occupational cancer

职业性癌症
  • 文章类型: Journal Article
    在被诊断为鼻窦的患者中观察到生活质量下降和心理困扰的高风险,鼻咽,喉癌,这可能是由工作场所暴露于致癌物引起的。这篇综述旨在调查与此类肿瘤的可能职业病因相关的诊断的心理影响,并探索评估生活质量(QoL)的工具。焦虑,这些患者的抑郁症。
    只有描述了鼻窦诊断的心理影响方面的研究才被考虑进行审查,鼻咽,和喉癌,并报告了根据肿瘤部位区分的结果。根据与健康相关的QoL评估心理影响,焦虑,和抑郁症使用可靠的心理测量问卷在诊断时和1年后进行。
    在确定的5900多条记录中,442项研究符合资格标准,436项在全文筛选后被排除,导致六项研究最终被纳入审查。EORTC核心生活质量问卷(EORTCQLQ-C30),EORTCQLQ-H&N35和癌症治疗功能评估(FACT)用于评估QoL,而医院焦虑和抑郁量表(HADS)和流行病学研究中心抑郁量表(CES-D)问卷用于评估焦虑和抑郁。QoL评分与诊断时的普通人群相似,诊断后1年保持不变或略有改善。相比之下,与普通人群相比,焦虑和抑郁的患病率更高,尽管在确定的极少数研究中结果不一致.没有研究发现潜在的职业病因与QoL或困扰之间的关联。
    探索有关鼻窦情绪困扰的现有科学文献,鼻咽,喉癌患者是由于对治疗的毁容性和职业病因造成的额外情绪负担的担忧。不幸的是,既不是关键因素,也不是其他风险因素(生活方式,吸烟,饮酒,等。)在任何研究中都进行了检查。应考虑患者的就业历史,以评估在评估其心理困扰时认为他们受到职业暴露疾病影响的可能影响。这一历史将支持有关专门心理干预的循证建议。
    UNASSIGNED: High risk of degraded quality of life and psychological distress is observed in patients diagnosed with sinonasal, nasopharyngeal, and laryngeal cancers, which could be caused by exposure to carcinogens in workplaces. This review aimed to investigate the psychological impact of diagnosis associated with the possible occupational etiology of such neoplasms and to explore the instruments that evaluate the quality of life (QoL), anxiety, and depression in these patients.
    UNASSIGNED: Studies were considered for the review only if they described aspects of the psychological impact of the diagnosis of sinonasal, nasopharyngeal, and laryngeal cancers and reported results distinguished by the tumor site. The psychological impact was assessed in terms of health-related QoL, anxiety, and depression using reliable psychometric questionnaires administered at the time of diagnosis and 1 year later.
    UNASSIGNED: In more than 5,900 records identified, 442 studies fulfilled the eligibility criteria and 436 were excluded after full-text screening, resulting in six studies to be finally included in the review. The EORTC Core Quality of Life questionnaire (EORTC QLQ-C30), EORTC QLQ-H&N35, and Functional Assessment of Cancer Therapy (FACT) were used to evaluate the QoL, whereas the Hospital Anxiety and Depression Scale (HADS) and Center for Epidemiologic Studies Depression Scale (CES-D) questionnaires were employed to assess anxiety and depression. QoL scores were similar to those of the general population at the time of diagnosis and remained unchanged or slightly improved at 1 year since diagnosis. In contrast, a higher prevalence of anxiety and depression was observed compared with the general population, although the results were inconsistent across the very few studies identified. No study investigating the association between the potential occupational etiology and QoL or distress was found.
    UNASSIGNED: Exploring the existing scientific literature on emotional distress in sinonasal, nasopharyngeal, and laryngeal cancer patients was prompted by concerns over the disfiguring nature of treatment and the additional emotional burden resulting from their occupational etiology. Unfortunately, neither a crucial element nor other risk factors (lifestyle, smoking, drinking, etc.) were examined in any study. Patients\' employment history should be considered in order to assess the possible impact of believing they are affected by an occupational exposure disease in the evaluation of their psychological distress. This history would support evidence-based recommendations about dedicated psychological interventions.
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  • 文章类型: Journal Article
    The present study aimed to investigate data from the scientific literature on patterns of illness due to occupational cancer in Brazil. An integrative literature review was conducted in July 2020 and reviewed in June 2021, with no time restriction, using the Health Science Descriptors \"Neoplasms,\" \"Occupational Risks,\" \"Occupational Cancer,\" and keywords related, which were searched on the following databases: Latin American Literature in Health Sciences, SciELO, PubMed, Scopus, Web of Science, and Cumulative Index to Nursing and Allied Health Literature. The search and selection flow followed that recommended by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement - 2020. Six manuscripts were selected, published from 1995 to 2019, which described occupational cancer affecting lung, oral cavity, pharynx and larynx, central nervous system, and skin. There was a time gap between the studies, and only the one involving lung cancer results on the most prevalent pattern of illness in the industrial sector, compared to the non-industrial. A shortage of scientific articles on patterns of illness was found. There was a predominance of scientific publications referring to occupational cancer illness related to the industrial sector compared to the number of publications directed to the primary and tertiary productive sectors. It is worth noting the constant need for research and epidemiological surveys to promote surveillance and protective actions aimed at occupational health.
    O presente estudo teve como objetivo investigar os dados da literatura científica sobre os padrões de adoecimento por câncer ocupacional no Brasil. Realizou-se uma revisão integrativa de literatura, em julho de 2020 e revisada em junho de 2021, sem delimitação temporal, utilizando os Descritores em Ciências da Saúde “Neoplasias”, “Riscos Ocupacionais” e “Câncer Ocupacional”, e correlatos, com busca nas bases Literatura Latino-Americana em Ciências da Saúde, SciELO, PubMed, Scopus, Web of Science e Cumulative Index to Nursing and Allied Health Literature. O fluxo de busca e seleção obedeceu ao preconizado pelo Principais Itens para Relatar Revisões Sistemáticas e Meta-Análises – 2020. Foram selecionados seis manuscritos, publicados entre 1995 e 2019, que descrevem o câncer ocupacional relacionado a pulmão, cavidade oral, faringe e laringe, sistema nervoso central e pele. Há um hiato temporal entre os estudos e apenas aquele envolvendo câncer de pulmão considera resultados sobre o padrão de adoecimento mais prevalente no setor industrial, quando comparado ao não-industrial. Foi constatada a uma escassez de artigos científicos sobre padrões de adoecimento. Há predomínio de publicações científicas referentes ao adoecimento por câncer ocupacional relacionado ao ramo industrial quando comparado ao quantitativo de publicações direcionadas aos setores produtivos primário e terciário. Ressalta-se que pesquisas e inquéritos epidemiológicos são necessidades constantes para promoção de ações vigilância e proteção da saúde no trabalho.
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  • 文章类型: Journal Article
    Despite being largely preventable, many occupational diseases continue to be highly prevalent and extremely costly. Effective strategies are required to reduce their human, economic, and social impacts.
    To better understand which approaches are most likely to lead to progress in preventing noise-related hearing loss, occupational contact dermatitis, occupational cancers, and occupational asthma, we undertook a scoping review and consulted with a number of key informants.
    We examined a total of 404 articles and found that various types of interventions are reported to contribute to occupational disease prevention but each has its limitations and each is often insufficient on its own. Our principal findings included: legislation and regulations can be an effective means of primary prevention, but their impact depends on both the nature of the regulations and the degree of enforcement; measures across the hierarchy of controls can reduce the risk of some of these diseases and reduce exposures; monitoring, surveillance, and screening are effective prevention tools and for evaluating the impact of legislative/policy change; the effect of education and training is context-dependent and influenced by the manner of delivery; and, multifaceted interventions are often more effective than ones consisting of a single activity.
    This scoping review identifies occupational disease prevention strategies worthy of further exploration by decisionmakers and stakeholders and of future systematic evaluation by researchers. It also identified important gaps, including a lack of studies of precarious workers and the need for more studies that rigorously evaluate the effectiveness of interventions.
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  • 文章类型: Journal Article
    OBJECTIVE: Microwave radiation is one of the most growing environmental workplace factors that exposes too many workers in the various workplaces. Regard to concerns about cancer incidence in these workers and lack of systematic or meta-analytic studies about this object, so, we conducted a meta-analysis to acquire an understanding of the association between cancer risk and occupational exposure to radar radiation.
    METHODS: A systematic search was carried out on case-control, cohort and clinical control trial studies that published in the Cochrane Library, PubMed, ISI Web of Science, Scopus and Google scholar databases that accomplished from March 2017 to March 2018 and updated on 30 September, 2018 in English and Persian articles without time limit in publication date. Keywords were selected based on PICO principle and collected from MeSH database. After removal of duplicated studied, taking into inclusion and exclusion criteria, the process of screening was carried out and data were extracted after preparation of the full text of included articles. Article collection was completed by manually searching for a reference list of eligible studies. For quality assessment of included studies, Newcastle-Ottawa scale was used.
    RESULTS: a total of 533 studies was found in the first step of literature search, only 6 were included with 53,008 sample size according to inclusion and exclusion criteria. Estimated pooled random effects size analysis showed no significant increasing effect of occupational exposure to radar radiation on mortality rate (MR=0.81, 95%CI: 0.78, 0.83) and relative risk (RR=0.87, 95%CI: 0.75, 0.99, P <0.0001) of cancer with a significant heterogeneity between the selected studies.
    CONCLUSIONS: In conclusion, the results of this meta-analysis study have shown no significant increase in overall mortality ratio and cancer risk ratio from occupational exposure to the radar frequency of workers. But, these results are not conclusive. As regards to some limitation such as fewer numbers of included studies, lack of data about exposure characterizations and demographic characterizations in this meta-analysis, this result is not certain and conclusive. It is recommended to conduct future studies.
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