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d’Errico A, Gallo F, Evanoff BA, Descatha A, Dale AM. Reliability of O*NET physical exposures between Italian and US databases. Am J Ind Med 2022; 65:790-799. [PMID: 35985834 PMCID: PMC9463122 DOI: 10.1002/ajim.23423] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Revised: 07/19/2022] [Accepted: 08/02/2022] [Indexed: 11/09/2022]
Abstract
BACKGROUND Comparison between cross-national job-exposure matrices (JEMs) may provide indications of their reliability, particularly if created using the same items. This study evaluated concordance between two JEMs created from United States (US) and Italian O*NET data, using job codes linked through international job codes. METHODS Twenty-one physical exposures were obtained from the US and Italian O*NET databases. Italian O*NET items were direct translations of US O*NET items. Six hundred and eighty-four US and 586 Italian job codes were linked via crosswalks to 281 ISCO-08 job codes. A sensitivity study also assessed concordance on 258 jobs matched one-to-one across the two national job classifications. Concordance of US and Italian O*NET exposures was estimated by intraclass correlation coefficients (ICC) in multilevel models adjusted and not adjusted for country. RESULTS ICCs showed moderate to poor agreement for all physical exposures in jobs linked through ISCO-08 codes. There was good to moderate agreement for 14 out of 21 exposures in models with one-to-one matched jobs between countries; greater agreement was found in all models adjusted for country. Exposure to whole-body vibration, time standing, and working outdoor exposed to weather showed the highest agreement. CONCLUSIONS These results showed moderate to good agreement for most physical exposures across the two JEMs when US and Italian jobs were matched one-to-one and the analysis was adjusted for country. Job code assignments through crosswalks and differences in exposure levels between countries might greatly influence the observed cross-country agreement. Future multinational epidemiological studies should consider the quality of the cross-national job matching, and potential cross-national differences in exposure levels.
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Affiliation(s)
- A d’Errico
- Local Health Unit TO3, Epidemiology Department, Grugliasco (TO), Italy
| | - F Gallo
- National Institute of Statistics, Rome
| | - BA Evanoff
- Washington University, Department of Medicine, St. Louis, Missouri, USA
| | - A Descatha
- Univ Angers, CHU Angers, Univ Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail) - UMR_S 1085, IRSET-ESTER, SFR ICAT, CAPTV CDC, F-49000, Angers, France
- Department of Occupational Medicine, Epidemiology and Prevention, Donald and Barbara Zucker School of Medicine, Hostra/Northwell, USA
| | - AM Dale
- Washington University, Department of Medicine, St. Louis, Missouri, USA
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Ricceri F, Calabrese SC, Ferracin E, Di Cuonzo D, Macciotta A, d’Errico A, Franco PF, Numico G, Pagano E, Sacerdote C. Risk of cardiovascular diseases after breast cancer: an analysis on a cohort of 1.3 million women. Eur J Public Health 2019. [DOI: 10.1093/eurpub/ckz185.364] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Breast cancer (BC) is the malignant tumor with the highest incidence in women in the world with an estimate of about 500,000 new cases per year in Europe. Guidelines for BC treatment include surgery followed by radiotherapy, hormonal therapy or chemotherapy. Several studies showed that BC treatment increases the risk of myocardial infarction (MI) while only few studies investigated the risk of stroke after BC.
The aim of the present study was to assess the risk of MI and stroke in BC survivors, taking into account the possible influence of treatments.
Methods
Women included in the study are part of a longitudinal cohort including all residents in the Piedmont region linked to the 2011 census data and followed-up through administrative data on mortality, hospital admissions, drug prescriptions, and outpatient consultations. Validated algorithms to identify BC incident cases and their therapies as well as to identify MI and stroke were applied.
The effect of BC on the risk of MI and stroke was tested using Cox models (adjusted for confounding variables) that allow to account for the competing risks. First, BC patients were compared to healthy women, then BC women that undertwent a specific therapy were compared with both healthy women and other BC patients.
Results
Women with BC showed an increased risk compared to healthy women for both MI (HR: 1.20; 95% CI: 1.05-1.38) and stroke (HR: 1.58; 95%CI: 1.38-1.82). Chemotherapy almost doubled the risk of MI, while radiotherapy did not seem to have a similar effect, even comparing with other BC patients. The high risk of stroke observed comparing BC (any therapy) with healthy women disappeared when comparing specific therapies among BC patients.
Conclusions
Chemotherapy increased the risk of MI in BC patients, while recent radiotherapy strategies had less impact, if any. Moreover, the mechanism for which BC patients have an increased risk of stroke seems not to be related to a late effect of therapies.
Key messages
Breast cancer women are at higher risk of developing cardio and cerebrovascular diseases and this should be taken into account when planning therapies and follow-up surveillance. Despite the increase in quality of the therapeutic approaches for breast cancer patients, chemotherapy increases the risk of myocardial infarction, while radiotherapy dangerousness recently decreased.
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Affiliation(s)
- F Ricceri
- Department of Clinical and Biological Sciences, University of Turin, Orbassano, Italy
- Unit of Epidemiology, Regional Health Service ASLTO3, Grugliasco, Italy
| | - S C Calabrese
- School of Medicine and Surgery, University of Turin, Orbassano, Italy
| | - E Ferracin
- Unit of Epidemiology, Regional Health Service ASLTO3, Grugliasco, Italy
| | - D Di Cuonzo
- Unit of Cancer Epidemiology, “Città della Salute e della Scienza” Hospital and Centre for Cancer Prevention, Turin, Italy
| | - A Macciotta
- Department of Clinical and Biological Sciences, University of Turin, Orbassano, Italy
| | - A d’Errico
- Unit of Epidemiology, Regional Health Service ASLTO3, Grugliasco, Italy
| | - P F Franco
- Department of Oncology, Radiation Oncology, University of Turin, Turin, Italy
| | - G Numico
- Unit of Oncology, “SS Antonio e Biagio e Cesare Arrigo” hospital Alessandria, and Piedmont Oncological Network, Alessandria, Italy
| | - E Pagano
- Unit of Cancer Epidemiology, “Città della Salute e della Scienza” Hospital and Centre for Cancer Prevention, Turin, Italy
| | - C Sacerdote
- Unit of Cancer Epidemiology, “Città della Salute e della Scienza” Hospital and Centre for Cancer Prevention, Turin, Italy
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Ardito C, Leombruni R, d’Errico A, Blane D. TO WORK OR NOT TO WORK: THE EFFECT OF PENSION REFORMS ON MALE WORKERS’ HEALTH. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.3575] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- C. Ardito
- Economics and Statistics, University of Torino, Torino, Italy,
| | - R. Leombruni
- Economics and Statistics, University of Torino, Torino, Italy,
| | - A. d’Errico
- Epidemiology Unit ASL TO3, Piedmont Region, Grugliasco (TO), Italy,
| | - D. Blane
- Imperial College London, London, United Kingdom,
- University College London, London, United Kingdom
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D’Ovidio F, d’Errico A, Calvo A, Costa G, Chiò A. Occupations and amyotrophic lateral sclerosis: are jobs exposed to the general public at higher risk? Eur J Public Health 2017; 27:643-647. [DOI: 10.1093/eurpub/ckx006] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
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