title: Multistage modeling of lung cancer mortality among arsenic-exposed copper-smelter workers.
abstract: Multistage modeling incorporating a time-dependent exposure pattern is applied to lung cancer mortality data obtained from a cohort of 2802 arsenic-exposed copper-smelter workers who worked 1 or more years during the period 1940-1964 at a copper smelter at Tacoma, Washington. The workers were followed for death through 1976. There were 100 deaths due to lung cancer during the follow-up period. Exposures to air arsenic levels measured in micrograms/m3 were estimated from departmental air arsenic and workers urinary arsenic measurements. Relationships of different temporal variables with excess death rates are examined to judge qualitatively the implications of the multistage cancer process. Analysis to date indicates a late stage effect of arsenic although an additional early stage effect cannot be ruled out.
authors.affiliation: Department of Biostatistics, Graduate School of Public Health, University of Pittsburgh, Pennsylvania 15261.
authors.forename: S
authors.initials: S
authors.lastname: Mazumdar
authors.forename: C K
authors.initials: CK
authors.lastname: Redmond
authors.forename: P E
authors.initials: PE
authors.lastname: Enterline
authors.forename: G M
authors.initials: GM
authors.lastname: Marsh
authors.forename: J P
authors.initials: JP
authors.lastname: Costantino
authors.forename: S Y
authors.initials: SY
authors.lastname: Zhou
authors.forename: R N
authors.initials: RN
authors.lastname: Patwardhan
mesh_terms: D000328:Adult; D000368:Aged; D000395:Air Pollutants, Occupational / Q000009:adverse effects; D001151:Arsenic / Q000009:adverse effects*; D003300:Copper; D004812:Epidemiologic Methods; D006801:Humans; D008175:Lung Neoplasms / Q000139:chemically induced / Q000401:mortality*; D008297:Male; D008875:Middle Aged; D015233:Models, Statistical; D009784:Occupational Diseases / Q000139:chemically induced / Q000401:mortality*; D012307:Risk Factors; D012984:Software; D013997:Time Factors; D014861:Washington / Q000453:epidemiology
chemical_list: D000395:Air Pollutants, Occupational; D003300:Copper; D001151:Arsenic