Abstract
OBJECTIVE: To examine patterns of mortality for specific causes of death with increases in the Texaco mortality study to determine if the patterns are related to employment in the petroleum industry. METHODS: Mortality patterns by duration of employment in various job groups were examined for mesothelioma, non-Hodgkin's lymphoma, multiple myeloma, cell type specific leukaemia, and brain tumours. RESULTS: Mortality from mesothelioma was examined for the total cohort and for two maintenance groups with the greatest potential for exposure to asbestos. The insulator group had a standardised mortality ratio (SMR) of 3029, and a larger group consisting of insulators, carpenters, labourers, electricians, pipefitters, boiler-makers, and welders had an SMR of 411. The mortalities from mesothelioma increased with increasing duration of employment. Mortality was lower for those first employed after 1950. An analysis of all brain tumours for the total cohort and some job and unit subgroups resulted in an SMR of 178 for those employed on the units related to motor oil and 166 for those employed as laboratory workers. Mortality from brain tumours in both of these job groups was higher for those employed > or = 5 years in the group. An analysis of non-Hodgkin's lymphoma showed no consistent patterns among the various employment groups. Mortality from multiple myeloma was non-significantly increased among people employed on the crude (SMR = 155) and fluid catalytic cracking units (SMR = 198). Leukaemia mortality was not increased for the total cohort, and a cell type analysis of leukaemia mortality for the total cohort showed no significant increases for the major cell types. However, there were significant increases for acute unspecified leukaemia (SMR = 276) and leukaemia of unknown cell type (SMR = 231). CONCLUSIONS: Analyses of specific causes of death by duration of employment in various job and process units did not show any patterns which suggest that, other than for mesothelioma, any of these increases in mortalities were likely to have resulted from workplace exposures or from employment at one of the places included in the Texaco mortality study.
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- Chung R. Y., Seizinger B. R. Molecular genetics of neurological tumours. J Med Genet. 1992 Jun;29(6):361–367. doi: 10.1136/jmg.29.6.361. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Collingwood K. W., Raabe G. K., Wong O. An updated cohort mortality study of workers at a northeastern United States petroleum refinery. Int Arch Occup Environ Health. 1996;68(5):277–288. doi: 10.1007/BF00409412. [DOI] [PubMed] [Google Scholar]
- Divine B. J., Hartman C. M., Wendt J. K. Update of the Texaco mortality study 1947-93: Part I. Analysis of overall patterns of mortality among refining, research, and petrochemical workers. Occup Environ Med. 1999 Mar;56(3):167–173. doi: 10.1136/oem.56.3.167. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Greenwald P., Friedlander B. R., Lawrence C. E., Hearne T., Earle K. Diagnostic sensitivity bias -- an epidemiologic explanation for an apparent brain tumor excess. J Occup Med. 1981 Oct;23(10):690–694. doi: 10.1097/00043764-198110000-00012. [DOI] [PubMed] [Google Scholar]
- Inskip P. D., Linet M. S., Heineman E. F. Etiology of brain tumors in adults. Epidemiol Rev. 1995;17(2):382–414. doi: 10.1093/oxfordjournals.epirev.a036200. [DOI] [PubMed] [Google Scholar]
- Kaplan S. D. Update of a mortality study of workers in petroleum refineries. J Occup Med. 1986 Jul;28(7):514–516. doi: 10.1097/00043764-198607000-00012. [DOI] [PubMed] [Google Scholar]
- Monson R. R. Analysis of relative survival and proportional mortality. Comput Biomed Res. 1974 Aug;7(4):325–332. doi: 10.1016/0010-4809(74)90010-x. [DOI] [PubMed] [Google Scholar]
- Neglia J. P., Meadows A. T., Robison L. L., Kim T. H., Newton W. A., Ruymann F. B., Sather H. N., Hammond G. D. Second neoplasms after acute lymphoblastic leukemia in childhood. N Engl J Med. 1991 Nov 7;325(19):1330–1336. doi: 10.1056/NEJM199111073251902. [DOI] [PubMed] [Google Scholar]
- Percy C., Stanek E., 3rd, Gloeckler L. Accuracy of cancer death certificates and its effect on cancer mortality statistics. Am J Public Health. 1981 Mar;71(3):242–250. doi: 10.2105/ajph.71.3.242. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Raabe G. K., Collingwood K. W., Wong O. An updated mortality study of workers at a petroleum refinery in Beaumont, Texas. Am J Ind Med. 1998 Jan;33(1):61–81. doi: 10.1002/(sici)1097-0274(199801)33:1<61::aid-ajim8>3.0.co;2-z. [DOI] [PubMed] [Google Scholar]
- Ron E., Modan B., Boice J. D., Jr, Alfandary E., Stovall M., Chetrit A., Katz L. Tumors of the brain and nervous system after radiotherapy in childhood. N Engl J Med. 1988 Oct 20;319(16):1033–1039. doi: 10.1056/NEJM198810203191601. [DOI] [PubMed] [Google Scholar]
- Satin K. P., Wong O., Yuan L. A., Bailey W. J., Newton K. L., Wen C. P., Swencicki R. E. A 50-year mortality follow-up of a large cohort of oil refinery workers in Texas. J Occup Environ Med. 1996 May;38(5):492–506. doi: 10.1097/00043764-199605000-00010. [DOI] [PubMed] [Google Scholar]
- Schnatter A. R., Thériault G., Katz A. M., Thompson F. S., Donaleski D., Murray N. A retrospective mortality study within operating segments of a petroleum company. Am J Ind Med. 1992;22(2):209–229. doi: 10.1002/ajim.4700220207. [DOI] [PubMed] [Google Scholar]
- Tsai S. P., Waddell L. C., Gilstrap E. L., Ransdell J. D., Ross C. E. Mortality among maintenance employees potentially exposed to asbestos in a refinery and petrochemical plant. Am J Ind Med. 1996 Jan;29(1):89–98. doi: 10.1002/(SICI)1097-0274(199601)29:1<89::AID-AJIM11>3.0.CO;2-W. [DOI] [PubMed] [Google Scholar]
- Wen C. P., Tsai S. P., Gibson R. L. A report on brain tumors from a retrospective cohort study of refinery workers. Ann N Y Acad Sci. 1982;381:130–138. doi: 10.1111/j.1749-6632.1982.tb50377.x. [DOI] [PubMed] [Google Scholar]
- Wong O., Morgan R. W., Bailey W. J., Swencicki R. E., Claxton K., Kheifets L. An epidemiological study of petroleum refinery employees. Br J Ind Med. 1986 Jan;43(1):6–17. doi: 10.1136/oem.43.1.6. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wong O., Raabe G. K. Cell-type-specific leukemia analyses in a combined cohort of more than 208,000 petroleum workers in the United States and the United Kingdom, 1937-1989. Regul Toxicol Pharmacol. 1995 Apr;21(2):307–321. doi: 10.1006/rtph.1995.1044. [DOI] [PubMed] [Google Scholar]
- Wong O., Raabe G. K. Multiple myeloma and benzene exposure in a multinational cohort of more than 250,000 petroleum workers. Regul Toxicol Pharmacol. 1997 Oct;26(2):188–199. doi: 10.1006/rtph.1997.1162. [DOI] [PubMed] [Google Scholar]
- Wong O. Risk of acute myeloid leukaemia and multiple myeloma in workers exposed to benzene. Occup Environ Med. 1995 Jun;52(6):380–384. doi: 10.1136/oem.52.6.380. [DOI] [PMC free article] [PubMed] [Google Scholar]