burden and asbestos-related diseases: an umbrella review (2022) · cites this paper as [31]
In the citing paper
“In addition, the meta-analysis with the highest methodological quality31 concludes that little risk of mesothelioma would be observed with asbestos exposure below 0.1 f/ml.”
From Fiber burden and asbestos-related diseases: an umbrella review (2022) · cites this paper as [31]
In the citing paper
“In summary, several studies provide a value for asbestos exposure below which no risk of lung cancer or mesothelioma would be observed26,28,31”
From Fiber burden and asbestos-related diseases: an umbrella review (2022) · cites this paper as [31]
In the citing paper
“That study showed that amphibole fibers were those with the highest capacity to produce mesothelioma since exposure to amphibole fibers showed a meta-RR 2.5–3.2 times greater than exposure to mixed fibers, and a meta-RR 5.3–5.6 times greater than exposure to pure chrysotile fibers.”
From Fiber burden and asbestos-related diseases: an umbrella review (2022) · cites this paper as [31]
Citations
Cites
Multicentric study on malignant pleural mesothelioma and non-occupational exposure to asbestos
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Mapping the risk of mesothelioma due to neighborhood asbestos exposure
Kurumatani, N., & Kumagai, S. (2008) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200801-063oc · Cited by 126
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Cited by
Sorted by citations
Mesothelium and Malignant Mesothelioma
Hiriart, E., Deepe, R., & Wessels, A. (2019) · Journal of Developmental Biology · doi:10.3390/jdb7020007 · Cited by 66
Fiber burden and asbestos-related diseases: an umbrella review
Ramada Rodilla, J. M., Calvo Cerrada, B., Serra Pujadas, C., Delclos, G. L., & Benavides, F. G. (2022) · Gaceta Sanitaria · doi:10.1016/j.gaceta.2021.04.001 · Cited by 46
Metadata
- Authors
- Marsh, G. M., Riordan, A. S., Keeton, K. A., & Benson, S. M.
- Venue
- Occupational and Environmental Medicine
- Publisher
- BMJ
- Published
- 2017-09-21
- Volume
- 74
- Issue
- 11
- Pages
- 838-846
- ISSN
- 1351-0711
- 1470-7926
- Cited by
- 62
- References
- 5
- Language
- en
- Funders
- Schellenberg Wittmer.
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