Occupational UV-exposure is a major risk factor for basal cell carcinoma: results of the population-based case-control study FB-181

Objective: The aim of this study was to investigate the role of occupational and nonoccupational ultraviolet (UV)-exposure concerning the development f basal cell carcinoma (BCC). Methods: We undertook a population-based multicenter case–control study. Patients with first incident BCC (n¼836) were...

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Main Authors: Schmitt, Jochen Maximilian (Author) , Haufe, Eva (Author) , Trautmann, Freya (Author) , Schulze, Hans-Joachim (Author) , Elsner, Peter (Author) , Drexler, Hans (Author) , Bauer, Andrea (Author) , Letzel, Stephan (Author) , John, Swen Malte (Author) , Fartasch, Manigé (Author) , Brüning, Thomas (Author) , Seidler, Andreas (Author) , Dugas-Breit, Susanne (Author) , Gina, Michal (Author) , Weistenhöfer, Wobbeke (Author) , Bachmann, Klaus (Author) , Bruhn, Ilka (Author) , Lang, Berenice Mareen (Author) , Bonness, Sonja (Author) , Allam, Jean-Pierre (Author) , Grobe, William (Author) , Stange, Thoralf (Author) , Westerhausen, Stephan (Author) , Knuschke, Peter (Author) , Wittlich, Marc (Author) , Diepgen, Thomas L. (Author)
Format: Article (Journal)
Language:English
Published: January 2018
In: Journal of occupational and environmental medicine
Year: 2018, Volume: 60, Issue: 1, Pages: 36-43
ISSN:1536-5948
DOI:10.1097/JOM.0000000000001217
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1097/JOM.0000000000001217
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Author Notes:Jochen Schmitt, MD, MPH, Eva Haufe, PhD, Freya Trautmann, MSc, Hans-Joachim Schulze, MD, Peter Elsner, MD, Hans Drexler, MD, Andrea Bauer, MD, MPH, Stephan Letzel, MD, Swen Malte John, MD, Manigé Fartasch, MD, Thomas Brüning, MD, Andreas Seidler, MD, MPH, Susanne Dugas-Breit, MD, Michal Gina, MD, Wobbeke Weistenhöfer, MD, Klaus Bachmann, MD, Ilka Bruhn, MD, Berenice Mareen Lang, MD, Sonja Bonness, MD, Jean Pierre Allam, MD, William Grobe, MD,Thoralf Stange, BSc, Stephan Westerhausen, BSc, Peter Knuschke, MSc, Marc Wittlich, PhD, and Thomas Ludwig Diepgen, MD, for the FB 181 Study Group
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Summary:Objective: The aim of this study was to investigate the role of occupational and nonoccupational ultraviolet (UV)-exposure concerning the development f basal cell carcinoma (BCC). Methods: We undertook a population-based multicenter case–control study. Patients with first incident BCC (n¼836) were propensity score matched by age and sex to controls without skin cancer (n¼836). Sociodemographic characteristics, clinical characteristics, and lifetime UV-exposure were assessed by trained investigators. The differential estimation of occupational and nonoccupational UV-exposure dosages was based on validated instruments and established reference values. Associations were assessed using multivariable-adjusted conditional logistic regression models. Results: Individuals with high levels of occupational UV-exposure were at significantly increased BCC-risk compared with individuals with low [odds ratio (OR) 1.84; 95% confidence interval (95% CI) 1.19 to 2.83 and moderate (OR 1.97; 95% CI 1.20 to 3.22) occupational UV-exposure. Nonoccupational UVexposure was not independently associated with BCC. Conclusion: Skin cancer prevention strategies should be expanded to the occupational setting.
Item Description:Gesehen am 02.04.2020
Physical Description:Online Resource
ISSN:1536-5948
DOI:10.1097/JOM.0000000000001217