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2017 ; 90
(7
): 555-574
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gab.com Text
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English Wikipedia
Occupational exposure to respirable crystalline silica and chronic non-malignant
renal disease: systematic review and meta-analysis
#MMPMID28409224
Möhner M
; Pohrt A
; Gellissen J
Int Arch Occup Environ Health
2017[Oct]; 90
(7
): 555-574
PMID28409224
show ga
BACKGROUND: While occupational exposure to respirable silica is known to lead to
lung disease, most notably silicosis, its association with chronic kidney disease
is unclear. OBJECTIVES: This review explores the association between occupational
exposure to respirable silica and chronic non-malignant renal disease such as
glomerulonephritis. The evidence has been collected and compiled. Possible
sources of bias are thoroughly discussed. METHODS: Cohort studies with silica
exposure and case-control studies of renal disease were searched in PubMed until
January 2015. Two authors independently abstracted data; any disagreement was
resolved by consulting a third reviewer. A meta-analysis was performed to
evaluate the association to silica exposure. RESULTS: A total of 23 cohort and
four case-control studies were included in the analysis. The meta-analysis of
cohort studies yielded elevated overall SMRs for renal disease. Some studies,
however, included dose-response analyses, most of which did not show a positive
trend. The approaches and results of the case-control studies were very
heterogeneous. CONCLUSIONS: While the studies of cohorts exposed to silica found
elevated SMRs for renal disease, no clear evidence of a dose-response
relationship emerged. The elevated risk may be attributed to diagnostic and
methodological issues. In order to permit a reliable estimation of a possible
causal link, exposed cohorts should be monitored for renal disease, as the
information from mortality studies is hardly reliable in this field.
|Case-Control Studies
[MESH]
|Cohort Studies
[MESH]
|Dose-Response Relationship, Drug
[MESH]
|Glomerulonephritis/epidemiology
[MESH]
|Humans
[MESH]
|Inhalation Exposure/*statistics & numerical data
[MESH]
|Occupational Diseases/*epidemiology
[MESH]
|Occupational Exposure/*statistics & numerical data
[MESH]